Promoting independence in frail older people: a randomised controlled trial of a restorative care service in New Zealand

Senior, Hugh E. J., Parsons, Matthew, Kerse, Ngaire, Chen, Mei-Hua, Jacobs, Stephen, Vander Hoorn, Stephen and Anderson, Craig S. (2014) Promoting independence in frail older people: a randomised controlled trial of a restorative care service in New Zealand. Age and Ageing, 43 3: 418-424. doi:10.1093/ageing/afu025


Author Senior, Hugh E. J.
Parsons, Matthew
Kerse, Ngaire
Chen, Mei-Hua
Jacobs, Stephen
Vander Hoorn, Stephen
Anderson, Craig S.
Title Promoting independence in frail older people: a randomised controlled trial of a restorative care service in New Zealand
Journal name Age and Ageing   Check publisher's open access policy
ISSN 0002-0729
1468-2834
Publication date 2014-05
Year available 2014
Sub-type Article (original research)
DOI 10.1093/ageing/afu025
Open Access Status DOI
Volume 43
Issue 3
Start page 418
End page 424
Total pages 7
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2015
Language eng
Formatted abstract
Background: frail older people often require tailored rehabilitation in order to remain at home, especially following a period of hospitalisation. Restorative care services aim to enhance an older person's ability to remain improve physical functioning, either at home or in residential care but evidence of their effectiveness is limited.
Objective: to evaluate the effectiveness of a restorative care service on institutional-free survival and health outcomes in frail older people referred for needs assessment in New Zealand.
Methods: a randomised controlled trial of restorative care or usual care in 105 older people at risk of permanent residential who were follow-up over 24 months. The restorative care service was delivered in short-stay residential care facilities and at participants' residences with the aim of reducing the requirement for permanent residential care. It included a comprehensive geriatric assessment and care plan developed and delivered, initially by a multi-disciplinary team and subsequently by home care assistants.
Results: compared with usual care, there was a non-significant absolute risk reduction of 14.3% for death or permanent residential care (8.8% for residential care and 7.2% for death alone) for the restorative care approach. There was no difference in levels of burden among caregivers.
Conclusions: restorative care models that utilise case management and multi-disciplinary care may positively impact on institutional-free survival for frail older people without adversely impacting on the health of caregivers.
Keyword Case management
Restorative care
Older people
Frailty
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Official 2015 Collection
School of Medicine Publications
 
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