Predictors of outcomes following reablement in community-dwelling older adults

Hanne Tuntland,1,2 Ingvild Kjeken,3,4 Eva Langeland,2,5 Bjarte Folkestad,2,6 Birgitte Espehaug,7 Oddvar Førland,2,8 Mona Kristin Aaslund1 1Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, 2Centre for Care Research Western Norwa...

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Autores principales:	Tuntland H, Kjeken I, Langeland E, Folkestad B, Espehaug B, Førland O, Aaslund MK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	home-based rehabilitation Canadian Occupational Performance Measure aged sex frailty Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2408bb13906c4956af0218e05bf6aecc
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spelling	oai:doaj.org-article:2408bb13906c4956af0218e05bf6aecc2021-12-02T07:59:13ZPredictors of outcomes following reablement in community-dwelling older adults1178-1998https://doaj.org/article/2408bb13906c4956af0218e05bf6aecc2016-12-01T00:00:00Zhttps://www.dovepress.com/predictors-of-outcomes-following-reablement-in-community-dwelling-olde-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Hanne Tuntland,1,2 Ingvild Kjeken,3,4 Eva Langeland,2,5 Bjarte Folkestad,2,6 Birgitte Espehaug,7 Oddvar Førland,2,8 Mona Kristin Aaslund1 1Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, 2Centre for Care Research Western Norway, Bergen University College, Bergen, 3National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, 4Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, 5Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, 6Uni Research Rokkan Centre, 7Centre for Evidence-Based Practice, Bergen University College, 8Faculty of Health Studies, VID Specialized University, Campus Bergen, Bergen, Norway Background: Reablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities) perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking. Objective: The objective of this study was to determine the potential factors that predict occupational performance and satisfaction with that performance at 10 weeks follow-up. Methods: The sample in this study was derived from a nationwide clinical controlled trial evaluating the effects of reablement in Norway and consisted of 712 participants living in 34 municipalities. Multiple linear regression was used to investigate possible predictors of occupational performance (COPM-P) and satisfaction with that performance (COPM-S) at 10 weeks follow-up based on the Canadian Occupational Performance Measure (COPM). Results: The results indicate that the factors that significantly predicted better COPM-P and COPM-S outcomes at 10 weeks follow-up were higher baseline scores of COPM-P and COPM-S respectively, female sex, having a fracture as the major health condition and high motivation for rehabilitation. Conversely, the factors that significantly predicted poorer COPM-P and COPM-S outcomes were having a neurological disease other than stroke, having dizziness/balance problems as the major health condition and having pain/discomfort. In addition, having anxiety/depression was a predictor of poorer COPM-P outcomes. The two regression models explained 38.3% and 38.8% of the total variance of the dependent variables of occupational performance and satisfaction with that performance, respectively. Conclusion: The results indicate that diagnosis, functional level, sex and motivation are significant predictors of outcomes following reablement. Keywords: home-based rehabilitation, Canadian Occupational Performance Measure, aged, sex, frailtyTuntland HKjeken ILangeland EFolkestad BEspehaug BFørland OAaslund MKDove Medical Pressarticlehome-based rehabilitationCanadian Occupational Performance MeasureagedsexfrailtyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 55-63 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	home-based rehabilitation Canadian Occupational Performance Measure aged sex frailty Geriatrics RC952-954.6
spellingShingle	home-based rehabilitation Canadian Occupational Performance Measure aged sex frailty Geriatrics RC952-954.6 Tuntland H Kjeken I Langeland E Folkestad B Espehaug B Førland O Aaslund MK Predictors of outcomes following reablement in community-dwelling older adults
description	Hanne Tuntland,1,2 Ingvild Kjeken,3,4 Eva Langeland,2,5 Bjarte Folkestad,2,6 Birgitte Espehaug,7 Oddvar Førland,2,8 Mona Kristin Aaslund1 1Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, 2Centre for Care Research Western Norway, Bergen University College, Bergen, 3National Advisory Unit on Rehabilitation in Rheumatology, Diakonhjemmet Hospital, 4Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, Oslo, 5Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, 6Uni Research Rokkan Centre, 7Centre for Evidence-Based Practice, Bergen University College, 8Faculty of Health Studies, VID Specialized University, Campus Bergen, Bergen, Norway Background: Reablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities) perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking. Objective: The objective of this study was to determine the potential factors that predict occupational performance and satisfaction with that performance at 10 weeks follow-up. Methods: The sample in this study was derived from a nationwide clinical controlled trial evaluating the effects of reablement in Norway and consisted of 712 participants living in 34 municipalities. Multiple linear regression was used to investigate possible predictors of occupational performance (COPM-P) and satisfaction with that performance (COPM-S) at 10 weeks follow-up based on the Canadian Occupational Performance Measure (COPM). Results: The results indicate that the factors that significantly predicted better COPM-P and COPM-S outcomes at 10 weeks follow-up were higher baseline scores of COPM-P and COPM-S respectively, female sex, having a fracture as the major health condition and high motivation for rehabilitation. Conversely, the factors that significantly predicted poorer COPM-P and COPM-S outcomes were having a neurological disease other than stroke, having dizziness/balance problems as the major health condition and having pain/discomfort. In addition, having anxiety/depression was a predictor of poorer COPM-P outcomes. The two regression models explained 38.3% and 38.8% of the total variance of the dependent variables of occupational performance and satisfaction with that performance, respectively. Conclusion: The results indicate that diagnosis, functional level, sex and motivation are significant predictors of outcomes following reablement. Keywords: home-based rehabilitation, Canadian Occupational Performance Measure, aged, sex, frailty
format	article
author	Tuntland H Kjeken I Langeland E Folkestad B Espehaug B Førland O Aaslund MK
author_facet	Tuntland H Kjeken I Langeland E Folkestad B Espehaug B Førland O Aaslund MK
author_sort	Tuntland H
title	Predictors of outcomes following reablement in community-dwelling older adults
title_short	Predictors of outcomes following reablement in community-dwelling older adults
title_full	Predictors of outcomes following reablement in community-dwelling older adults
title_fullStr	Predictors of outcomes following reablement in community-dwelling older adults
title_full_unstemmed	Predictors of outcomes following reablement in community-dwelling older adults
title_sort	predictors of outcomes following reablement in community-dwelling older adults
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/2408bb13906c4956af0218e05bf6aecc
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Predictors of outcomes following reablement in community-dwelling older adults

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