Effects of Adachi Rehabilitation Programme on older adults under long-term care: A multi-centre controlled trial

Baba, Yoshihiko; Ooyama, Chika; Tazawa, Yasushi; Kohzuki, Masahiro

doi:10.1371/journal.pone.0245646

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…Another study in Germany provided home-based therapeutic exercise, motivational interventions, and education on physical activity to older persons with cognitive impairment after discharge from inpatient rehabilitation [ 65 ]. In Japan, a study conducted among older persons receiving long-term care at home or at community facilities, provided weekly therapeutic exercise, occupational therapy, and participation in community activities, such as planting flowers in a park, under the supervision of professional caregivers [ 66 ].…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation in primary care for an ageing population: a secondary analysis from a scoping review of rehabilitation delivery models

Seijas,

Maritz,

Mishra

et al. 2024

BMC Health Serv Res

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Background The world population is ageing rapidly. Rehabilitation is one of the most effective health strategies for improving the health and functioning of older persons. An understanding of the current provision of rehabilitation services in primary care (PC) is needed to optimise access to rehabilitation for an ageing population. The objectives of this scoping review are a) to describe how rehabilitation services are currently offered in PC to older persons, and b) to explore age-related differences in the type of rehabilitation services provided. Methods We conducted a secondary analysis of a scoping review examining rehabilitation models for older persons, with a focus on PC. Medline and Embase (2015–2022) were searched to identify studies published in English on rehabilitation services for people aged 50 + . Two authors independently screened records and extracted data using the World Health Organization (WHO)’s operational framework, the Primary Health Care Systems (PRIMASYS) approach and the WHO paper on rehabilitation in PC. Data synthesis included quantitative and qualitative analysis. Results We synthesised data from 96 studies, 88.6% conducted in high-income countries (HICs), with 31,956 participants and identified five models for delivering rehabilitation to older persons in PC: community, home, telerehabilitation, outpatient and eldercare. Nurses, physiotherapists, and occupational therapists were the most common providers, with task-shifting reported in 15.6% of studies. The most common interventions were assessment of functioning, rehabilitation coordination, therapeutic exercise, psychological interventions, and self-management education. Environmental adaptations and assistive technology were rarely reported. Conclusions We described how rehabilitation services are currently provided in PC and explored age-related differences in the type of rehabilitation services received. PC can play a key role in assessing functioning and coordinating the rehabilitation process and is also well-placed to deliver rehabilitation interventions. By understanding models of rehabilitation service delivery in PC, stakeholders can work towards developing more comprehensive and accessible services that meet the diverse needs of an ageing population. Our findings, which highlight the role of rehabilitation in healthy ageing, are a valuable resource for informing policy, practice and future research in the context of the United Nations Decade of Healthy Ageing, the Rehab2030 initiative and the recently adopted WHA resolution on strengthening rehabilitation in health systems, but the conclusions can only be applied to HICs and more studies are needed that reflect the reality in low- and middle-income countries.

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Section: Resultsmentioning

confidence: 99%

Rehabilitation in primary care for an ageing population: a secondary analysis from a scoping review of rehabilitation delivery models

Seijas,

Maritz,

Mishra

et al. 2024

BMC Health Serv Res

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Effect of nature prescriptions on cardiometabolic and mental health, and physical activity: a systematic review

Nguyen¹,

Astell–Burt²,

Rahimi-Ardabili³

et al. 2023

The Lancet Planetary Health

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Rehabilitation in Primary Health Care for the ageing population: A secondary analysis from a scoping review of rehabilitation models for the ageing population

Seijas

Maritz²,

Mishra

et al. 2023

Preprint

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Background: The world population is ageing rapidly. Rehabilitation is one of the most effective health strategies for improving the health and functioning of older persons. An understanding of the current provision of rehabilitation services in primary health care (PHC) is needed to optimise access to rehabilitation for the ageing population. The objectives of this scoping review are a) to describe how rehabilitation services are currently offered in PHC to the ageing population, and b) to explore age-related differences in the type of rehabilitation services provided. Methods: We conducted a secondary analysis of a scoping review examining rehabilitation models for older persons, with a focus on PHC. Medline and Embase (2015-2022) were searched to identify studies published in English on rehabilitation services for people aged 50+. Two authors independently screened records and extracted data using the World Health Organization (WHO)'s operational framework, the PHC systems (PRIMASYS) approach and the WHO paper on rehabilitation in PHC. Data synthesis included quantitative and qualitative analysis. Results: We synthesised data from 96 studies with 31,956 participants and identified five models for rehabilitation in PHC for the ageing population: community, home, telerehabilitation, outpatient and eldercare. Nurses, physiotherapists, and occupational therapists were the most common providers, with task-shifting reported in 15.6% of studies. The most common interventions were assessment of functioning, rehabilitation coordination, therapeutic exercise, psychological interventions, and self-management education. Environmental adaptations and assistive technology were rarely reported. Conclusions: By understanding models of rehabilitation service delivery in PHC, stakeholders can work towards developing more comprehensive and accessible services that meet the diverse needs of the ageing population, considering multimorbidity, evidence of heterogeneity in the ageing process, and the importance of using limitations in functioning as a starting point. Our findings, highlight rehabilitation's role in healthy ageing and are a valuable resource for informing policy, practice, and future research in the context of the United Nations Decade of Healthy Ageing. They can also inform WHO's ongoing efforts to strengthen PHC for the provision of rehabilitation, as recommended by the Rehab2030 initiative and reaffirmed by the recently adopted World Health Assembly (WHA) resolution on strengthening rehabilitation in health systems.

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Effects of Adachi Rehabilitation Programme on older adults under long-term care: A multi-centre controlled trial

Cited by 4 publications

References 35 publications

Rehabilitation in primary care for an ageing population: a secondary analysis from a scoping review of rehabilitation delivery models

Rehabilitation in primary care for an ageing population: a secondary analysis from a scoping review of rehabilitation delivery models

Effect of nature prescriptions on cardiometabolic and mental health, and physical activity: a systematic review

Rehabilitation in Primary Health Care for the ageing population: A secondary analysis from a scoping review of rehabilitation models for the ageing population

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