Effect of an In‐Home Occupational and Physical Therapy Intervention on Reducing Mortality in Functionally Vulnerable Older People: Preliminary Findings

Gitlin, Laura N.; Hauck, Walter W.; Winter, Lieven De; Dennis, Marie P.; Schulz, Richard

doi:10.1111/j.1532-5415.2006.00733.x

Cited by 119 publications

(101 citation statements)

References 24 publications

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“…The mean age of all participants was 79 years, and 69% of the participants were women (supplementary materials/appendix 1). The methodological quality of included trials varied; seven trials (Hall et al 1992;Leveille et al 1998;Mann et al 1999;Dalby et al 2000;Rockwood et al 2000;Chin et al 2001;Phelan et al 2004;Holland et al 2005) were of low quality according to the criteria (van Tulder et al 2003), and seven trials were of high quality (Dalby et al 2000;Stuck et al 2000;van Haastregt et al 2000;Hebert et al 2001;Gill et al 2002Gill et al , 2004Gitlin et al 2006a;b;Markle-Reid et al 2006) ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…It is unknown whether some of the intervention components were more effective than others, although it is likely that it was the multi-component approach, the sum of all components, that led to the positive outcome verified in a number of programmes. The view that the sum of the parts in an intervention programme is greater than the value of each separate part is supported by Gitlin et al (2006a;b). Others (Beswick et al 2008), with future research in mind, suggest that a qualitative approach to study different HPDP interventions may help us to gain a better understanding of the complexity of the interventions, and how the participants experience them.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, a total of 19 articles (Hall et al 1992;Leveille et al 1998;Mann et al 1999;Dalby et al 2000;Rockwood et al 2000;Stuck et al 2000;van Haastregt et al 2000;Chin et al 2001;Hebert et al 2001;Chin et al 2002;Gill et al 2002Gill et al , 2004Phelan et al 2004;Holland et al 2005;Gitlin et al 2006a;b;Markle-Reid et al 2006;Bouman et al 2008a, b), all RCTs concerning communitydwelling persons 65 years or older identified as frail, vulnerable, at risk of functional decline, having disabilities or chronic conditions and receiving multi-component HPDP interventions were included for detailed review (Fig. 1).…”

Section: Literature Searchmentioning

confidence: 99%

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Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review

et al. 2009

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The objective was to investigate definitions of frailty used in studies of multi-component health promotion and disease-preventive (HPDP) intervention programmes for community-dwelling frail elderly persons and to review the content, organisation and effects of HPDP interventions. A systematic review of 19 articles was made, and the International Classification of Functioning, Disability and Health (ICF) was used as a structural framework for the analysis. The result shows that a consensus was reached on including various aspects of impairments in body functions and structures as an integral part of the frailty concept, with the exception of one subgroup: mental/cognitive functions. Additionally, opinions varied quite consistently regarding aspects of activity limitations and participation restrictions, personal and environmental factors. Ten of the 14 HPDP programmes covered various intervention elements referring to all four ICF components. Eleven programmes involved registered personnel only, while a more divergent pattern was seen in the remaining organisational aspects of the interventions: length of interventions and location plus age segments, participatory approach and contextual information, as well as the theoretical foundation of the interventions. Measures of body functions and structures were significantly improved in 5 out of 17 (29%) targeted aspects. For activity and participation, 12 out of 32 (38%) targeted aspects were positively changed, while the score for environmental factors was 7 out of 22 (32%), and for personal factors 8 out of 22 (36%). Our review suggests that further research is needed to explore and disentangle the complex interrelationships between various interventions and outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Literature Searchmentioning

confidence: 99%

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Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review

et al. 2009

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“…Relevant to problem-focused coping, a recent review of empirical findings based on the life-span theory of control (Heckhausen et al, 2010) found that use of primary control strategies is universally preferred and beneficial across the life-span. For example, older adults with functional constraints who used primary control strategies had lower risk of mortality (Gitlin, Hauck, Winter, Dennis, & Schulz, 2006) and less difficulty with everyday activities (Gitlin, Winter, Dennis, Corcoran, Schinfeld, & Hauck, 2006). However, although use of primary control strategies remains relatively stable in young, middle-aged, and older adults, use of secondary control strategies increases across adulthood (Brandtstädter & Renner, 1990;Heckhausen, 1997;Wrosch, Bauer, & Scheier, 2005).…”

Section: Coping With Job Loss and Agementioning

confidence: 99%

Age Differences in Coping With Job Loss

Ermann¹,

Kraiger²

2012

PsycEXTRA Dataset

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AGE DIFFERENCES IN COPING WITH JOB LOSSUsing a national sample of unemployed workers from a range of ages, this study investigated the experience of coping with the stressor of involuntary job loss from an aging perspective. Based on previous research, it was expected that the process of coping with involuntary job loss would differ across the life-span as older workers face unique additional stressors. This study tested:(1) whether older unemployed workers cognitively appraised the loss of their jobs more negatively than younger unemployed workers, (2) whether the use of action-oriented problemfocused job loss coping strategies was stable across age, while the use of distress-reducing emotion-focused job loss coping strategies increased with age, and (3) whether the higher use of emotion-focused job loss coping strategies was positively related to subjective well-being and life satisfaction for older adults. Results indicated that cognitive appraisal of involuntary job loss was perceived as more intense and less reversible as age increased, but age was not related to use of coping strategies and the outcomes of well-being and life satisfaction. This study reviewed and integrated job loss and aging literature. Findings are pertinent for the policies of downsizing organizations, the counseling provided by mental health professions, and the coping of unemployed workers of all ages.

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“…Home-visit rehabilitation performed about once every 1-2 months has also been reported to reduce the risk of death 6) . However, in rural areas deficient in rehabilitation resources, home-visit rehabilitation is difficult to perform, and support for home-dwelling disabled persons has been generally inadequate.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effects of Low-Frequency Home-Visit Rehabilitation by Cooperation with Physiotherapists and Health Care and Welfare Workers on Activities of Daily Living

2009

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Abstract.[Purpose] A 6-year-and-7-month prospective survey was performed to evaluate long-term effects of low-frequency home-visit rehabilitation performed by physiotherapists in cooperation with health care or welfare workers on basic activities of daily living (ADL) by disabled persons in rehabilitationdeficient areas. [Subjects and Methods] The subjects were 69 home-dwelling disabled persons in 5 towns or villages in northeastern Japan. Home-visit rehabilitation was performed on a monthly basis for 54 of them (intervention group: mean age=69.3 years) with the cooperation of physiotherapists and other health care/welfare workers.[Results] During the intervention period (mean 13.1-month), the Barthel Index improved significantly for the intervention compared with the reference group (15 persons who did not receive home-visit rehabilitation: mean age=69.6 years), with a multivariable odds ratio of 6.2 (95% confidence interval, 1.6-24.5). However, during the follow-up period (mean 44.2-month) after the intervention, the Barthel Index for the intervention group returned to nearly the baseline level.[Conclusion] Our results suggest that home-visit rehabilitation performed jointly by physiotherapist and other professionals, even with low frequency, is effective for improving the ADL independence by the disabled in rehabilitation-deficient areas, as well as the need for measures to prevent a decline in ADL after the end of intervention.

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Effect of an In‐Home Occupational and Physical Therapy Intervention on Reducing Mortality in Functionally Vulnerable Older People: Preliminary Findings

Cited by 119 publications

References 24 publications

Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review

Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review

Age Differences in Coping With Job Loss

Long-Term Effects of Low-Frequency Home-Visit Rehabilitation by Cooperation with Physiotherapists and Health Care and Welfare Workers on Activities of Daily Living

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