Chronic Disease, Hip Fractures, Osteoarthritis, Stroke
Conditions
Keywords
Rehabilitation outcome, Aged, Aged, 80 and over, Activities of daily living
Brief summary
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.
Interventions
OTHERRehabilitation
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.
Sponsors
Norwegian Medical Association
University of Oslo
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Sunnaas ADL Index | 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 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Umea Life Satisfaction Checklist | Change from End of Rehabilitation in Umea Life Satisfaction Checklist at 3 Months after Rehabilitation. | 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 |
| Mini Mental Status Evaluation=MMSE | MMSE Recorded Two Weeks into Rehabilitation | MMSE measures Cognitive Function. Scores are from 0-30, where 30 indicates no Cognitive Problems. |
| Symptom Check List 10=SCL10 | SCL10 recorded at two Weeks into Rehabilitation | 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 |
| Home Care Services | Change from End of Rehabilitation in Home Care Services at Three Months after Rehabilitation | 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. |
| Informal Care from Relatives | Change in Informal Care from relatives from End of Rehabilitation at Three Months after Rehabilitation | Care Scores: 1:0 Hour/Week, 2:\>0-3 Hours/Week, 3:\>3-6 Hours/Week, 4:\>6-9 Hours/Week, and 5:\>9 Hours/Week. |
Countries
Norway
Outcome results
None listed