Advanced search
1 file | 216.25 KB Add to list

Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program : a pragmatic randomized controlled trial

Author
Organization
Abstract
INTRODUCTION AND AIM: In the ageing society, a considerable part of the older adults are frail. Frailty has a major impact on the individual's quality of life, independence and also on his environment. This study aimed to investigate - as a secondary prevention of disability - the effectiveness of a client-centred and activity-oriented intervention program for frail community living older adults. It was hypothesized that this program could be effective in improving basic Activities of Daily Living (b-ADL) and increasing Health Related Quality of Life (HRQoL). METHOD: This study was a single blind randomized controlled trial with an intervention and a control group (pre-test-post-test control group design). Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate. Data were analysed using the intention-to-treat principle. RESULTS: The intervention group (n = 86) experienced more improvement on b-ADL and HRQoL compared with the control group (n = 82). These effects were statistically significant for the b-ADL index (p = 0.013) and the 'physical subscale pain' (p = 0.049). DISCUSSION AND CONCLUSION: These positive results can be seen as promising for further development of intervention strategies, although follow-up study should be conducted to determine long term effectiveness.
Keywords
RCT, client-centred, Frailty, activity-oriented program, tailor-made, occupational therapy, HOME-CARE, INTERVENTIONS, PEOPLE, DISABILITY, INSTRUMENTS, MANAGEMENT, PHENOTYPE, SF-36

Downloads

  • (...).pdf
    • full text
    • |
    • UGent only
    • |
    • PDF
    • |
    • 216.25 KB

Citation

Please use this url to cite or link to this publication:

MLA
DE VRIENDT, PATRICIA, et al. “Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program : A Pragmatic Randomized Controlled Trial.” JOURNAL OF NUTRITION HEALTH & AGING, vol. 20, no. 1, 2016, pp. 35–40, doi:10.1007/s12603-015-0581-1.
APA
DE VRIENDT, P., Peersman, W., Florus, A., Verbeke, M., & Van de Velde, D. (2016). Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program : a pragmatic randomized controlled trial. JOURNAL OF NUTRITION HEALTH & AGING, 20(1), 35–40. https://doi.org/10.1007/s12603-015-0581-1
Chicago author-date
DE VRIENDT, PATRICIA, Wim Peersman, Agnes Florus, Marleen Verbeke, and Dominique Van de Velde. 2016. “Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program : A Pragmatic Randomized Controlled Trial.” JOURNAL OF NUTRITION HEALTH & AGING 20 (1): 35–40. https://doi.org/10.1007/s12603-015-0581-1.
Chicago author-date (all authors)
DE VRIENDT, PATRICIA, Wim Peersman, Agnes Florus, Marleen Verbeke, and Dominique Van de Velde. 2016. “Improving Health Related Quality of Life and Independence in Community Dwelling Frail Older Adults through a Client-Centred and Activity-Oriented Program : A Pragmatic Randomized Controlled Trial.” JOURNAL OF NUTRITION HEALTH & AGING 20 (1): 35–40. doi:10.1007/s12603-015-0581-1.
Vancouver
1.
DE VRIENDT P, Peersman W, Florus A, Verbeke M, Van de Velde D. Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program : a pragmatic randomized controlled trial. JOURNAL OF NUTRITION HEALTH & AGING. 2016;20(1):35–40.
IEEE
[1]
P. DE VRIENDT, W. Peersman, A. Florus, M. Verbeke, and D. Van de Velde, “Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program : a pragmatic randomized controlled trial,” JOURNAL OF NUTRITION HEALTH & AGING, vol. 20, no. 1, pp. 35–40, 2016.
@article{7075058,
  abstract     = {{INTRODUCTION AND AIM: In the ageing society, a considerable part of the older adults are frail. Frailty has a major impact on the individual's quality of life, independence and also on his environment. This study aimed to investigate - as a secondary prevention of disability - the effectiveness of a client-centred and activity-oriented intervention program for frail community living older adults. It was hypothesized that this program could be effective in improving basic Activities of Daily Living (b-ADL) and increasing Health Related Quality of Life (HRQoL).
METHOD: This study was a single blind randomized controlled trial with an intervention and a control group (pre-test-post-test control group design). Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate. Data were analysed using the intention-to-treat principle.
RESULTS: The intervention group (n = 86) experienced more improvement on b-ADL and HRQoL compared with the control group (n = 82). These effects were statistically significant for the b-ADL index (p = 0.013) and the 'physical subscale pain' (p = 0.049).
DISCUSSION AND CONCLUSION: These positive results can be seen as promising for further development of intervention strategies, although follow-up study should be conducted to determine long term effectiveness.}},
  author       = {{DE VRIENDT, PATRICIA and Peersman, Wim and Florus, Agnes and Verbeke, Marleen and Van de Velde, Dominique}},
  issn         = {{1279-7707}},
  journal      = {{JOURNAL OF NUTRITION HEALTH & AGING}},
  keywords     = {{RCT,client-centred,Frailty,activity-oriented program,tailor-made,occupational therapy,HOME-CARE,INTERVENTIONS,PEOPLE,DISABILITY,INSTRUMENTS,MANAGEMENT,PHENOTYPE,SF-36}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{35--40}},
  title        = {{Improving health related quality of life and independence in community dwelling frail older adults through a client-centred and activity-oriented program : a pragmatic randomized controlled trial}},
  url          = {{http://doi.org/10.1007/s12603-015-0581-1}},
  volume       = {{20}},
  year         = {{2016}},
}

Altmetric
View in Altmetric
Web of Science
Times cited: