Long Term Care
Conditions
Keywords
reablement, community
Brief summary
This study aims o investigate the effect of a diversified community-based reablement on motor function, cognitive function, performance in activities of daily living (ADL), and physical performance of older people living in remote areas. Older adults who are mobile but unstable were recruited from 6 public elderly day care centers in remote areas of the New Taipei City. Experimental group received a 10-wk diversified community-based reablement service including group exercise, cognitive training, health education for 1.5 hours, and individualized reablement for 1.0 hour, while control group received 1.5-hr group intervention and 1.0-hr placebo intervention. The de Morton Mobility Index (DEMMI), Saint Louis Mental Status Examination (SLUMS), Barthel Index (BI), Canadian Occupational Performance Measure (COPM), and the Short Physical Performance Battery (SPPB) including balance, gait speed, chair stand tests were evaluated twice before and after interventions. The results of the current study are expected to provide evidence in supporting a novel and diversified community-based reablement in remote areas.
Interventions
Experimental group receive a 10-wk diversified community-based reablement service including group exercise, cognitive training, health education for 1.5 hours, and individualized reablement for 1.0 hour.
control group receive a 10-wk multicomponent training including 1.5-hr group intervention (group exercise, cognitive training, and health education) and 1.0-hr placebo intervention.
Sponsors
Study design
Eligibility
Inclusion criteria
* living in community and participating in public elderly day care centers in remote areas of the New Taipei City * speaking with Chinese or Taiwanese * DEMMI score of 39-67
Exclusion criteria
* diagnosed with moderate or severe cognitive impairment (CDR score of 2 or above) * unable to understand or follow one step instruction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in mobility function | baseline and 10 weeks | de Morton Mobility Index (DEMMI) |
| Change in cognitive function | baseline and 10 weeks | Saint Louis Mental Status Examination (SLUMS) |
| Change in performance in activities of daily living | baseline and 10 weeks | Barthel Index (BI) |
| Change in occupational performance | baseline and 10 weeks | Canadian Occupational Performance Measure (COPM) |
| Change in physical performance | baseline and 10 weeks | Short Physical Performance Battery (SPPB) |
Countries
Taiwan