Effects of an individually targeted multicomponent counseling and home-based rehabilitation program on physical activity and mobility in community-dwelling older people after discharge from hospital : a randomized controlled trial
Turunen, K. M., Aaltonen-Määttä, L., Törmäkangas, T., Rantalainen, T., Portegijs, E., Keikkala, S., Kinnunen, M.-L., Finni, T., Sipilä, S., & Nikander, R. (2020). Effects of an individually targeted multicomponent counseling and home-based rehabilitation program on physical activity and mobility in community-dwelling older people after discharge from hospital : a randomized controlled trial. Clinical Rehabilitation, 34(4), 491-503. https://doi.org/10.1177/0269215519901155
Published inClinical Rehabilitation
© 2020 SAGE Publications
Objectives: The aim of this study is to evaluate the effects of multicomponent rehabilitation on physical activity, sedentary behavior, and mobility in older people recently discharged from hospital. Design: Randomized controlled trial. Setting: Home and community. Participants: Community-dwelling people aged ⩾60years recovering from a lower limb or back musculoskeletal injury, surgery, or disorder were recruited from local health center hospitals and randomly assigned into an intervention (n=59) or a control (standard care, n=58) group. Intervention: The six-month intervention consisted of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program, physical activity counseling, and standard care. Measurements: Physical activity and sedentary time were assessed using an accelerometer and a single question. Mobility was evaluated with the Short Physical Performance Battery, self-reported use of a walking aid, and ability to negotiate stairs and walk outdoors. Intervention effects were analyzed with generalized estimating equations. Results: Daily physical activity was 127±78minutes/day and 121±70 at baseline and 167±81 and 164±72 at sixmonths in the intervention and control group, respectively; mean difference of 3.4minutes (95% confidence interval (CI)=–20.3 to 27.1). In addition, no significant between-group differences were shown in physical performance. Conclusion: The rehabilitation program was not superior to standard care for increasing physical activity or improving physical performance. Mobility-limited older people who had recently returned home from hospital would have needed a longer and more frequently monitored comprehensive geriatric intervention. ...
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- Liikuntatieteiden tiedekunta 
Additional information about fundingThis study was supported by the Finnish Ministry of Social Affairs and Health, National Institute for Health and Welfare (THL) (Grant Number 201510222); the Social Insurance Institution of Finland (Kela), Dnro 113/331/2014; the Ministry of Social Affairs and Health (for Kuopio University Hospital Catchment Area (Grant Number 108(13.01.02/2015)); and the Finnish Association of Physiotherapists.
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