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
- PATRICIA DE VRIENDT (UGent) , Wim Peersman (UGent) , Agnes Florus, Marleen Verbeke (UGent) and Dominique Van de Velde (UGent)
- 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
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Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-7075058
- 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}}, }
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