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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Multidisciplinary Allied Health Reablement Model of Care for Older People in Residential Aged Care and Community
Laura Mo1, Katharine Scrivener2, Alice Pashley3
1Concentric Healthcare Services, Sydney, NSW, Australia.
Abstract:
This study aimed to explore the feasibility, acceptability, and clinical outcomes of a best practice-aligned multidisciplinary allied health reablement model of care for older people. A mixed-methods pre-post-intervention study was conducted in two nursing homes and the community. Quantitative measures were collected for frailty, physical function, and quality of life for all participants pre-implementation and 12 weeks post-implementation. Semi-structured interviews were conducted with a sub-group of participants and allied health professionals involved in the intervention. Participants' (n = 50) physical function increased (SPPB 4.2 vs. 4.9) while frailty (FRAIL-NH 6.0 vs. 5.5) and quality of life (16 vs. 16) were maintained. There was a high retention (93%) and attendance rate (84%), indicating acceptability. Participants received a daily median of 16 allied health minutes, costing $26AUD. Findings confirm acceptability and feasibility of the model with potential to maintain or improve clinical outcomes. Future work is needed to define long-term outcomes, scalability and sustainability. The study was registered with the ANZCTR [Trial ID: ACTRN12623000915651; Registration Date: 12/1/2024].
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