Effect of preventive home visits for ambulatory housebound elders in Japan: a pilot study

Kono, Ayumi; Kai, Ichiro; Sakato, Chiyoko; Harker, Judith O.; Rubenstein, Laurence Z.

doi:10.1007/bf03324554

Cited by 26 publications

(15 citation statements)

References 25 publications

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“…Twenty‐four of the 70 trials included unselected or general‐risk populations . Although the majority of trials targeted older adults “at risk” for functional decline, high‐risk designations were based on widely varying criteria: primary care physician identification as high risk, recently hospitalized, recently in the emergency department, recent fall or at high fall risk, screened positive for risk of functional decline or hospitalization, high healthcare users, low income, minimally care assisted, multiple chronic health conditions, frail seniors, mild dementia, and other multifaceted approaches . These populations represented a heterogeneous group of at‐risk older adults.…”

Section: Resultsmentioning

confidence: 99%

Challenges in Synthesizing and Interpreting the Evidence from a Systematic Review of Multifactorial Interventions to Prevent Functional Decline in Older Adults

Lin

Whitlock

Eckstrom

et al. 2012

J American Geriatrics Society

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A systematic review of multifactorial assessment and management interventions to prevent functional decline in older adults was undertaken for the U.S. Preventive Services Task Force. It was not possible to determine net benefit because of heterogeneity of studies, including how older adults were selected and their risk of functional decline; the broad spectrum and multifactorial nature of interventions evaluated; the suboptimal and inconsistent use of outcomes measured; and the inconsistent and inadequate reporting of data that might allow comparison of populations, interventions, and outcomes between studies. This review process illustrated the complexities encountered when synthesizing and interpreting the evidence in geriatric research and methods of reviewing complex interventions and multiple interrelated health outcomes. This article summarizes the review findings, focusing on methodological challenges, and offers suggestions to researchers on the design, reporting, and analysis of trials that would help address these challenges and allow for better interpretation of evidence in the future.

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Section: Resultsmentioning

confidence: 99%

Challenges in Synthesizing and Interpreting the Evidence from a Systematic Review of Multifactorial Interventions to Prevent Functional Decline in Older Adults

Lin

Whitlock

Eckstrom

et al. 2012

J American Geriatrics Society

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“…Our results demonstrate that self-efficacy to safely perform walking tasks is the most influential factor for mobility at 6 months postoperatively. Self-efficacy is considered an important factor for functional recovery after joint replacement surgery 18,19 and Kono et al 30 reported that elderly people with high levels of self-efficacy for daily activities had better mobility. In our study, selfefficacy to safely perform walking tasks at 6 months postoperatively did not differ from the preoperative self-efficacy.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Mobility after Knee Arthroplasty

Hiyama

Wada²,

Nakakita³

et al. 2016

J Knee Surg

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Restricted mobility is a major issue for individuals with knee osteoarthritis (OA). Total knee arthroplasty (TKA) is expected to improve mobility in people with knee OA by alleviating pain and improving walking ability. The present study aimed to describe the time course of mobility after TKA and to identify the factors affecting mobility after TKA. This prospective cohort study comprised 62 patients undergoing TKA, evaluated at 1 month preoperatively, as well as at 1, 3, and 6 months postoperatively. Outcome measures included mobility (Life Space Assessment; LSA), self-efficacy for walking tasks (modified Gait Efficacy Scale; mGES), and physical (quadriceps strength and the Timed Up and Go; TUG test) and knee function (the Knee Society Score questionnaire). As a result, a total of 59 patients (mean age: 71.7 years; range: 58-79 years) had completed all postoperative assessments. Compared with preoperative values, patients showed decreased LSA and mGES scores at 1 month postoperatively. We found improvements in those scores from the 1-month to the 3- and 6-month assessment; however, there was no difference in the LSA and mGES scores between the preoperative and 6-month assessment. We also found improvements in quadriceps strength, the TUG score, the Knee Society Score, and pain scores from the preoperative to the 6-month assessment. Additionally, at 6 months postoperatively, the mGES and TUG scores significantly affected mobility. Our results suggest that mobility at 6 months after TKA is similar to preoperative level and self-efficacy for walking tasks and functional ability are important factors in improving mobility after TKA.

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“…On the basis of previous studies (Kono et al . , ), we assumed a total of eight typical care needs (A–H) in four domains for ambulatory frail older adults and home visitors assess each care need as: (1) no; (2) possible; or (3) yes, listing these scores in a care‐needs chart to compare changes in care needs between visits over the intervention period clearly (Figure ).…”

Section: The Studymentioning

confidence: 99%

“…), including our studies (Kono et al . , , ), functional status differed between the older adult participants in each trial and hence more evidence needs to be generated in our care setting. Our PHV studies (Kono et al .…”

Section: Introductionmentioning

confidence: 99%

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Assessing the quality and effectiveness of an updated preventive home visit programme for ambulatory frail older Japanese people: research protocol for a randomized controlled trial

Kono

Izumi

Kanaya

et al. 2014

Journal of Advanced Nursing

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Effect of preventive home visits for ambulatory housebound elders in Japan: a pilot study

Abstract: These pilot results suggest that home visits by public health nurses may be effective in helping to reduce ADL decline among ambulatory housebound elders.

Cited by 26 publications

References 25 publications

Challenges in Synthesizing and Interpreting the Evidence from a Systematic Review of Multifactorial Interventions to Prevent Functional Decline in Older Adults

Challenges in Synthesizing and Interpreting the Evidence from a Systematic Review of Multifactorial Interventions to Prevent Functional Decline in Older Adults

Factors Affecting Mobility after Knee Arthroplasty

Assessing the quality and effectiveness of an updated preventive home visit programme for ambulatory frail older Japanese people: research protocol for a randomized controlled trial

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