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Updated: Jun 7, 2025

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
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Multidisciplinary Inpatient Community Rehabilitation Programmes for Frail Older People: A Scoping Review.

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  • 1School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.

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Summary

Evidence for inpatient multidisciplinary rehabilitation programs for frail older adults is limited. Current programs focus mainly on physical function, neglecting psychosocial and quality of life outcomes, highlighting a need for further research.

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Area of Science:

  • Geriatric Rehabilitation
  • Evidence-Based Practice
  • Health Services Research

Background:

  • Frail older adults often require specialized rehabilitation to maintain independence.
  • Community-based rehabilitation programs aim to support aging in place.
  • The effectiveness and scope of current inpatient multidisciplinary programs require examination.

Purpose of the Study:

  • To review existing literature on multidisciplinary inpatient community rehabilitation programs for frail older people.
  • To identify described frailty rehabilitation programs and assess their components.
  • To pinpoint knowledge gaps and limitations in outcome measures.

Main Methods:

  • A scoping review was conducted using the Joanna Briggs Institute methodology.
  • A comprehensive literature search included major databases (MEDLINE, PsychINFO, CINAHL, Cochrane Library).
  • A limited search of grey literature was also performed.

Main Results:

  • Only four articles met the inclusion criteria, revealing a heterogeneous approach to geriatric rehabilitation.
  • Rehabilitation interventions primarily focused on the physical functionality of frail older individuals.
  • There was an absence or limited measurement of psychosocial, cognitive, spiritual outcomes, and quality of life.

Conclusions:

  • A paucity of scientific evidence supports the need for inpatient multidisciplinary rehabilitative programs for frail older people aiming to stay at home.
  • Further research is essential to define the optimal form, content, and delivery models for frailty rehabilitation services.
  • Integrated inpatient frailty rehabilitation can potentially improve quality of life and reduce hospital admissions.