Effectiveness of sensor monitoring in a rehabilitation programme for older patients after hip fracture: a three-arm stepped wedge randomised trial.
Objectives to test the effects of an intervention involving sensor monitoring-informed occupational therapy on top of a cognitive behavioural treatment (CBT)-based coaching therapy on daily functioning in older patients after hip fracture. Design, setting and patients three-armed randomised stepped...
| Publicado en: | Age & Ageing Vol. 48; no. 5; pp. 650 - 658 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Sep2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=138485721&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 138485721 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Sep2019 vid: 48 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 138485721 10.1093/ageing/afz074 ppf: 650 ppct: 8 formats: tig: atl: Effectiveness of sensor monitoring in a rehabilitation programme for older patients after hip fracture: a three-arm stepped wedge randomised trial. aug: au: Pol, Margriet C Riet, Gerben ter Hartingsveldt, Margo van Kröse, Ben Buurman, Bianca M affil: ACHIEVE, Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands Department General Practice, Amsterdam UMC, University of Amsterdam, The Netherlands Research Group Digital Life, Amsterdam University of Applied Sciences, University of Amsterdam, Amsterdam, The Netherlands Informatics Institute, University of Amsterdam, Amsterdam, The Netherlands Section of Geriatric Medicine, Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands su: Elder care Cognitive therapy Hospital admission & discharge Institutional care Nursing care facilities Occupational therapy Evaluation of organizational effectiveness Patients Telephones Activities of daily living Job performance Randomized controlled trials Evaluation of human services programs Bone fractures Hip joint injuries Information storage & retrieval systems Medical databases Medical appointments Medical referrals Descriptive statistics sug: subj: Elder care Cognitive therapy Hospital admission & discharge Institutional care Nursing care facilities Occupational therapy Evaluation of organizational effectiveness Patients Telephones Activities of daily living Job performance Randomized controlled trials Evaluation of human services programs Continuing Care Retirement Communities Residential Mental Health and Substance Abuse Facilities Other Residential Care Facilities Community care facilities for the elderly Nursing Care Facilities (Skilled Nursing Facilities) Electronic components, navigational and communications equipment and supplies merchant wholesalers Bone fractures Hip joint injuries Information storage & retrieval systems Medical databases Medical appointments Medical referrals Descriptive statistics keyword: cognitive behavioural treatment geriatric rehabilitation older people patient-reported daily functioning randomised trial sensor monitoring stepped wedge design cognitive behavioural treatment geriatric rehabilitation older people patient-reported daily functioning randomised trial sensor monitoring stepped wedge design ab: Objectives to test the effects of an intervention involving sensor monitoring-informed occupational therapy on top of a cognitive behavioural treatment (CBT)-based coaching therapy on daily functioning in older patients after hip fracture. Design, setting and patients three-armed randomised stepped wedge trial in six skilled nursing facilities, with assessments at baseline (during admission) and after 1, 4 and 6 months (at home). Eligible participants were hip fracture patients ≥ 65 years old. Interventions patients received care as usual, CBT-based occupational therapy or CBT-based occupational therapy with sensor monitoring. Interventions comprised a weekly session during institutionalisation, followed by four home visits and four telephone consultations over three months. Main outcomes and measures the primary outcome was patient-reported daily functioning at 6 months, assessed with the Canadian Occupational Performance Measure. Results a total of 240 patients (mean[SD] age, 83.8[6.9] years were enrolled. At baseline, the mean Canadian Occupational Performance Measure scores (range 1–10) were 2.92 (SE 0.20) and 3.09 (SE 0.21) for the care as usual and CBT-based occupational therapy with sensor monitoring groups, respectively. At six months, these values were 6.42 (SE 0.47) and 7.59 (SE 0.50). The mean patient-reported daily functioning in the CBT-based occupational therapy with sensor monitoring group was larger than that in the care as usual group (difference 1.17 [95% CI (0.47-1.87) P = 0.001]. We found no significant differences in daily functioning between CBT-based occupational therapy and care as usual. Conclusions and relevance among older patients recovering from hip fracture, a rehabilitation programme of sensor monitoring-informed occupational therapy was more effective in improving patient-reported daily functioning at six months than to care as usual. Trial registration Dutch National Trial Register, NTR 5716. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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