Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study

Iris Fung-Kam Lee,1 Felix Ngok Yau,2 Sally Suk-Ha Yim,2 Diana Tze-Fan Lee1 1The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, Special Administrative Region; 2Nethersole Outreaching Rehabilitation Mission, Alice Ho Miu Ling Nethersol...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lee IFK, Yau FN, Yim SSH, Lee DTF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Rehabilitation Home-based service Older adults Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/fc49e82653ea4005a6c2552d190baf61
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:fc49e82653ea4005a6c2552d190baf61
record_format	dspace
spelling	oai:doaj.org-article:fc49e82653ea4005a6c2552d190baf612021-12-02T07:11:10ZEvaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study1178-1998https://doaj.org/article/fc49e82653ea4005a6c2552d190baf612018-09-01T00:00:00Zhttps://www.dovepress.com/evaluating-the-impact-of-a-home-based-rehabilitation-service-on-older--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Iris Fung-Kam Lee,1 Felix Ngok Yau,2 Sally Suk-Ha Yim,2 Diana Tze-Fan Lee1 1The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, Special Administrative Region; 2Nethersole Outreaching Rehabilitation Mission, Alice Ho Miu Ling Nethersole Charity Foundation, Hong Kong, Special Administrative Region Introduction: Previous studies evaluating home-based rehabilitation service (HBRS) merely focused on the period immediately after the patients’ discharge from hospitals. The present study focuses on HBRS that covers clients who have not been recently hospitalized. HBRS aims to meet older clients’ rehabilitation needs and support their caregivers in the community. This study intended to evaluate the impact of HBRS on the older clients’ health outcomes and hospital services utilization, and caregivers’ strain in providing care for clients.Methods: This study used a matched-control quasi-experimental design with a 3-month follow-up to evaluate HBRS. The health outcome measures used for the older clients included Elderly Mobility Scale, Timed Up and Go test, Modified Barthel Index, Lawton’s Instrumental Activities of Daily Living Scale, Mini-Mental State Examination, and World Health Organization Quality of Life Scale, Short Form, Hong Kong version (WHOQOL-BREF [HK]). Meanwhile, the Caregiver Strain Index was used to measure the caregivers’ caregiving strain. Data on clients’ hospital services utilization 3 and 6 months before and after the study were also collected and evaluated.Results: The final sample consisted of 122 pairs of older clients and caregivers who live in a community in Hong Kong. In the follow-up after 3 months, the intervention group showed immensely substantial improvements across all the health outcome measures compared with the control group. The intervention group also demonstrated substantial reduction in the clients’ hospital services utilization compared with the control group. However, no significant differences in the clients’ hospital services utilization exist between the two groups in the follow-up after 6 months.Conclusion: HBRS of this study is an effective intervention service to improve health outcomes and reduce hospital services utilization among older people living in the community. Moreover, HBRS of this study was effective in reducing the caregivers’ caregiving strain. Keywords: elderly, community, Elderly Mobility Scale, Caregiver Strain Index, hospital services utilizationLee IFKYau FNYim SSHLee DTFDove Medical PressarticleRehabilitationHome-based serviceOlder adultsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1727-1737 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Rehabilitation Home-based service Older adults Geriatrics RC952-954.6
spellingShingle	Rehabilitation Home-based service Older adults Geriatrics RC952-954.6 Lee IFK Yau FN Yim SSH Lee DTF Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
description	Iris Fung-Kam Lee,1 Felix Ngok Yau,2 Sally Suk-Ha Yim,2 Diana Tze-Fan Lee1 1The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, Special Administrative Region; 2Nethersole Outreaching Rehabilitation Mission, Alice Ho Miu Ling Nethersole Charity Foundation, Hong Kong, Special Administrative Region Introduction: Previous studies evaluating home-based rehabilitation service (HBRS) merely focused on the period immediately after the patients’ discharge from hospitals. The present study focuses on HBRS that covers clients who have not been recently hospitalized. HBRS aims to meet older clients’ rehabilitation needs and support their caregivers in the community. This study intended to evaluate the impact of HBRS on the older clients’ health outcomes and hospital services utilization, and caregivers’ strain in providing care for clients.Methods: This study used a matched-control quasi-experimental design with a 3-month follow-up to evaluate HBRS. The health outcome measures used for the older clients included Elderly Mobility Scale, Timed Up and Go test, Modified Barthel Index, Lawton’s Instrumental Activities of Daily Living Scale, Mini-Mental State Examination, and World Health Organization Quality of Life Scale, Short Form, Hong Kong version (WHOQOL-BREF [HK]). Meanwhile, the Caregiver Strain Index was used to measure the caregivers’ caregiving strain. Data on clients’ hospital services utilization 3 and 6 months before and after the study were also collected and evaluated.Results: The final sample consisted of 122 pairs of older clients and caregivers who live in a community in Hong Kong. In the follow-up after 3 months, the intervention group showed immensely substantial improvements across all the health outcome measures compared with the control group. The intervention group also demonstrated substantial reduction in the clients’ hospital services utilization compared with the control group. However, no significant differences in the clients’ hospital services utilization exist between the two groups in the follow-up after 6 months.Conclusion: HBRS of this study is an effective intervention service to improve health outcomes and reduce hospital services utilization among older people living in the community. Moreover, HBRS of this study was effective in reducing the caregivers’ caregiving strain. Keywords: elderly, community, Elderly Mobility Scale, Caregiver Strain Index, hospital services utilization
format	article
author	Lee IFK Yau FN Yim SSH Lee DTF
author_facet	Lee IFK Yau FN Yim SSH Lee DTF
author_sort	Lee IFK
title	Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
title_short	Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
title_full	Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
title_fullStr	Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
title_full_unstemmed	Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
title_sort	evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/fc49e82653ea4005a6c2552d190baf61
work_keys_str_mv	AT leeifk evaluatingtheimpactofahomebasedrehabilitationserviceonolderpeopleandtheircaregiversamatchedcontrolquasiexperimentalstudy AT yaufn evaluatingtheimpactofahomebasedrehabilitationserviceonolderpeopleandtheircaregiversamatchedcontrolquasiexperimentalstudy AT yimssh evaluatingtheimpactofahomebasedrehabilitationserviceonolderpeopleandtheircaregiversamatchedcontrolquasiexperimentalstudy AT leedtf evaluatingtheimpactofahomebasedrehabilitationserviceonolderpeopleandtheircaregiversamatchedcontrolquasiexperimentalstudy
_version_	1718399612481437696

Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study

Ejemplares similares