Fleming, Sarah A., Blake, Holly, Gladman, John R.F., Hart, Elizabeth, Lymbery, Mark, Dewey, Michael E., McCloughry, Helen, Walker, Marion F. and Miller, Paul
(2004)
A randomised controlled trial of a care home rehabilitation service to reduce long-term institutionalisation for elderly people.
Age and Ageing, 33
(4).
pp. 384-390.
ISSN 1468-2834
Full text not available from this repository.
Abstract
Objectives: to evaluate the effect of a care home rehabilitation service on institutionalisation, health outcomes and service use.
Design: randomised controlled trial, stratified by Barthel ADL index, social service sector and whether living alone. The intervention was a rehabilitation service based in Social Services old people's homes in Nottingham, UK. The control group received usual health and social care.
Participants: 165 elderly and disabled hospitalised patients who wished to go home but were at high risk of institutionalisation (81 intervention, 84 control).
Main outcome measures: institutionalisation rates, Barthel ADL index, Nottingham Extended ADL score, General Health Questionnaire (12 item version) at 3 and 12 months, Health and Social Service resource use.
Results: the number of participants institutionalised was similar at 3 months (relative risk 1.04, 95% confidence intervals 0.65–1.65) and 12 months (relative risk 1.23, 95% confidence intervals 0.75–2.02). Barthel ADL Index, Nottingham Extended ADL score and General Health Questionnaire scores were similar at 3 and 12 months. The intervention group spent significantly fewer days in hospital over 3 and 12 months (mean reduction 12.1 and 27.6 days respectively, P < 0.01), but spent a mean of 36 days in a care home rehabilitation service facility.
Conclusions: this service did not reduce institutionalisation, but diverted patients from the hospital to social services sector without major effects on activity levels or well-being.
| Item Type: |
Article
|
| RIS ID: |
https://nottingham-repository.worktribe.com/output/703192 |
| Additional Information: |
This is a pre-copyedited, author-produced version of an article accepted for publication in Age and Ageing following peer review. The version of record A randomised controlled trial of a care home rehabilitation service to reduce long-term institutionalisation for elderly people / Sarah A. Fleming , Holly Blake, John R.F. Gladman, Elizabeth Hart, Mark Lymbery, Michael E. Dewey, Helen McCloughry, Marion Walker and Paul Miller is available online at: http://ageing.oxfordjournals.org/content/33/4/384 |
| Keywords: |
health services for the aged, rehabilitation, care homes, randomised controlled trial, elderly |
| Schools/Departments: |
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rehabilitation and Ageing |
| Identification Number: |
10.1093/ageing/afh126 |
| Depositing User: |
Eprints, Support
|
| Date Deposited: |
13 Dec 2016 10:37 |
| Last Modified: |
04 May 2020 16:25 |
| URI: |
https://eprints.nottingham.ac.uk/id/eprint/39345 |
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