Quality of Life, Exercise Endurance and Functionality Following an Intervention to Reduce Unplanned Health Service Use for Older Adults: A Randomised Controlled Trial

2.50
Hdl Handle:
http://hdl.handle.net/10755/152441
Type:
Presentation
Title:
Quality of Life, Exercise Endurance and Functionality Following an Intervention to Reduce Unplanned Health Service Use for Older Adults: A Randomised Controlled Trial
Abstract:
Quality of Life, Exercise Endurance and Functionality Following an Intervention to Reduce Unplanned Health Service Use for Older Adults: A Randomised Controlled Trial
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Courtney, Mary, PhD
P.I. Institution Name:Institute of Health and Biomedical Innovation, Queensland University of Technology
Title:Professor
Co-Authors:Helen Edwards, PhD; Anne M. Chang, RN, DipNEd, BEdSt, (Hons), MEdSt, PhD; Anthony Parker, PhD; Kathleen Finlayson, BN, MNsg
Problem, Aims and Design:  Older people have significantly higher rates of hospital admission and length of stay than the general population, along with higher rates of hospital re-admission due to complications and falls. During hospitalisation, many older people experience significant deconditioning and functional decline which impacts on their future levels of independence and quality of life. This randomised controlled trial aimed to design, deliver, and evaluate an innovative model of discharge planning and in-home exercise-based follow-up for community-living frail older people at high risk of hospital re-admission. Subjects and Methods:  A sample of 80 hospitalised men and woman aged 65 years and older at risk of hospital readmission were randomly assigned into either an intervention or control group. Control subjects received routine hospital care and follow-up, whilst intervention subjects received a six-month comprehensive follow-up protocol including an individualised in-home exercise program designed to improve strength, stability, endurance, and self-confidence. Measures about general health, well-being, functional ability and health service use were collected from both groups at baseline, 4 weeks, 12 weeks and 24 weeks post discharge. Results:  Significant improvements in exercise endurance, functional ability and health-related quality of life measures were found in the intervention group in comparison to the control group at 12 weeks and 24 weeks post discharge. The intervention group participants also reported a reduction in unexpected emergency health service visits during the 24 weeks. Conclusion:  Results indicate this follow-up program can improve health, quality of life and reduce health service use for older adults at risk of hospital readmission.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQuality of Life, Exercise Endurance and Functionality Following an Intervention to Reduce Unplanned Health Service Use for Older Adults: A Randomised Controlled Trialen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152441-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Quality of Life, Exercise Endurance and Functionality Following an Intervention to Reduce Unplanned Health Service Use for Older Adults: A Randomised Controlled Trial</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Courtney, Mary, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Institute of Health and Biomedical Innovation, Queensland University of Technology</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">m.courtney@qut.edu.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Helen Edwards, PhD; Anne M. Chang, RN, DipNEd, BEdSt, (Hons), MEdSt, PhD; Anthony Parker, PhD; Kathleen Finlayson, BN, MNsg</td></tr><tr><td colspan="2" class="item-abstract">Problem, Aims and Design:&nbsp; Older people have significantly higher rates of hospital admission and length of stay than the general population, along with higher rates of hospital re-admission due to complications and falls. During hospitalisation, many older people experience significant deconditioning and functional decline which impacts on their future levels of independence and quality of life. This randomised controlled trial aimed to design, deliver, and evaluate an innovative model of discharge planning and in-home exercise-based follow-up for community-living frail older people at high risk of hospital re-admission. Subjects and Methods:&nbsp; A sample of 80 hospitalised men and woman aged 65 years and older at risk of hospital readmission were randomly assigned into either an intervention or control group. Control subjects received routine hospital care and follow-up, whilst intervention subjects received a six-month comprehensive follow-up protocol including an individualised in-home exercise program designed to improve strength, stability, endurance, and self-confidence. Measures about general health, well-being, functional ability and health service use were collected from both groups at baseline, 4 weeks, 12 weeks and 24 weeks post discharge. Results:&nbsp; Significant improvements in exercise endurance, functional ability and health-related quality of life measures were found in the intervention group in comparison to the control group at 12 weeks and 24 weeks post discharge. The intervention group participants also reported a reduction in unexpected emergency health service visits during the 24 weeks. Conclusion:&nbsp; Results indicate this follow-up program can improve health, quality of life and reduce health service use for older adults at risk of hospital readmission.</td></tr></table>en_GB
dc.date.available2011-10-26T11:36:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:36:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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