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Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial
We aimed to assess the efficacy of a reablement program in improving the independence from long-term care services of older adults with mild disability. This parallel, two-arm, randomized controlled, superiority trial was conducted in Neyagawa, a local government area in Osaka, Japan. Eligible parti...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843923/ https://www.ncbi.nlm.nih.gov/pubmed/31627337 http://dx.doi.org/10.3390/ijerph16203954 |
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author | Hattori, Shinji Yoshida, Toshiyuki Okumura, Yasuyuki Kondo, Katsunori |
author_facet | Hattori, Shinji Yoshida, Toshiyuki Okumura, Yasuyuki Kondo, Katsunori |
author_sort | Hattori, Shinji |
collection | PubMed |
description | We aimed to assess the efficacy of a reablement program in improving the independence from long-term care services of older adults with mild disability. This parallel, two-arm, randomized controlled, superiority trial was conducted in Neyagawa, a local government area in Osaka, Japan. Eligible participants were community-dwelling individuals aged ≥65 years certified as support-required level. They were assigned in a 1:1 ratio to receive either a community-based, multicomponent, multidisciplinary, individualized goal-directed, and time-limited intervention (the CoMMIT program) plus standard care or standard care alone. The primary outcome was independence, that is, the nonuse of long-term care services during the three-month follow-up period. The study was terminated early due to slow enrollment. A total of 375 participants were enrolled and randomized to either the intervention (n = 190) or control (n = 185) group. The proportions of independence were 11.1% and 3.8% in the intervention and control groups, respectively (absolute difference: 7.3; 95% confidence interval: 2.0–12.5). There was no difference in the risk of serious adverse events between the groups. The CoMMIT program plus standard care was found superior to standard care alone in enhancing the independence from long-term care services of older adults with mild disability. |
format | Online Article Text |
id | pubmed-6843923 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-68439232019-11-25 Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial Hattori, Shinji Yoshida, Toshiyuki Okumura, Yasuyuki Kondo, Katsunori Int J Environ Res Public Health Article We aimed to assess the efficacy of a reablement program in improving the independence from long-term care services of older adults with mild disability. This parallel, two-arm, randomized controlled, superiority trial was conducted in Neyagawa, a local government area in Osaka, Japan. Eligible participants were community-dwelling individuals aged ≥65 years certified as support-required level. They were assigned in a 1:1 ratio to receive either a community-based, multicomponent, multidisciplinary, individualized goal-directed, and time-limited intervention (the CoMMIT program) plus standard care or standard care alone. The primary outcome was independence, that is, the nonuse of long-term care services during the three-month follow-up period. The study was terminated early due to slow enrollment. A total of 375 participants were enrolled and randomized to either the intervention (n = 190) or control (n = 185) group. The proportions of independence were 11.1% and 3.8% in the intervention and control groups, respectively (absolute difference: 7.3; 95% confidence interval: 2.0–12.5). There was no difference in the risk of serious adverse events between the groups. The CoMMIT program plus standard care was found superior to standard care alone in enhancing the independence from long-term care services of older adults with mild disability. MDPI 2019-10-17 2019-10 /pmc/articles/PMC6843923/ /pubmed/31627337 http://dx.doi.org/10.3390/ijerph16203954 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hattori, Shinji Yoshida, Toshiyuki Okumura, Yasuyuki Kondo, Katsunori Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial |
title | Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial |
title_full | Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial |
title_fullStr | Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial |
title_full_unstemmed | Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial |
title_short | Effects of Reablement on the Independence of Community-Dwelling Older Adults with Mild Disability: A Randomized Controlled Trial |
title_sort | effects of reablement on the independence of community-dwelling older adults with mild disability: a randomized controlled trial |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843923/ https://www.ncbi.nlm.nih.gov/pubmed/31627337 http://dx.doi.org/10.3390/ijerph16203954 |
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