Content » Vol 39, Issue 6

Original report

Network-based geriatric rehabilitation for frail elderly people: Feasibility and effects on subjective health and pain at one year

Katariina Hinkka, Sirkka-Liisa Karppi, Timo Pohjolainen, Taina Rantanen, Pauli Puukka and Reijo Tilvis
DOI: 10.2340/16501977-0078

Abstract

Objective: To study the feasibility and 1-year effects on subjective health and symptoms of a network-based geriatric rehabilitation intervention for frail elderly people.
Design: A randomized, controlled trial.
Subjects: A total of 741 frail elderly people who lived at home, aged > 65 years, without severe cognitive impairment (Mini Mental State Examination < 18), and eligible to receive Pensioners’ Care Allowance (a benefit that is independent of personal income or insurance). The setting included 41 muni­cipalities and 7 rehabilitation centres in Finland.
Methods: Over a period of 8 months the intervention group received network-based rehabilitation for 3 in-patient periods (totalling 21 days) at rehabilitation centres and a home visit by a professional. Both groups received standard social and health services locally. Functional Independence Measure, subjective health, common symptoms and pain were assessed at baseline and 1-year follow-up.
Results: After baseline measurements, 33 of those allocated to rehabilitation withdrew from the study. Of the 343 intervention subjects, 276 attended all 3 in-patient periods. At one year, there were no differences in symptoms between the groups. Subjective health was improved in the intervention group and impaired in the control group (p < 0.01).
Conclusion: The network-based geriatric rehabilitation programme was feasible for use among the frail elderly people and improved their subjective health.

Lay Abstract

Comments

Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.
Advertisement