Increasing life-space mobility in community-dwelling older persons with cognitive impairment following rehabilitation

• Verfasst von: Ullrich, Phoebe [VerfasserIn]
• Verfasst von: Werner, Christian [VerfasserIn]
• Verfasst von: Bongartz, Martin [VerfasserIn]
• Verfasst von: Eckert, Tobias [VerfasserIn]
• Verfasst von: Abel, Bastian [VerfasserIn]
• Verfasst von: Schönstein, Anton [VerfasserIn]
• Verfasst von: Kiss, Rainer [VerfasserIn]
• Verfasst von: Hauer, Klaus [VerfasserIn]
• Titel: Increasing life-space mobility in community-dwelling older persons with cognitive impairment following rehabilitation
• Titelzusatz: a randomized controlled trial
• Verf.angabe: Phoebe Ullrich, Christian Werner, Martin Bongartz, Tobias Eckert, Bastian Abel, Anton Schönstein, Rainer Kiss, and Klaus Hauer
• Jahr: 2021
• Umfang: 9 S.
• Fussnoten: Published: 06 October 2020 ; Gesehen am 03.12.2021
• Titel Quelle: Enthalten in: The journals of gerontology / A
• Ort Quelle: Oxford [u.a.] : Oxford Univ. Pr., 1995
• Jahr Quelle: 2021
• Band/Heft Quelle: 76(2021), 11, Seite 1988-1996
• ISSN Quelle: 1758-535X
• DOI: doi:10.1093/gerona/glaa254
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1780201710

Abstract

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.