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Randomized Controlled Trial
. 2008 Oct 9:337:a1445.
doi: 10.1136/bmj.a1445.

Does a functional activity programme improve function, quality of life, and falls for residents in long term care? Cluster randomised controlled trial

Ngaire Kerse  1 , Kathy Peri, Elizabeth Robinson, Tim Wilkinson, Martin von Randow, Liz Kiata, John Parsons, Nancy Latham, Matthew Parsons, Jane Willingale, Paul Brown, Bruce Arroll
Affiliations
Randomized Controlled Trial

Does a functional activity programme improve function, quality of life, and falls for residents in long term care? Cluster randomised controlled trial

Ngaire Kerse et al. BMJ. .

Abstract

Objective: To assess the effectiveness of an activity programme in improving function, quality of life, and falls in older people in residential care.

Design: Cluster randomised controlled trial with one year follow-up.

Setting: 41 low level dependency residential care homes in New Zealand.

Participants: 682 people aged 65 years or over.

Interventions: 330 residents were offered a goal setting and individualised activities of daily living activity programme by a gerontology nurse, reinforced by usual healthcare assistants; 352 residents received social visits.

Main outcome measures: Function (late life function and disability instruments, elderly mobility scale, FICSIT-4 balance test, timed up and go test), quality of life (life satisfaction index, EuroQol), and falls (time to fall over 12 months). Secondary outcomes were depressive symptoms and hospital admissions.

Results: 473 (70%) participants 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 (late life function and disability instrument total function, P=0.024) and lower limb function (late life function and disability instrument basic lower extremity, P=0.015). In residents with cognitive impairment, the likelihood of depression increased in the intervention group. No other outcomes differed between groups.

Conclusion: A programme of functional rehabilitation had minimal impact for elderly people in residential care with normal cognition but was not beneficial for those with poor cognition. Trial registration Australian Clinical Trials Register ACTRN12605000667617.

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Conflict of interest statement

Competing interests: None declared.

Figures

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Flow of participants through trial
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References

    1. Simons L, McCallum J, Freidlander Y, Simons J. Predictors of mortality in the prospective Dubbo study of Australian elderly. Aust N Z J Med 1996;26:40-8. - PubMed
    1. King AH, Minister of Health. The primary health care strategy. Wellington: Ministry of Health, 2001:23.
    1. Rajeski W, Mihalko S. Physical activity and quality of life in older adults. J Gerontol 2001;56A:23-36. - PubMed
    1. Fiatarone-Singh M, Mayer J. Exercise comes of age: rationale and recommendations for a geriatric exercise prescription. J Gerontol 2002;57a:M262-82. - PubMed
    1. Gill T, Baker D, Gottschalk M, Peduzzi P, Allore H, Byers A. A program to prevent functional decline in physically frail elderly persons who live at home. N Engl J Med 2002;347:1068-74. - PubMed

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