A quasi-experimental study on a new service option for short-term residential care of older stroke patients

Pui-hing Chau,1 Fannie Yeung,2 Tsz-wai Chan,1 Jean Woo2 1School of Nursing, The University of Hong Kong, Hong Kong; 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Abstract: We conducted a quasi-experimental study to compare the effectiveness of a new short-...

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Autores principales:	Chau PH, Yeung F, Chan TW, Woo J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	rehabilitation residential care day hospital stroke elderly Hong Kong Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/bf0b342028cf4691a41e0681b40de91d
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spelling	oai:doaj.org-article:bf0b342028cf4691a41e0681b40de91d2021-12-02T06:50:50ZA quasi-experimental study on a new service option for short-term residential care of older stroke patients1178-1998https://doaj.org/article/bf0b342028cf4691a41e0681b40de91d2013-09-01T00:00:00Zhttps://www.dovepress.com/a-quasi-experimental-study-on-a-new-service-option-for-short-term-resi-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Pui-hing Chau,1 Fannie Yeung,2 Tsz-wai Chan,1 Jean Woo2 1School of Nursing, The University of Hong Kong, Hong Kong; 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Abstract: We conducted a quasi-experimental study to compare the effectiveness of a new short-term residential care option for stroke rehabilitation with that of usual day hospital care. Primary data were collected from stroke patients and their caregivers from June 2009 to May 2012. New service option users and their caregivers were recruited for the intervention group, while users of usual public geriatric day hospital care and their caregivers were recruited for the control group. The primary outcome measures were Modified Barthel Index (MBI) and Mini-Mental Status Examination (MMSE) scores. Trained research assistants assessed the outcome measures at the beginning of the rehabilitation program (baseline) and at a 4-month follow-up. Sixty and 128 stroke patients were recruited for the intervention and control groups, respectively; 50 and 105 participants, respectively, completed the 4-month follow-up. At 4-month follow-up, the intervention group had an increased MBI score of 15.3 (95% confidence interval [CI] 10.8–19.8) and an MMSE score of 1.3 (95% CI 0.4–2.1). In comparison, the control group had an increased MBI score of 13.3 (95% CI 9.7–16.8) and an MMSE score of 1.1 (95% CI 0.4–1.9). Both groups showed a significant improvement in MBI and MMSE scores after 4 months, and there was no significant between-group difference. To conclude, the new service option and the usual care option showed similar improvement in rehabilitation outcomes at 4 months after baseline. Initiatives to provide alternative care options on a user-pay model should be encouraged to ensure a sustainable health care system. Keywords: rehabilitation, residential care, day hospital, stroke, elderly, Hong KongChau PHYeung FChan TWWoo JDove Medical Pressarticlerehabilitationresidential careday hospitalstrokeelderlyHong KongGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1167-1175 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	rehabilitation residential care day hospital stroke elderly Hong Kong Geriatrics RC952-954.6
spellingShingle	rehabilitation residential care day hospital stroke elderly Hong Kong Geriatrics RC952-954.6 Chau PH Yeung F Chan TW Woo J A quasi-experimental study on a new service option for short-term residential care of older stroke patients
description	Pui-hing Chau,1 Fannie Yeung,2 Tsz-wai Chan,1 Jean Woo2 1School of Nursing, The University of Hong Kong, Hong Kong; 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Abstract: We conducted a quasi-experimental study to compare the effectiveness of a new short-term residential care option for stroke rehabilitation with that of usual day hospital care. Primary data were collected from stroke patients and their caregivers from June 2009 to May 2012. New service option users and their caregivers were recruited for the intervention group, while users of usual public geriatric day hospital care and their caregivers were recruited for the control group. The primary outcome measures were Modified Barthel Index (MBI) and Mini-Mental Status Examination (MMSE) scores. Trained research assistants assessed the outcome measures at the beginning of the rehabilitation program (baseline) and at a 4-month follow-up. Sixty and 128 stroke patients were recruited for the intervention and control groups, respectively; 50 and 105 participants, respectively, completed the 4-month follow-up. At 4-month follow-up, the intervention group had an increased MBI score of 15.3 (95% confidence interval [CI] 10.8–19.8) and an MMSE score of 1.3 (95% CI 0.4–2.1). In comparison, the control group had an increased MBI score of 13.3 (95% CI 9.7–16.8) and an MMSE score of 1.1 (95% CI 0.4–1.9). Both groups showed a significant improvement in MBI and MMSE scores after 4 months, and there was no significant between-group difference. To conclude, the new service option and the usual care option showed similar improvement in rehabilitation outcomes at 4 months after baseline. Initiatives to provide alternative care options on a user-pay model should be encouraged to ensure a sustainable health care system. Keywords: rehabilitation, residential care, day hospital, stroke, elderly, Hong Kong
format	article
author	Chau PH Yeung F Chan TW Woo J
author_facet	Chau PH Yeung F Chan TW Woo J
author_sort	Chau PH
title	A quasi-experimental study on a new service option for short-term residential care of older stroke patients
title_short	A quasi-experimental study on a new service option for short-term residential care of older stroke patients
title_full	A quasi-experimental study on a new service option for short-term residential care of older stroke patients
title_fullStr	A quasi-experimental study on a new service option for short-term residential care of older stroke patients
title_full_unstemmed	A quasi-experimental study on a new service option for short-term residential care of older stroke patients
title_sort	quasi-experimental study on a new service option for short-term residential care of older stroke patients
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/bf0b342028cf4691a41e0681b40de91d
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A quasi-experimental study on a new service option for short-term residential care of older stroke patients

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