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Reablement for older persons by an interprofessional home rehabilitation team: An ongoing RCT
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (BEME)ORCID iD: 0000-0002-5098-8489
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (SAMPRODUKTION)ORCID iD: 0000-0002-3068-5384
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (WELFARE)ORCID iD: 0000-0002-5711-2391
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (PRILIV BEME)ORCID iD: 0000-0002-1587-2835
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2018 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

The aim is to evaluate the effects of intensive home rehabilitation regarding multidimensional health perceptions and other quality of life domains, physical ability and capacity among older people (65+). The design is a randomized controlled study of a reablement intervention with controls receiving traditional home care. The intervention is goal- and user oriented, home-based, time limited (3 months), and organized by an interprofessional team consisting of the professions nurse, enrolled nurses, physiotherapists, social worker, and occupational therapists. The effects of the intervention are measured by self-reported health and quality of life (EQ-5D-5L, HACT) including psychological well-being (GP-CORE), physical capacity (SPPB, hand dynamometer test), activity performance (COPM), and home care hours needed. Data are collected at inclusion (T1; applying for home care), after the three months intervention (T2), and at six months (T3). Primary outcome analyses will be performed according to intention to treat; 2 x 3 mixed design (group x time) ANCOVA with each dependent variable at T1 as covariate. Based on a medium effect size in favour of the intervention in the pilot study, and a dropout of 20%, the power calculation indicated that 240 persons should be included. The project will contribute with evidence of the effects of interprofessional home rehabilitation for reablement, and consequences for older persons’ bio-psycho-social health. The project is ongoing with more than 120 persons included. The intervention may result in reduced costs for care, but especially individual gains in relation to reduced care needs, maintained independence and good health.

Place, publisher, year, edition, pages
2018.
Keywords [en]
health perception, interprofessional, Ageing, RCT
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mdh:diva-45951OAI: oai:DiVA.org:mdh-45951DiVA, id: diva2:1369181
Conference
32nd Annual Conference of the European Health Psychology Society, Galway, August 21-25, 2018.
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00126Available from: 2019-11-11 Created: 2019-11-11 Last updated: 2019-11-15

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Elfström, MagnusÖstlund, GunnelAnbäcken, Els-MarieZander, ViktoriaGustafsson, Lena-Karin

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Elfström, MagnusÖstlund, GunnelAnbäcken, Els-MarieZander, ViktoriaGustafsson, Lena-Karin
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