Training family to assist with physiotherapy for older people transitioning from hospital to the community: a pilot randomized controlled trial.
Clin Rehabil
; 33(10): 1625-1635, 2019 Oct.
Article
en En
| MEDLINE
| ID: mdl-31169029
ABSTRACT
OBJECTIVE:
To investigate the safety and effectiveness of augmenting physiotherapy with family-assisted therapy, to inform a future, fully powered trial.DESIGN:
Parallel pilot randomized controlled trial.SETTING:
Transition Care Program.PARTICIPANTS:
Thirty-five older adults with multimorbidity, recently hospitalized, with a mean age of 84.1 years (SD = 6.1 years) and mean Modified Barthel Index of 67.8 units (SD = 19.2 units), and 40 family members.INTERVENTIONS:
The control group (n = 18) received usual physiotherapy care. The experimental group (n = 17) received usual physiotherapy care and family-assisted therapy from a family member trained by a physiotherapist. MAINMEASURES:
Primary outcomes were falls-related self-efficacy measured by the Short Falls Efficacy Scale - International and falls during the intervention period. Secondary outcomes included daily steps, EQ-5D-3L (three-level version of the EuroQoL five-dimensional health-related quality of life questionnaire) and ICECAP-O (ICEpop CAPability measure for Older people), Modified Barthel Index and Modified Caregiver Strain Index.RESULTS:
There were no between-group differences for falls-related self-efficacy. Relative to the control group, the experimental group was observed to have a reduced risk of falling (relative risk = 0.38, 95% confidence interval (CI) = 0.09-1.60) and a reduced falls rate (incidence rate ratio = 0.22, 95% CI = 0.04-1.20) was of borderline statistical significance. The experimental group walked a mean of 944 daily steps more than the control group (95% CI = 139-1748) and had a significant reduction in activity limitation. There were no between-group differences for quality of life or caregiver strain.CONCLUSION:
Augmenting physiotherapy with family-assisted therapy is feasible for older people transitioning from hospital to the community. A fully powered randomized controlled trial is indicated.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Alta del Paciente
/
Familia
/
Modalidades de Fisioterapia
/
Cuidadores
/
Cuidado de Transición
Tipo de estudio:
Clinical_trials
/
Etiology_studies
Límite:
Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Rehabil
Asunto de la revista:
REABILITACAO
Año:
2019
Tipo del documento:
Article
País de afiliación:
Australia