A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial
Turunen, K., Aaltonen, L., Kumpumäki, J., Portegijs, E., Keikkala, S., Kinnunen, M.-L., Finni Juutinen, T., Sipilä, S., & Nikander, R. (2017). A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial. BMC Musculoskeletal Disorders, 18, Article 477. https://doi.org/10.1186/s12891-017-1825-5
Published in
BMC Musculoskeletal DisordersAuthors
Date
2017Discipline
BiomekaniikkaGerontologia ja kansanterveysGerontologian tutkimuskeskusHyvinvoinnin tutkimuksen yhteisöBiomechanicsGerontology and Public HealthGerontology Research CenterSchool of WellbeingCopyright
© The Author(s), 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
Background: Physical activity (PA) decreases during hospitalization. In particular, the amount of PA engaged in by
older people who are hospitalized following musculoskeletal injury is likely to be limited for months after discharge
home. Given the importance of an active lifestyle for their recovery and the prevention of future adverse outcomes,
there is clearly a need for interventions to increase PA. This article describes the protocol of a randomized
controlled trial set up to investigate the effects of a physical activity oriented home rehabilitation program (ProPA)
on PA and the restoration of mobility in community-dwelling older people.
Methods: Men and women aged 60 years or older hospitalized due to a musculoskeletal injury or disorder in the back
or lower limbs are recruited. After discharge from hospital to home, participants are randomized into a six-month ProPA
program or a standard care (control) group. The ProPA program consists of a motivational interview, goal attainment
process, guidance for safe walking, a progressive home exercise program and physical activity counseling. In addition, frail
participants who are not able to go outdoors alone receive support from volunteers.
Primary outcomes are PA measured using a 3-dimentional accelerometer, and mobility assessed by the Short Physical
Performance Battery and self-reports. Secondary outcomes are life space mobility, participation restriction, fear of falling,
pain, mood, and grip strength. Information on barriers to and enablers of PA participation are also collected. Data on
mortality and use of health services are collected from the national register. In this 6-month intervention, all participants
are assessed in their homes at baseline and after three and six months, and at 12 months after randomization they will
receive a follow-up questionnaire.
Discussion: This study investigates the effects of a rehabilitation program on PA and mobility among older people at risk
for increased sedentary time and mobility problems. If positive effects are observed, the program can be considered for
incorporation into the health care system and thereby contribute to the rehabilitation of older people who have recently
been discharged from hospital.
...
Publisher
BioMed CentralISSN Search the Publication Forum
1471-2474Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/27384251
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [3120]
License
Except where otherwise noted, this item's license is described as © The Author(s), 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
Related items
Showing items with similar title or keywords.
-
Effects of a home-based rehabilitation program in community-dwelling older people after discharge from hospital : a subgroup analysis of a randomized controlled trial
Turunen, Katri Maria; Aaltonen-Määttä, Laura; Portegijs, Erja; Rantalainen, Timo; Keikkala, Sirkka; Kinnunen, Marja-Liisa; Sipilä, Sarianna; Nikander, Riku (SAGE Publications, 2021)Objective: To examine whether pre-admission community mobility explains the effects of a rehabilitation program on physical performance and activity in older adults recently discharged from hospital. Design: A secondary ... -
Physical disability in community-dwelling older people after hip fracture : randomized controlled trials with physical rehabilitation
Edgren, Johanna (University of Jyväskylä, 2013) -
Changes in the Severity of Frailty Among Older Adults After 12 Months of Supervised Home-Based Physical Exercise : A Randomized Clinical Trial
Suikkanen, Sara; Soukkio, Paula; Kautiainen, Hannu; Kääriä, Sanna; Hupli, Markku T.; Sipilä, Sarianna; Pitkälä, Kaisu; Aartolahti, Eeva; Kukkonen-Harjula, Katriina (Elsevier BV, 2022)Objective To investigate the effects of 12 months of physiotherapist-supervised, home-based physical exercise on the severity of frailty and on the prevalence of the 5 frailty phenotype criteria, using secondary ... -
Perceptions of community-dwelling older people on ProPA -home-based rehabilitation and physical activity
Turakka, Sanna (2020)The purpose of this Master’s thesis study was to qualitatively explore the perceptions of the participants of ProPA -project on the home-based rehabilitation program and to investigate the barriers and facilitators of ... -
Individualized counselling for active aging : protocol of a single-blinded, randomized controlled trial among older people (the AGNES intervention study)
Rantanen, Taina; Pynnönen, Katja; Saajanaho, Milla; Siltanen, Sini; Karavirta, Laura; Kokko, Katja; Karvonen, Anu; Kauppinen, Markku; Rantalainen, Timo; Rantakokko, Merja; Portegijs, Erja; Hassandra, Mary (BioMed Central Ltd, 2019)Background: Active aging has been established as a policy goal for aging societies. We define active aging at the individual level as striving for elements of well-being through activities in relation to a person’s goals, ...