Increasing life-space mobility in community-dwelling older persons with cognitive impairment following rehabilitation: a randomized controlled trial
Community-dwelling older persons with cognitive impairment (CI) following discharge from geriatric rehabilitation are at high risk of losing life-space mobility (LSM). Interventions to improve their LSM are, however, still lacking. The aim of this study was to evaluate the effects of a CI-specific,...
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| Main Authors: | , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2021
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| In: |
The journals of gerontology. Series A, Biological sciences, medical sciences
Year: 2021, Volume: 76, Issue: 11, Pages: 1988-1996 |
| ISSN: | 1758-535X |
| DOI: | 10.1093/gerona/glaa254 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/gerona/glaa254
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| Author Notes: | Phoebe Ullrich, Christian Werner, Martin Bongartz, Tobias Eckert, Bastian Abel, Anton Schönstein, Rainer Kiss, and Klaus Hauer |
| Summary: | Community-dwelling older persons with cognitive impairment (CI) following discharge from geriatric rehabilitation are at high risk of losing life-space mobility (LSM). Interventions to improve their LSM are, however, still lacking. The aim of this study was to evaluate the effects of a CI-specific, home-based physical training and activity promotion program on LSM.Older persons with mild-to-moderate CI (Mini-Mental State Examination: 17-26 points) discharged home from rehabilitation were included in this double-blinded, randomized, placebo-controlled trial with a 12-week intervention period and 12-week follow-up period. The intervention group received a CI-specific, home-based strength, balance, and walking training supported by tailored motivational strategies. The control group received a placebo activity. LSM was evaluated by the Life-Space Assessment in Persons with Cognitive Impairment, including a composite score for LSM and 3 subscores for maximal, equipment-assisted, and independent life space. Mixed-model repeated-measures analyses were used.One hundred eighteen participants (82.3 ± 6.0 years) with CI (Mini-Mental State Examination: 23.3 ± 2.4) were randomized. After the intervention, the home-based training program resulted in a significant benefit in the Life-Space Assessment in Persons with Cognitive Impairment composite scores (b = 8.15; 95% confidence interval: 2.89-13.41; p = .003) and independent life-space subscores (b = 0.39; 95% confidence interval: 0.00-0.78; p = .048) in the intervention group (n = 63) compared to control group (n = 55). Other subscores and follow-up results were not significantly different.The home-based training program improved LSM and independent life space significantly in this vulnerable population. Effects were not sustained over the follow-up. The program may represent a model for improved transition from rehabilitation to the community to prevent high risk of LSM restriction. |
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| Item Description: | Published: 06 October 2020 Gesehen am 03.12.2021 |
| Physical Description: | Online Resource |
| ISSN: | 1758-535X |
| DOI: | 10.1093/gerona/glaa254 |