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Network-based geriatric rehabilitation for frail elderly people: feasibility and effects on subjective health and pain at one year.

https://arctichealth.org/en/permalink/ahliterature162522
Source
J Rehabil Med. 2007 Jul;39(6):473-8
Publication Type
Article
Date
Jul-2007
Author
Katariina Hinkka
Sirkka-Liisa Karppi
Timo Pohjolainen
Taina Rantanen
Pauli Puukka
Reijo Tilvis
Author Affiliation
Research Department, Social Insurance Institution, Turku, Finland. katariina.hinkka@kela.fi
Source
J Rehabil Med. 2007 Jul;39(6):473-8
Date
Jul-2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Feasibility Studies
Female
Finland
Follow-Up Studies
Frail Elderly - psychology
Geriatric Assessment
Health Services for the Aged
Health status
Home Care Services
Humans
Male
Pain - diagnosis - rehabilitation
Questionnaires
Rehabilitation Centers
Self Concept
Self Efficacy
Abstract
To study the feasibility and 1-year effects on subjective health and symptoms of a network-based geriatric rehabilitation intervention for frail elderly people.
A randomized, controlled trial.
A total of 741 frail elderly people who lived at home, aged > 65 years, without severe cognitive impairment (Mini Mental State Examination
PubMed ID
17624482 View in PubMed
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A network-based geriatric rehabilitation programme: study design and baseline characteristics of the patients.

https://arctichealth.org/en/permalink/ahliterature169835
Source
Int J Rehabil Res. 2006 Jun;29(2):97-103
Publication Type
Article
Date
Jun-2006
Author
Katariina Hinkka
Sirkka-Liisa Karppi
Tuula Aaltonen
Kirsi Ollonqvist
Rainer Grönlund
Ulla Salmelainen
Pauli Puukka
Reijo Tilvis
Author Affiliation
Research Department, Social Insurance Institution, Turku, Finland. katariina.hinkka@kela.fi
Source
Int J Rehabil Res. 2006 Jun;29(2):97-103
Date
Jun-2006
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Female
Finland
Frail Elderly
Geriatric Assessment
Humans
Male
Questionnaires
Rehabilitation Centers - organization & administration
Abstract
The objective of this paper is to present the design and participants of an ongoing randomized controlled trial on a network-based geriatric rehabilitation programme, targeted at frail elderly persons with progressively declining health and a high risk of institutionalization. Forty-one municipalities, seven rehabilitation centres and a total of 741 frail elderly (65+years) community-living persons participated in the study. Assessments included measurements of physical capacity (balance, handgrip strength, walking speed), Functional Independence Measure, Geriatric Depression Scale, 15 Dimension quality of life questionnaire and Mini Mental State Examination. Questionnaires covered physical, social and psychological factors. The participants were old (mean age 78 years, range 65-96) and mainly female (86%). They were physically frail and most of them (66%) had experienced deterioration of health within 1 year. The majority lived alone (72%) and received regular help from other people (99%). The mean Mini Mental State Examination and Geriatric Depression Scale scores were 25.2 and 4.1 points, respectively. Depressive mood (Geriatric Depression Scale>6 points) was found in 17% and declined cognitive function (Mini Mental State Examination
PubMed ID
16609319 View in PubMed
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Network-based rehabilitation increases formal support of frail elderly home-dwelling persons in Finland: randomised controlled trial.

https://arctichealth.org/en/permalink/ahliterature158676
Source
Health Soc Care Community. 2008 Mar;16(2):115-25
Publication Type
Article
Date
Mar-2008
Author
Kirsi Ollonqvist
Tuula Aaltonen
Sirkka-Liisa Karppi
Katariina Hinkka
Seppo Pöntinen
Author Affiliation
Department of Sociology, University of Turku, Turku, Finland. kirsi.ollonqvist@kela.fi
Source
Health Soc Care Community. 2008 Mar;16(2):115-25
Date
Mar-2008
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Female
Finland
Frail Elderly
Health status
Health Surveys
Home Care Services - organization & administration
Humans
Male
Program Evaluation
Psychological Tests
Psychometrics
Quality of Life
Rehabilitation Centers
Social Support
Abstract
The AGE study is a national randomised, long-term, multicentre research project aimed at comparing a new network-based rehabilitation programme with the use of standard health and social services. The use of home help services is associated with increasing age, living alone and having difficulties with activities of daily living. During a rehabilitation intervention the elderly participants' need for care can be assessed. The focus of this paper is to investigate the possible effects of the network-based rehabilitation programme on the use of informal and formal support among home-dwelling elderly at a high risk of long-term institutionalisation. The randomised controlled trial with a 12-month follow-up was implemented in 7 rehabilitation centres and 41 municipalities in Finland. The participants were recruited between January and October 2002. A total of 708 home-dwelling persons aged 65 years or older with progressively decreasing functional capacity and at the risk of being institutionalised within 2 years participated. Persons with acute or progressive diseases or poor cognitive capacity (Mini Mental State Examination
PubMed ID
18290977 View in PubMed
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Physiotherapists' accounts of their clients in geriatric inpatient rehabilitation.

https://arctichealth.org/en/permalink/ahliterature153802
Source
Scand J Caring Sci. 2008 Dec;22(4):543-50
Publication Type
Article
Date
Dec-2008
Author
Marjo Wallin
Ulla Talvitie
Mima Cattan
Sirkka-Liisa Karppi
Author Affiliation
Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland. marjo.wallin@sport.jyu.fi
Source
Scand J Caring Sci. 2008 Dec;22(4):543-50
Date
Dec-2008
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Female
Finland
Frail Elderly - statistics & numerical data
Health promotion
Health Services for the Aged - standards
Humans
Inpatients
Interviews as Topic
Male
Middle Aged
Physical Therapy Modalities
Professional-Patient Relations
Abstract
This article aims to describe how physiotherapists working with frail older people talk about their clients. Semi-structured qualitative interviews with physiotherapists (n = 11) were audio recorded, transcribed and analysed using discourse analysis. Two accounts were identified: (i) older adults as recipients of a treatment intervention at the rehabilitation centre, with the dimensions 'a focus on physical impairments' and 'a focus on social needs' and (ii) older adults as partners in an exercise intervention to support their everyday living at home. Older adults' everyday living context was not considered in the approach where, in an isolated and objectified manner, the physiotherapists focused on physical impairments. Placing great emphasis on the clients' social needs in turn implied passive treatments. In both instances the physiotherapists' activities were focused on the present, that is, the time of the clients' stay at the rehabilitation facility, rather than on their everyday challenges at home. These aspects were taken into accounts to a greater extent when older adults were positioned as partners and functional limitations were contemplated in relation to domestic daily living.
PubMed ID
19068048 View in PubMed
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