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.
Randomized control program evaluation, cost analysis.
Nursing home in the province of Alberta, Canada.
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.
Both groups received ongoing treatment, follow-up, and restorative interventions, but enhanced group received more hours of service.
Functional Independence Measure (FIM), Functional Assessment Measures (FAM), and Clinical Outcome Variables Scale (COVS) recorded at 6-month intervals over a 2-year period.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0325801
Code Inist : 002B26O. Création : 10/04/1997.