Effects of Adachi Rehabilitation Programme on older adults under long-term care: A multi-centre controlled trial

Autor: Yoshihiko Baba, Chika Ooyama, Masahiro Kohzuki, Yasushi Tazawa
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Activities of daily living
Physiology
medicine.medical_treatment
Health Behavior
Walking
Plant Science
law.invention
Elderly
0302 clinical medicine
Randomized controlled trial
law
Activities of Daily Living
Medicine and Health Sciences
Medicine
Public and Occupational Health
030212 general & internal medicine
Multi centre
Aged
80 and over
Multidisciplinary
Rehabilitation
Plant Anatomy
Home Care Services
Functional Independence Measure
Sports Science
Caregivers
Neurology
Female
Research Article
medicine.medical_specialty
Science
Physical activity
Flowers
03 medical and health sciences
Intervention (counseling)
Mental Health and Psychiatry
Humans
Adults
Sports and Exercise Medicine
Tokyo
Exercise
Aged
Motivation
Biological Locomotion
business.industry
Biology and Life Sciences
Physical Activity
Long-Term Care
Walking Speed
Health Care
Long-term care
Age Groups
Physical Fitness
People and Places
Quality of Life
Physical therapy
Population Groupings
Dementia
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 16, Iss 2, p e0245646 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Objectives We developed the Adachi Rehabilitation Programme (ARP), a community rehabilitation program. Under the supervision of professional caregivers, older adults cleaned and planted flowers in the park and they walked and shopped in the community. We examined the effects of ARP on individuals receiving small-group multifunctional at-home care at community facilities. Methods This was a multi-centre controlled trial at thirteen small multifunctional at-home care facilities in Adachi, Tokyo. The primary outcomes of the study were daily step counts and timed up & go (TUG). Secondary outcomes included gait speed, step length, Barthel Index for Activities of Daily Living, Functional Independence Measure, Mini-Mental State Examination (MMSE) and EuroQOL 5 Dimension. Results Ninety-six individuals at thirteen small multifunctional at-home care facilities were recruited for participation in December 2017. They were allocated to intervention (38) and control (40) groups. The average daily step count of the control group decreased from 852 to 727, but it increased by approximately 650 steps, from 990 to 1635, for the intervention group. Average TUG decreased from 16.1 s to 14.0 s and MMSE score increased from 15.9 to 16.3 for the intervention group, but a significant interaction was not found. On non-intervention home days, the daily step counts of the intervention group increased significantly from 908 steps to 1485 steps, while those of the control group decreased from 865 steps to 722 steps. Conclusions ARP may have effectively increased the physical activity of older adults under long-term care by increasing motivation and changing behaviour.
Databáze: OpenAIRE
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