Changes in social participation and life-space mobility in newly enrolled home-based rehabilitation users over 6 months

Abstract

This study aimed to examine whether we were able to measure changes in social participation and life-space mobility of newly enrolled home-based rehabilitation (HR) users by using the activities and participation components of the International Classification of Functioning, Disability and Health (ICF) and Life-Space Assessment (LSA) over a 6-months period. [Participants and Methods] We enrolled 47 HR users who had suffered from a stroke or other condition within the previous year. A 6-month prospective cohort study was conducted. The performance qualifiers "d6 domestic life" and "d9 community, social and civic life" in the activities and participation components of the ICF and LSA were used. [Results] We observed significant improvements in the performance qualifier "d9 community, social and civic life" of the ICF over 3 months, and the LSA over a 6-months period. We also identified significant improvements in "d910 community life" and "d920 recreation and leisure" of the ICF. The LSA results showed that HR users had more frequent mobility within the neighborhood. [Conclusion] This study showed that newly enrolled HR users improved their social activities in the community, recreational activities, and life-space mobility over a 6-months period. These were measured using performance qualifiers from the ICF and LSA.

Factors associated with life‐space mobility restriction in home‐care older adults receiving home‐visit rehabilitation: A cross‐sectional multi‐center study in Japan

“…Previous studies have reported improved IADL in HR. 37 In our study, the FAI used to assess IADL was associated with severe life-space restrictions among HR users. Thus, providing HR support in this regard is necessary, as indicated in previous studies.…”

A 3-month multicomponent home-based rehabilitation program for older people with restricted life-space mobility: a pilot study

“…Despite having risk factors, the FIM score significantly improved from 108 to 115 points after intervention. Further, Kamioka et al reported significant improvements in the FIM score from 94.4 to 97.9 points after three-months of multicomponent home-based rehabilitation in older people 16) . The participants in our study showed an improved of FIM score by 7.0 points after three-months of intervention, despite having high scores at baseline.…”

“…The participants were aged 83.3 ± 5.9 years and mobility-related disability in frail older people. Kamioka et al reported a significant improvement of 5.0 points in LSA score after 6 months of multicomponent home-based rehabilitation in older people who had suffered a stroke or an injury in the past 1 year 16) .…”

“…One study targeting community-dwelling frail older people recently discharge from an aged care and rehabilitation service reported that multifactorial interdisciplinary home-based intervention improved LSA score by 6.57 points after three-months 15) . Multicomponent home-based rehabilitation for older people who had a stroke or an injury within the past 1 year were reported to show improvement in LSA score by 5.0 points after 6 months 16) . However, a change of 10≥ points in the LSA score was required for the results to be considered clinically meaningful 6,17,18) .…”

One-year changes in activities of daily living and social life in elderly patients undergoing home-based rehabilitation within 1 year of stroke onset

“…An RCT study by Ito et al 16 ) reported that HR intervention based on the Management Tool for Daily Life Performance was effective in improving ADL and social participation. Moreover, a prospective cohort study by Kamioka et al 17 ) reported that HR users within 1 year of the onset of stroke or other conditions showed an improvement in ADL over 3 months, especially in walking, toileting, and bathing activities, as well as improvements in social participation and life-space mobility over 6 months. However, these studies targeted elderly participants requiring long-term care due to various diseases, while not specifically targeting stroke survivors.…”