The association between patient participation and functional gain following inpatient rehabilitation

Morghen, Sara; Morandi, Alessandro; Guccione, Andrew A.; Bozzini, Michela; Guerini, Fabio; Gatti, Roberto; Santo, Francesco Del; Gentile, Simona; Trabucchi, Marco; Bellelli, Giuseppe

doi:10.1007/s40520-016-0625-3

Cited by 21 publications

(23 citation statements)

References 35 publications

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“…These findings are consistent with prior studies on the pivotal role of engagement in rehabilitation with PwD Morghen et al, 2017;Paolucci et al, 2012;Skidmore et al, 2010). As in many prior studies, the current research used the PRPS to assess engagement.…”

Section: Discussionsupporting

confidence: 89%

“…PwDs may not understand the therapist's instructions and may be fearful of what the therapist is trying to do (Wong & Leland, 2018). Lower participation, in turn, has been found to lead to poorer functional outcomes Morghen et al, 2017). Identifying optimal strategies for engaging PwDs in rehabilitation could contribute to better treatment responses and help them resume every day and preferred activities Resnick et al, 2016).…”

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confidence: 99%

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Rehabilitation of persons with dementia: using technology to improve participation

Zarit

Chiusano

Harrison

et al. 2020

Aging & Mental Health

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Objectives: The current study examined how a technology system, "It's Never 2 Late" (iN2L), may help augment traditional rehabilitation strategies for older adults with dementia by improving engagement in therapy sessions and achieving better functional outcomes. Method: The study used a two group quasi-experimental design. Older adults with dementia (N ¼ 96) were recruited from two rehabilitation departments housed within residential care communities. Participants received daily occupational and physical therapy sessions using treatment as usual (TAU) at one site (n ¼ 49) or treatment with iN2L (n ¼ 47) at the other site. A goal attainment approach was used to assess functional outcomes. It was hypothesized that patients whose therapists used iN2L in treatment will show greater attainment of therapy goals and greater engagement during OT and PT sessions than patients receiving TAU. It was also hypothesized that levels and improvement in engagement will mediate the association of treatment type (iN2L or TAU) with greater goal attainment. Results: Participants in the iN2L treatment had significantly higher goal attainment than TAU, significantly higher levels of engagement at baseline, and significantly steeper increases in engagement over the course of therapy. The effects of treatment on goal attainment was significantly mediated by increases in engagement. Conclusion: Findings suggest that iN2L technology has the potential to increase treatment engagement and enhance rehabilitation outcomes among older adults with dementia. ARTICLE HISTORY

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Rehabilitation of persons with dementia: using technology to improve participation

Zarit

Chiusano

Harrison

et al. 2020

Aging & Mental Health

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“…Higher BMI values (in the normal to overweight range) were significantly associated with higher scores of the BI [68] and the FIM [64] in one study each. However, five [31,54,57,66,69] out of seven studies did not indicate significant associations between BMI and either BI or FIM (Online Resource 13).…”

Section: Association Between Nutritional Status and Functional Statusmentioning

confidence: 99%

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

et al. 2020

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Aim This systematic review and meta-analysis aims to characterize the nutritional status of geriatric rehabilitation patients and its association with functional parameters. Findings Malnutrition is prevalent in a relevant percentage of geriatric rehabilitation patients, whereas body mass index (BMI) is in the normal to overweight range. Furthermore, data suggest that protein and energy intake is reduced and vitamin D deficiency is prevalent in this population. Decreased physical function is associated with malnutrition according to Mini-Nutritional Assessment (MNA) and MNA short form, whereas BMI did not show any clear association. Message Nutritional status is reduced in a relevant percentage of geriatric rehabilitation patients and associated with decreased physical function which emphasizes the need for screening and targeted interventions.

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“…Based on existing literature (Ashworth et al, ; Morghen et al, ), we expected the level of engagement with reablement to be associated with functional status outcomes at discharge from the intervention, and with longer term outcomes (Kortte et al, ). The HRERS‐RV asks staff to report on an individual's engagement across the entire duration of reablement.…”

Section: Methodsmentioning

confidence: 99%

The Hopkins Rehabilitation Engagement Rating Scale – Reablement Version (HRERS‐RV): Development and psychometric properties

Mayhew

Beresford

Laver‐Fawcett

et al. 2018

Health Soc Care Community

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Patient or user engagement with health and social care interventions is receiving increased attention and interest within practice settings and research. An English evaluation of three reablement services wished to include a measure of user‐engagement so as to explore its association with outcomes. As no measure of reablement engagement existed, an existing measure designed for use with physical rehabilitation patients (the Hopkins Rehabilitation Engagement Rating Scale) was adapted and its psychometric properties were tested. The adapted version was completed by reablement staff at the time an individual (n = 129) was discharged from one of the three reablement services. Outcomes data (Barthel Index, Nottingham Extended Activities of Daily Living Scale, General Health Questionnaire‐12) collected by the evaluation study at baseline (that is, at entry into reablement), discharge and 6 months postdischarge was used for some psychometric testing. Internal consistency and construct, predictive and discriminant validity were investigated. The adapted scale measured a single construct and had good internal consistency. Tests of predictive and discriminant validity were positive. Findings from a separate, small‐scale (n = 31) test–retest study offer an early indication that this is acceptable. There was, however, evidence of a ceiling effect and we consider ways this may be ameliorated. The Hopkins Rehabilitation Engagement Rating Scale – Reablement Version offers a means by which user engagement in reablement can be measured using a staff‐completed instrument. The association between engagement and reablement outcomes, revealed when testing for predictive validity, supports the argument for greater attention and investment in research on user engagement in reablement. More broadly, researching engagement within the context of an intervention often delivered by multiple practitioners offers the opportunity to further understand this concept which, in the past, has particularly focused on interventions delivered by a single practitioner. In addition, future work should include developing a companion measure completed by service users.

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The association between patient participation and functional gain following inpatient rehabilitation

Abstract: This study showed that participation during physical therapy affects the extent of functional gain at discharge in a large population of older patients with multiple diseases receiving in-hospital rehabilitation.

Cited by 21 publications

References 35 publications

Rehabilitation of persons with dementia: using technology to improve participation

Rehabilitation of persons with dementia: using technology to improve participation

Nutritional status and functionality in geriatric rehabilitation patients: a systematic review and meta-analysis

The Hopkins Rehabilitation Engagement Rating Scale – Reablement Version (HRERS‐RV): Development and psychometric properties

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