OBJECTIVES: to determine whether a repetitive activities of daily living (ADL) activity programme improves health status, life satisfaction and mobility for older people living in residential care. DESIGN: cluster randomised controlled trial. SETTING: five low-level dependency residential care homes in Auckland, New Zealand. PARTICIPANTS: one hundred and forty-nine older residents (mean age 84.7 years). INTERVENTION: trained research staff worked with residents in intervention wards to set a goal and complete a functional assessment for each resident. They then designed an individualised activity programme based on ADL and worked with residential care home staff to implement the programme into daily activities of residents. MEASUREMENTS: mobility: timed-up-and-go (TUG); life satisfaction: late life satisfaction index (LSI-Z); and health status: SF-36 were assessed at baseline, 3- and 6-months follow-up. RESULTS: in the intervention group the SF-36 total physical component summary (PCS) score improved at 3 months in comparison with the control group. There was no difference between groups on mobility measures at any time, nor any measures at 6-months follow-up. Significant contamination is likely to have affected the 6-month follow-up measures. CONCLUSIONS: a repetitive ADL exercise programme may improve health status in the short term in a group of frail older people living in residential care. Further research is needed to establish sustainability of change.
RCT Entities:
OBJECTIVES: to determine whether a repetitive activities of daily living (ADL) activity programme improves health status, life satisfaction and mobility for older people living in residential care. DESIGN: cluster randomised controlled trial. SETTING: five low-level dependency residential care homes in Auckland, New Zealand. PARTICIPANTS: one hundred and forty-nine older residents (mean age 84.7 years). INTERVENTION: trained research staff worked with residents in intervention wards to set a goal and complete a functional assessment for each resident. They then designed an individualised activity programme based on ADL and worked with residential care home staff to implement the programme into daily activities of residents. MEASUREMENTS: mobility: timed-up-and-go (TUG); life satisfaction: late life satisfaction index (LSI-Z); and health status: SF-36 were assessed at baseline, 3- and 6-months follow-up. RESULTS: in the intervention group the SF-36 total physical component summary (PCS) score improved at 3 months in comparison with the control group. There was no difference between groups on mobility measures at any time, nor any measures at 6-months follow-up. Significant contamination is likely to have affected the 6-month follow-up measures. CONCLUSIONS: a repetitive ADL exercise programme may improve health status in the short term in a group of frail older people living in residential care. Further research is needed to establish sustainability of change.
Authors: Ngaire Kerse; Karen J Hayman; Simon A Moyes; Kathy Peri; Elizabeth Robinson; Anthony Dowell; Gregory S Kolt; C Raina Elley; Simon Hatcher; Liz Kiata; Janine Wiles; Sally Keeling; John Parsons; Bruce Arroll Journal: Ann Fam Med Date: 2010 May-Jun Impact factor: 5.166
Authors: Florence Clark; Jeanne Jackson; Mike Carlson; Chih-Ping Chou; Barbara J Cherry; Maryalice Jordan-Marsh; Bob G Knight; Deborah Mandel; Jeanine Blanchard; Douglas A Granger; Rand R Wilcox; Mei Ying Lai; Brett White; Joel Hay; Claudia Lam; Abbey Marterella; Stanley P Azen Journal: J Epidemiol Community Health Date: 2011-06-02 Impact factor: 3.710
Authors: Antonio Gallo; Charles Weijer; Angela White; Jeremy M Grimshaw; Robert Boruch; Jamie C Brehaut; Allan Donner; Martin P Eccles; Andrew D McRae; Raphael Saginur; Merrick Zwarenstein; Monica Taljaard Journal: Trials Date: 2012-07-26 Impact factor: 2.279