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Published on: September 30, 2020
Clinical Factors Mediating Physical Function and Participation in Function Focused Care Among Hospitalized Persons
Ashley Kuzmik1, Barbara Resnick2, Rachel McPherson2
1Health Services Research, Alzheimer Association.
Cognitive function and delirium severity significantly impact participation in Function Focused Care (FFC), a mobility intervention for hospitalized patients. Tailoring FFC strategies to these factors can improve engagement.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Neurology
Background:
- Function Focused Care (FFC) promotes mobility in hospitalized patients.
- Patient participation in FFC interventions varies significantly.
- Understanding factors influencing FFC engagement is crucial for optimizing patient outcomes.
Purpose of the Study:
- To investigate the mediating roles of cognitive function, delirium severity, behavioral symptoms, and pain.
- To examine how these factors influence the relationship between physical function and FFC participation.
Main Methods:
- Analysis of discharge data from 428 participants in an FFC acute care trial.
- Physical function as the independent variable and FFC participation as the outcome.
- Multiple mediation model to assess indirect effects of potential mediators.
Main Results:
- Cognitive function and delirium severity significantly mediated the relationship between physical function and FFC participation.
- These mediators accounted for 24.5% and 21.6% of the total effect, respectively.
- Indirect effects through behavioral symptoms and pain were not significant.
Conclusions:
- Cognitive function and delirium severity are key determinants of FFC participation.
- Interventions should be tailored to address cognitive status and delirium.
- Enhanced engagement in mobility interventions is vital for individuals with dementia.
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