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.
Study Goal
The researchers aimed to evaluate whether a multicomponent rehabilitation program, including guidance for safe walking, could improve physical activity, sedentary behavior, and mobility in older adults recently discharged from hospital.
Results Summary
The study found no significant difference in physical activity or physical performance between the intervention and control groups, indicating the rehabilitation program was not superior to standard care. The authors suggested a longer and more frequently monitored intervention might be needed for this population.
Population
Community-dwelling adults aged 60+ recovering from lower limb or back musculoskeletal injuries, surgeries, or disorders.
Effective Dosage
Not specified
Duration
6 months
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
multicomponent rehabilitation | no change | physical activity | mobility-limited older people who had recently returned home from hospital | no significant change | was not superior to standard care for increasing | #1 |
multicomponent rehabilitation | no change | physical performance | mobility-limited older people who had recently returned home from hospital | no significant change | was not superior to standard care for improving | #2 |
multicomponent rehabilitation | no change | physical performance | community-dwelling people aged ⩾60 years recovering from a lower limb or back musculoskeletal injury, surgery, or disorder | no significant change | no significant between-group differences were shown in | #3 |
multicomponent rehabilitation | no change | daily physical activity | community-dwelling people aged ⩾60 years recovering from a lower limb or back musculoskeletal injury, surgery, or disorder | 3.4 minutes (95% confidence interval (CI) = -20.3 to 27.1) | mean difference of | #4 |
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 ⩾60 years 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 ( 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 ± 78 minutes/day and 121 ± 70 at baseline and 167 ± 81 and 164 ± 72 at six months in the intervention and control group, respectively; mean difference of 3.4 minutes (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.