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  1. Outcomes of enhanced physical and occupational therapy service in a nursing home setting.

    Article - En anglais

    Objective 

    The purpose of this study was to determine if 1.0 Full-time Equivalent (FTE) physical therapy (PT) and 1.0 FTE occupational therapy (OT) per 50 beds resulted in differences in functional status for nursing home residents when compared to 1.0 FTE PT and 1.0 FTE OT per 200 beds.

    Design 

    Randomized control program evaluation, cost analysis.

    Setting 

    Nursing home in the province of Alberta, Canada.

    Patients 

    115 residents assigned to 1 PT and 1 OT per 50 beds (enhanced group) versus 1 PT and 1 OT per 200 beds (control group) using stratified random allocation by severity of condition.

    Interventions 

    Both groups received ongoing treatment, follow-up, and restorative interventions, but enhanced group received more hours of service.

    Outcome Measures 

    Functional Independence Measure (FIM), Functional Assessment Measures (FAM), and Clinical Outcome Variables Scale (COVS) recorded at 6-month intervals over a 2-year period.

    Results 

    Mean score differences favored the enhanced group for the tests over the 2 years.

    Significance was observed on FIM Total at 6 and 12 months, FIM Self Care at 6 months, FIM Communication at 24 months, and FIM Psychosocial at 6,12,18, and 24 months ; FAM Total at 6,12,18, and 24 months, FAM Self Care at 6 months, FAM Mobility at 12 months, FAM Communication at 6 and 24 months, FAM Psychosocial at 6,12,18, and 24 months, and FAM Cognition at 6 and 12 months ; and COVS at 6,12,18, and 24 months. (...)

    Mots-clés Pascal : Etablissement troisième âge, Réadaptation physique, Rééducation, Ergonomie, Analyse coût, Economie santé, Traitement, Homme

    Mots-clés Pascal anglais : Homes for the aged, Physical rehabilitation, Reeducation, Ergonomics, Cost analysis, Health economy, Treatment, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0325801

    Code Inist : 002B26O. Création : 10/04/1997.