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dc.contributor.authorTurunen, Katri M
dc.contributor.authorAaltonen-Määttä, Laura
dc.contributor.authorTörmäkangas, Timo
dc.contributor.authorRantalainen, Timo
dc.contributor.authorPortegijs, Erja
dc.contributor.authorKeikkala, Sirkka
dc.contributor.authorKinnunen, Marja-Liisa
dc.contributor.authorFinni, Taija
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorNikander, Riku
dc.date.accessioned2020-03-18T09:32:40Z
dc.date.available2020-03-18T09:32:40Z
dc.date.issued2020
dc.identifier.citationTurunen, Katri M; Aaltonen-Määttä, Laura; Törmäkangas, Timo; Rantalainen, Timo; Portegijs, Erja; Keikkala, Sirkka; Kinnunen, Marja-Liisa; Finni, Taija; Sipilä, Sarianna; Nikander, Riku (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. DOI: 10.1177/0269215519901155
dc.identifier.otherCONVID_34428031
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/68220
dc.description.abstractObjectives: 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.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.publisherSage Publications
dc.relation.ispartofseriesClinical Rehabilitation
dc.rightsIn Copyright
dc.subject.otheraging
dc.subject.othersedentary behavior
dc.subject.othermobility function
dc.subject.otheraccelerometer
dc.subject.otherintervention
dc.titleEffects 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
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202003182444
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange491-503
dc.relation.issn0269-2155
dc.relation.numberinseries4
dc.relation.volume34
dc.type.versionacceptedVersion
dc.rights.copyright© 2020 SAGE Publications
dc.rights.accesslevelopenAccessfi
dc.subject.ysoistuminen
dc.subject.ysoliikuntakyky
dc.subject.ysoikääntyminen
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p13022
jyx.subject.urihttp://www.yso.fi/onto/yso/p22622
jyx.subject.urihttp://www.yso.fi/onto/yso/p5056
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1177/0269215519901155
jyx.fundinginformationThis 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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