Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial
Abstract Background Geriatric rehabilitation aims to maintain the functional reserves of older adults in order to optimize social participation and prevent disability. After discharge from inpatient geriatric rehabilitation, patients are at high risk for decreased physical capacity, increased vulner...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04634-2 |
| _version_ | 1797349712492232704 |
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| author | Bastian Abel Martin Bongartz Kilian Rapp Patrick Roigk Janine Peiter Brigitte Metz Benjamin Finger Gisela Büchele Michel Wensing Catharina Roth Oliver Schmidberger Hans-Helmut König Sophie Gottschalk Judith Dams Oliver Deuster Désirée Immel William Micol Jürgen M. Bauer Petra Benzinger |
| author_facet | Bastian Abel Martin Bongartz Kilian Rapp Patrick Roigk Janine Peiter Brigitte Metz Benjamin Finger Gisela Büchele Michel Wensing Catharina Roth Oliver Schmidberger Hans-Helmut König Sophie Gottschalk Judith Dams Oliver Deuster Désirée Immel William Micol Jürgen M. Bauer Petra Benzinger |
| author_sort | Bastian Abel |
| collection | DOAJ |
| description | Abstract Background Geriatric rehabilitation aims to maintain the functional reserves of older adults in order to optimize social participation and prevent disability. After discharge from inpatient geriatric rehabilitation, patients are at high risk for decreased physical capacity, increased vulnerability, and limitations in mobility. As a result, ageing in place becomes uncertain for a plethora of patients after discharge from geriatric rehabilitation and effective strategies to prevent physical decline are required. Collaboration between different health-care providers is essential to improve continuity of care after discharge from inpatient geriatric rehabilitation. The aim of this study is to evaluate the effectiveness of a multi-professional home-based intervention program (GeRas) to improve functional capacity and social participation in older persons after discharge from inpatient geriatric rehabilitation. Methods The study is a multicenter, three-arm, randomized controlled trial with a three-month intervention period. Two hundred and seventy community-dwelling older people receiving inpatient geriatric rehabilitation will be randomized with a 1:1:1 ratio to one of the parallel intervention groups (conventional IG or tablet IG) or the control group (CG). The participants of both IGs will receive a home-based physical exercise program supervised by physical therapists, a nutritional recommendation by a physician, and social counseling by social workers of the health insurance company. The collaboration between the health-care providers and management of participants will be realized within a cloud environment based on a telemedicine platform and supported by multi-professional case conferences. The CG will receive usual care, two short handouts on general health-related topics, and facultative lifestyle counseling with general recommendations for a healthy diet and active ageing. The primary outcomes will be the physical capacity measured by the Short Physical Performance Battery and social participation assessed by the modified Reintegration to Normal Living Index, three months after discharge. Discussion The GeRas program is designed to improve the collaboration between health-care providers in the transition from inpatient geriatric rehabilitation to outpatient settings. Compared to usual care, it is expected to improve physical capacity and participation in geriatric patients after discharge from inpatient geriatric rehabilitation. Trial registration German Clinical Trials Register (DRKS00029559). Registered on October 05, 2022. |
| first_indexed | 2024-03-08T12:34:21Z |
| format | Article |
| id | doaj.art-5846d6d0f721480c9bc56781e2b14e9f |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-08T12:34:21Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-5846d6d0f721480c9bc56781e2b14e9f2024-01-21T12:34:10ZengBMCBMC Geriatrics1471-23182024-01-0124111510.1186/s12877-023-04634-2Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trialBastian Abel0Martin Bongartz1Kilian Rapp2Patrick Roigk3Janine Peiter4Brigitte Metz5Benjamin Finger6Gisela Büchele7Michel Wensing8Catharina Roth9Oliver Schmidberger10Hans-Helmut König11Sophie Gottschalk12Judith Dams13Oliver Deuster14Désirée Immel15William Micol16Jürgen M. Bauer17Petra Benzinger18Department of Clinical Gerontology, Robert-Bosch-HospitalCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital HeidelbergDepartment of Clinical Gerontology, Robert-Bosch-HospitalDepartment of Clinical Gerontology, Robert-Bosch-HospitalGeriatric Center Karlsruhe, ViDia Christian Clinics KarlsruheGeriatric Center Karlsruhe, ViDia Christian Clinics KarlsruheDepartment of