Active Residents in Care Homes (ARCH): study protocol to investigate the implementation and outcomes of a whole-systems activity programme in residential care homes for older people.
Physiotherapy
; 103(1): 113-120, 2017 Mar.
Article
em En
| MEDLINE
| ID: mdl-27015913
ABSTRACT
OBJECTIVES:
To evaluate the effectiveness, acceptability and costs of Active Residents in Care Homes, ARCH - a programme aiming to increase opportunities for activity in older care home residents.DESIGN:
Feasibility study.SETTING:
Residential care homes for older people.PARTICIPANTS:
10-15 residents, staff and family members will be recruited in each of the three participating care homes. INTERVENTION ARCH is a 12-month 'whole-systems' programme implemented by occupational therapists and physiotherapists. They will conduct a comprehensive assessment of each care home, considering the physical environment, working practices and organisation structure as well as residents' individual needs, and recommend ways to address barriers and increase residents' activity levels. The therapists will then work with staff to improve understanding of the issues, instigate training, environmental, organisational and working practice changes as necessary. MAIN OUTCOMEMEASURES:
Residents' activity levels, health and quality of life will be tested using several measures to see which are practicable and appropriate for this population in this context. This includes Assessment of Physical Activity in Frail Older People; Pool Activity Level Checklist; Dementia Care Mapping observations; and EQ-5D-5L. Residents will be assessed prior to programme implementation then 4- and 12-months post-implementation. Semi-structured interviews will explore the experiences of residents, staff, family members and therapists.CONCLUSIONS:
Providing evidence of effectiveness and acceptability of ARCH, and documenting factors that impede/facilitate implementation will help us identify ways to enhance the care and quality of life of older people in residential care, and our understanding of how to implement them. TRIAL REGISTRATION ISRCTN24000891.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Projetos de Pesquisa
/
Terapia Ocupacional
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Modalidades de Fisioterapia
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Promoção da Saúde
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Instituição de Longa Permanência para Idosos
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Casas de Saúde
Tipo de estudo:
Clinical_trials
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Prognostic_studies
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Qualitative_research
/
Sysrev_observational_studies
Limite:
Aged
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article