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Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS).
Age Ageing. 2008 Jan; 37(1):57-63.AA

Abstract

OBJECTIVES

to determine whether a repetitive activities of daily living (ADL) activity programme improves health status, life satisfaction and mobility for older people living in residential care.

DESIGN

cluster randomised controlled trial.

SETTING

five low-level dependency residential care homes in Auckland, New Zealand.

PARTICIPANTS

one hundred and forty-nine older residents (mean age 84.7 years).

INTERVENTION

trained research staff worked with residents in intervention wards to set a goal and complete a functional assessment for each resident. They then designed an individualised activity programme based on ADL and worked with residential care home staff to implement the programme into daily activities of residents.

MEASUREMENTS

mobility: timed-up-and-go (TUG); life satisfaction: late life satisfaction index (LSI-Z); and health status: SF-36 were assessed at baseline, 3- and 6-months follow-up.

RESULTS

in the intervention group the SF-36 total physical component summary (PCS) score improved at 3 months in comparison with the control group. There was no difference between groups on mobility measures at any time, nor any measures at 6-months follow-up. Significant contamination is likely to have affected the 6-month follow-up measures.

CONCLUSIONS

a repetitive ADL exercise programme may improve health status in the short term in a group of frail older people living in residential care. Further research is needed to establish sustainability of change.

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Authors+Show Affiliations

Peri K
School of Nursing, University of Auckland, Auckland, New Zealand. k.peri@auckland.ac.nz
Kerse N
No affiliation info available
Robinson E
No affiliation info available
Parsons M
No affiliation info available
Parsons J
No affiliation info available
Latham N
No affiliation info available

MeSH

Activities of Daily LivingAgedAged, 80 and overAssisted Living FacilitiesDisability EvaluationExercise TherapyFemaleFollow-Up StudiesFrail ElderlyHealth PromotionHealth StatusHumansLong-Term CareMaleMobility LimitationNew ZealandPatient SatisfactionQuality of LifeSelf Efficacy

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17965045

Clinical Trial Links

Feasibility of a Physical Activity Programme for Older Adults in Nursing Homes

Citation

Peri, Kathryn, et al. "Does Functionally Based Activity Make a Difference to Health Status and Mobility? a Randomised Controlled Trial in Residential Care Facilities (The Promoting Independent Living Study; PILS)." Age and Ageing, vol. 37, no. 1, 2008, pp. 57-63.
Peri K, Kerse N, Robinson E, et al. Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS). Age Ageing. 2008;37(1):57-63.
Peri, K., Kerse, N., Robinson, E., Parsons, M., Parsons, J., & Latham, N. (2008). Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS). Age and Ageing, 37(1), 57-63.
Peri K, et al. Does Functionally Based Activity Make a Difference to Health Status and Mobility? a Randomised Controlled Trial in Residential Care Facilities (The Promoting Independent Living Study; PILS). Age Ageing. 2008;37(1):57-63. PubMed PMID: 17965045.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does functionally based activity make a difference to health status and mobility? A randomised controlled trial in residential care facilities (The Promoting Independent Living Study; PILS). AU - Peri,Kathryn, AU - Kerse,Ngaire, AU - Robinson,Elizabeth, AU - Parsons,Matthew, AU - Parsons,John, AU - Latham,N, Y1 - 2007/10/25/ PY - 2007/10/30/pubmed PY - 2008/2/22/medline PY - 2007/10/30/entrez SP - 57 EP - 63 JF - Age and ageing JO - Age Ageing VL - 37 IS - 1 N2 - OBJECTIVES: to determine whether a repetitive activities of daily living (ADL) activity programme improves health status, life satisfaction and mobility for older people living in residential care. DESIGN: cluster randomised controlled trial. SETTING: five low-level dependency residential care homes in Auckland, New Zealand. PARTICIPANTS: one hundred and forty-nine older residents (mean age 84.7 years). INTERVENTION: trained research staff worked with residents in intervention wards to set a goal and complete a functional assessment for each resident. They then designed an individualised activity programme based on ADL and worked with residential care home staff to implement the programme into daily activities of residents. MEASUREMENTS: mobility: timed-up-and-go (TUG); life satisfaction: late life satisfaction index (LSI-Z); and health status: SF-36 were assessed at baseline, 3- and 6-months follow-up. RESULTS: in the intervention group the SF-36 total physical component summary (PCS) score improved at 3 months in comparison with the control group. There was no difference between groups on mobility measures at any time, nor any measures at 6-months follow-up. Significant contamination is likely to have affected the 6-month follow-up measures. CONCLUSIONS: a repetitive ADL exercise programme may improve health status in the short term in a group of frail older people living in residential care. Further research is needed to establish sustainability of change. SN - 1468-2834 UR - https://www.unboundmedicine.com/medline/citation/17965045/Does_functionally_based_activity_make_a_difference_to_health_status_and_mobility_A_randomised_controlled_trial_in_residential_care_facilities__The_Promoting_Independent_Living_Study L2 - https://academic.oup.com/ageing/article-lookup/doi/10.1093/ageing/afm135 DB - PRIME DP - Unbound Medicine ER -