Telemedicine, Robert-Bosch-HospitalInstitute of Epidemiology and Medical Biometry, Ulm UniversityDepartment of General Practice and Health Services Research, Heidelberg University HospitalDepartment of General Practice and Health Services Research, Heidelberg University HospitalDepartment of Clinical Gerontology, Robert-Bosch-HospitalDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-EppendorfDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-EppendorfDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-EppendorfInterdisciplinary Center for Clinical Trials (IZKS) at the University Medical Center of the Johannes Gutenberg-University MainzAOK Baden-Württemberg, Statutory Health Insurance CompanyCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital HeidelbergCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital HeidelbergCenter for Geriatric Medicine, Heidelberg University Hospital, Agaplesion Bethanien Hospital HeidelbergAbstract Background Geriatric rehabilitation aims to maintain the functional reserves of older adults in order to optimize social participation and prevent disability. After discharge from inpatient geriatric rehabilitation, patients are at high risk for decreased physical capacity, increased vulnerability, and limitations in mobility. As a result, ageing in place becomes uncertain for a plethora of patients after discharge from geriatric rehabilitation and effective strategies to prevent physical decline are required. Collaboration between different health-care providers is essential to improve continuity of care after discharge from inpatient geriatric rehabilitation. The aim of this study is to evaluate the effectiveness of a multi-professional home-based intervention program (GeRas) to improve functional capacity and social participation in older persons after discharge from inpatient geriatric rehabilitation. Methods The study is a multicenter, three-arm, randomized controlled trial with a three-month intervention period. Two hundred and seventy community-dwelling older people receiving inpatient geriatric rehabilitation will be randomized with a 1:1:1 ratio to one of the parallel intervention groups (conventional IG or tablet IG) or the control group (CG). The participants of both IGs will receive a home-based physical exercise program supervised by physical therapists, a nutritional recommendation by a physician, and social counseling by social workers of the health insurance company. The collaboration between the health-care providers and management of participants will be realized within a cloud environment based on a telemedicine platform and supported by multi-professional case conferences. The CG will receive usual care, two short handouts on general health-related topics, and facultative lifestyle counseling with general recommendations for a healthy diet and active ageing. The primary outcomes will be the physical capacity measured by the Short Physical Performance Battery and social participation assessed by the modified Reintegration to Normal Living Index, three months after discharge. Discussion The GeRas program is designed to improve the collaboration between health-care providers in the transition from inpatient geriatric rehabilitation to outpatient settings. Compared to usual care, it is expected to improve physical capacity and participation in geriatric patients after discharge from inpatient geriatric rehabilitation. Trial registration German Clinical Trials Register (DRKS00029559). Registered on October 05, 2022.https://doi.org/10.1186/s12877-023-04634-2Geriatric patientsOlder adultsPhysical capacityParticipationTelemedicineTablet |
| spellingShingle | Bastian Abel Martin Bongartz Kilian Rapp Patrick Roigk Janine Peiter Brigitte Metz Benjamin Finger Gisela Büchele Michel Wensing Catharina Roth Oliver Schmidberger Hans-Helmut König Sophie Gottschalk Judith Dams Oliver Deuster Désirée Immel William Micol Jürgen M. Bauer Petra Benzinger Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial BMC Geriatrics Geriatric patients Older adults Physical capacity Participation Telemedicine Tablet |
| title | Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial |
| title_full | Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial |
| title_fullStr | Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial |
| title_full_unstemmed | Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial |
| title_short | Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial |
| title_sort | multimodal home based rehabilitation intervention after discharge from inpatient geriatric rehabilitation geras study protocol for a multicenter randomized controlled trial |
| topic | Geriatric patients Older adults Physical capacity Participation Telemedicine Tablet |
| url | https://doi.org/10.1186/s12877-023-04634-2 |
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