Effects of an individually targeted multicomponent counseling and home-based rehabilitation program on physical activity and mobility in community-dwelling older people after discharge from hospital : a randomized controlled trial
Year of publication
2020
Authors
Turunen, Katri M; Aaltonen-Määttä, Laura; Törmäkangas, Timo; Rantalainen, Timo; Portegijs, Erja; Keikkala, Sirkka; Kinnunen, Marja-Liisa; Finni, Taija; Sipilä, Sarianna; Nikander, Riku
Abstract
Objectives: The aim of this study is to evaluate the effects of multicomponent rehabilitation on physical activity, sedentary behavior, and mobility in older people recently discharged from hospital. Design: Randomized controlled trial. Setting: Home and community. Participants: Community-dwelling people aged ⩾60years recovering from a lower limb or back musculoskeletal injury, surgery, or disorder were recruited from local health center hospitals and randomly assigned into an intervention (n=59) or a control (standard care, n=58) group. Intervention: The six-month intervention consisted of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program, physical activity counseling, and standard care. Measurements: Physical activity and sedentary time were assessed using an accelerometer and a single question. Mobility was evaluated with the Short Physical Performance Battery, self-reported use of a walking aid, and ability to negotiate stairs and walk outdoors. Intervention effects were analyzed with generalized estimating equations. Results: Daily physical activity was 127±78minutes/day and 121±70 at baseline and 167±81 and 164±72 at sixmonths in the intervention and control group, respectively; mean difference of 3.4minutes (95% confidence interval (CI)=–20.3 to 27.1). In addition, no significant between-group differences were shown in physical performance. Conclusion: The rehabilitation program was not superior to standard care for increasing physical activity or improving physical performance. Mobility-limited older people who had recently returned home from hospital would have needed a longer and more frequently monitored comprehensive geriatric intervention.
Show moreOrganizations and authors
University of Eastern Finland
Kinnunen Marja-Liisa
Publication type
Publication format
Article
Parent publication type
Journal
Article type
Original article
Audience
ScientificPeer-reviewed
Peer-ReviewedMINEDU's publication type classification code
A1 Journal article (refereed), original researchPublication channel information
Journal
Volume
34
Issue
4
Pages
491-503
ISSN
Publication forum
Publication forum level
2
Open access
Open access in the publisher’s service
Yes
Open access of publication channel
Fully open publication channel
Self-archived
Yes
Other information
Fields of science
Public health care science, environmental and occupational health; Sport and fitness sciences
Keywords
[object Object],[object Object],[object Object]
Internationality of the publisher
International
Language
English
International co-publication
No
Co-publication with a company
Yes
DOI
10.1177/0269215519901155
The publication is included in the Ministry of Education and Culture’s Publication data collection
Yes