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Does a functional activity programme improve function, quality of life, and falls for residents in long term care?
 — cluster randomised controlled trial
Author(s)Ngaire Kerse, Kathy Peri, Elizabeth Robinson
Journal titleBritish Medical Journal, vol 337, no 7675, 18 October 2008
Pagespp 912-915
Sourcewww.bmj.com
KeywordsExercise ; Private health services ; Self care capacity ; Mobility ; Residents [care homes] ; Care homes ; Quality of life ; Evaluation ; New Zealand.
AnnotationA programme of functional rehabilitation had minimal impact for older people in residential care with normal cognition, but was not beneficial for those with poor cognition. Residents in low-level dependency residential care in two cities in New Zealand were eligible for this study; participants were 682 residents aged 65+. 330 were offered a goal-setting and individualised activities of daily living (ADLs) programme (the promoting independence in residential care, PIRC intervention) by a gerontology nurse, reinforced by usual healthcare assistants. 352 received social visits. 472 (70%) completed the trial. The programme had no impact overall. However, in contrast to residents with impaired cognition (no differences between intervention and control group), those with normal cognition in the intervention group may have maintained overall function and lower limb function. In residents with cognitive impairment, the likelihood of depression increased in the intervention group. No other outcomes differed between groups. (RH).
Accession NumberCPA-081022201 A
ClassmarkCEA: LH: CA: C4: KX: KW: F:59: 4C: 7YN *

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