A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes
Objectives: To investigate the effect of a reablement intervention (a person-centered, interdisciplinary rehabilitation approach) compared with usual care services in home-dwelling elderly experiencing functional declines in activities of daily living. Design: A non-randomized controlled trial compa...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
|
| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109523000733 |
| _version_ | 1797287557207162880 |
|---|---|
| author | Jeanette Kjernsholen, MD Inger Schou-Bredal, PhD, RN, OUS Rolf Kaaresen, MD, PhD, OUS Helene Lundgaard Soberg, PhD Aase Sagen, PhD |
| author_facet | Jeanette Kjernsholen, MD Inger Schou-Bredal, PhD, RN, OUS Rolf Kaaresen, MD, PhD, OUS Helene Lundgaard Soberg, PhD Aase Sagen, PhD |
| author_sort | Jeanette Kjernsholen, MD |
| collection | DOAJ |
| description | Objectives: To investigate the effect of a reablement intervention (a person-centered, interdisciplinary rehabilitation approach) compared with usual care services in home-dwelling elderly experiencing functional declines in activities of daily living. Design: A non-randomized controlled trial comparing a reablement intervention with usual care; outcomes were measured at baseline, after intervention, and at a 6-month from baseline in both groups. Setting: Municipal public health service. Participants: Sixty-five home-dwelling elderly with functional decline were assigned by the participants home care service zone to a reablement group (n=35), or a usual care group (n=30). The mean participant age was 80±11 years in the reablement group and 78±12 in the usual care group. Intervention: The reablement group received a person-centered and tailored reablement program provided by an interdisciplinary team, consisting of a physiotherapist, an occupational therapist, and a nurse. The usual care group received standard home care services. Main Outcome Measures: The dimension “Your health today” from the European Quality of Life-Visual Analog Scale (HRQOL), the patient-specific functional scale for goals in ADL (PSFS), the short physical performance battery (SPPB), and home care services in hours per week. Results: There were significant differences over time in favor of the reablement group with between-group effect sizes of Cohen h2=0.36 (P=.001) for HRQOL, h2=0.60 (P=.001) for PSFS, h2=0.30 (P=.001) for SPPB, and h2=0.10 (P=.013) for hours of home care services per week. The within-group effect size for PSFS was h2=0.15 (P=.010) in favor of the reablement group. The mean number of hours of home care services per week was mean 0.38±1.07 (P=.001) in the reablement group and mean 30.38±64.13 (P=.023) in the usual care group. Conclusions: The participants in the reablement group achieved and maintained better physical function, a higher HRQOL and needed considerably less home care services than the usual care group participants. Thus, reablement appears to be a more beneficial and sustainable approach than the usual care services for the home-dwelling elderly with functional decline. |
| first_indexed | 2024-03-07T18:36:05Z |
| format | Article |
| id | doaj.art-43fe5827e9ba43b09485187e6013b38d |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-03-07T18:36:05Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-43fe5827e9ba43b09485187e6013b38d2024-03-02T04:54:44ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952024-03-0161100311A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed OutcomesJeanette Kjernsholen, MD0Inger Schou-Bredal, PhD, RN, OUS1Rolf Kaaresen, MD, PhD, OUS2Helene Lundgaard Soberg, PhD3Aase Sagen, PhD4Oslo Metropolitan University, Oslo, Viken, Norway; Corresponding author Jeanette Kjernsholen, Aurskog-Holand municipality, 1930 Bjorkelangen, Norway.Institute of Health and Society, Department of Nursing Science, University of Oslo, Oslo, Viken, NorwayFaculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Viken, NorwayFaculty of Health Sciences, Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Viken, NorwayDepartment of Health and Life Skills, Municipality of Aurskog-Holand, Oslo, Viken, NorwayObjectives: To investigate the effect of a reablement intervention (a person-centered, interdisciplinary rehabilitation approach) compared with usual care services in home-dwelling elderly experiencing functional declines in activities of daily living. Design: A non-randomized controlled trial comparing a reablement intervention with usual care; outcomes were measured at baseline, after intervention, and at a 6-month from baseline in both groups. Setting: Municipal public health service. Participants: Sixty-five home-dwelling elderly with functional decline were assigned by the participants home care service zone to a reablement group (n=35), or a usual care group (n=30). The mean participant age was 80±11 years in the reablement group and 78±12 in the usual care group. Intervention: The reablement group received a person-centered and tailored reablement program provided by an interdisciplinary team, consisting of a physiotherapist, an occupational therapist, and a nurse. The usual care group received standard home care services. Main Outcome Measures: The dimension “Your health today” from the European Quality of Life-Visual Analog Scale (HRQOL), the patient-specific functional scale for goals in ADL (PSFS), the short physical performance battery (SPPB), and home care services in hours per week. Results: There were significant differences over time in favor of the reablement group with between-group effect sizes of Cohen h2=0.36 (P=.001) for HRQOL, h2=0.60 (P=.001) for PSFS, h2=0.30 (P=.001) for SPPB, and h2=0.10 (P=.013) for hours of home care services per week. The within-group effect size for PSFS was h2=0.15 (P=.010) in favor of the reablement group. The mean number of hours of home care services per week was mean 0.38±1.07 (P=.001) in the reablement group and mean 30.38±64.13 (P=.023) in the usual care group. Conclusions: The participants in the reablement group achieved and maintained better physical function, a higher HRQOL and needed considerably less home care services than the usual care group participants. Thus, reablement appears to be a more beneficial and sustainable approach than the usual care services for the home-dwelling elderly with functional decline.http://www.sciencedirect.com/science/article/pii/S2590109523000733Functional declineHome care servicesInterdisciplinary teamReablementRehabilitation |
| spellingShingle | Jeanette Kjernsholen, MD Inger Schou-Bredal, PhD, RN, OUS Rolf Kaaresen, MD, PhD, OUS Helene Lundgaard Soberg, PhD Aase Sagen, PhD A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes Archives of Rehabilitation Research and Clinical Translation Functional decline Home care services Interdisciplinary team Reablement Rehabilitation |
| title | A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes |
| title_full | A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes |
| title_fullStr | A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes |
| title_full_unstemmed | A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes |
| title_short | A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes |
| title_sort | prospective intervention study with 6 months follow up of the effect of reablement in home dwelling elderly patient reported and observed outcomes |
| topic | Functional decline Home care services Interdisciplinary team Reablement Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109523000733 |
| work_keys_str_mv | AT jeanettekjernsholenmd aprospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT ingerschoubredalphdrnous aprospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT rolfkaaresenmdphdous aprospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT helenelundgaardsobergphd aprospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT aasesagenphd aprospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT jeanettekjernsholenmd prospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT ingerschoubredalphdrnous prospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT rolfkaaresenmdphdous prospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT helenelundgaardsobergphd prospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes AT aasesagenphd prospectiveinterventionstudywith6monthsfollowupoftheeffectofreablementinhomedwellingelderlypatientreportedandobservedoutcomes |