Outcome of Rehabilitation of Older People in Primary Health Care

University of Oslo302 enrolled

Overview

The Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in a District Inpatient Rehabilitation Centre is better than in a Standard Primary Health Care Rehabilitation Programme in Short Term Beds in Nursing Homes.

Study Type

OBSERVATIONAL

Enrollment

302

Conditions

Stroke Hip Fractures Osteoarthritis Chronic Disease

Interventions

RehabilitationOTHER

Model 1: Regular Assessment of Rehabilitation Goal, Rehabilitation Plan, Weekly Multi-Disciplinary Evaluation and Adjustment of Plan, Regular use of Measurement Scales, Regular Dialog between Personnel, Patient and Relatives. Model 2: More Occasional use of the Listed Activities. Model 1 and Model 2: Physical Training and Functional ADL Training, in Groups, One by One or Self-Training.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Both Genders * Age=\>65 Years * Diagnoses: Stroke, Hip Fractures, Osteoarthritis, Chronic, slowly progressing Diseases, Functional Decline due to Old Age, Functional Decline due to Long Hospital Stay * Assessed to have a Rehabilitation Potential Exclusion Criteria: * Age\<65 Years * Patietns with Highly Progressive Diseases * Sunnaas ADL Index\<10 * MMSE\<18 * Deeply Depressed Patients with no Initiative * Patients with Speech Dyspnoea * Patients with unstable Angina Pectoris * Patients with not diagnosed Cardiac Arrythmias

Locations (2)

Department of General Practice/General Practice Research Unit, Institute of Health and Society, University of Oslo

Oslo, Oslo County, Norway

Prestelokka Rehabilitation Centre

Stavern, Vestfold, Norway

Outcomes

Primary Outcomes

Change in Sunnaas ADL Index

Sunnaas ADL Index measures 12 Activities of Daily Life. Each Activity has a Score from 0-3, where 0=totally dependent and 3=independent. The Total Max Score of 36 means Totally Independent.

Time frame: Change from Baseline in Sunnaas ADL Index at End of Rehabilitation. Change from End of Rehabilitation in Sunnaas ADL Index at 3 months. Change from End of Rehabilitation in Sunnaas ADL Index at 18 Months

Secondary Outcomes

Change in Umea Life Satisfaction Checklist

A Simple and Validated Questionnaire, testing Life Satisfaction. We chose Two of the Questions: LSCa: How satisfied are you with your Life in general? LSCb: How satisfied are you with your Ability to manage your Self-Care? The Scores are 1-3=not satisfied and 4-6=satisfied

Time frame: Change from End of Rehabilitation in Umea Life Satisfaction Checklist at 3 Months after Rehabilitation.

Mini Mental Status Evaluation=MMSE

MMSE measures Cognitive Function. Scores are from 0-30, where 30 indicates no Cognitive Problems.

Time frame: MMSE Recorded Two Weeks into Rehabilitation

Symptom Check List 10=SCL10

SCL10 is a Questionnaire mapping Emotional Health during the Previous Week, particularly Anxiety and Depression. SCL-10 comprises Ten Questions with Scores from 1-4. The Final Score is the Total Score sum divided by Ten. Scores\>1.85 indicate Severe Emotional Problems

Time frame: SCL10 recorded at two Weeks into Rehabilitation

Home Care Services

The care scores were: 1:0 hour/week, 2:\>0-3 hours/week, 3:\>3-6 hours/week, 4:\>6-9 hours/week, and 5:\>9 hours/week.

Time frame: Change from End of Rehabilitation in Home Care Services at Three Months after Rehabilitation

Data from ClinicalTrials.gov

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