A1 Journal article (refereed)
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 (2020)


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


JYU authors or editors


Publication details

All authors or editors: Turunen, Katri M; Aaltonen-Määttä, Laura; Törmäkangas, Timo; Rantalainen, Timo; Portegijs, Erja; Keikkala, Sirkka; Kinnunen, Marja-Liisa; Finni, Taija; Sipilä, Sarianna; Nikander, Riku

Journal or series: Clinical Rehabilitation

ISSN: 0269-2155

eISSN: 1477-0873

Publication year: 2020

Volume: 34

Issue number: 4

Pages range: 491-503

Publisher: Sage Publications

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1177/0269215519901155

Publication open access: Not open

Publication channel open access:

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/68220


Abstract

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.


Keywords: ageing; sitting; ability to move

Free keywords: aging; sedentary behavior; mobility function; accelerometer; intervention


Contributing organizations


Ministry reporting: Yes

Reporting Year: 2020

JUFO rating: 2


Last updated on 2021-20-09 at 16:05