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Nursing Home Resident Outcomes from the Res‐Care Intervention
Author(s) -
Resnick Barbara,
GruberBaldini Ann L.,
Zimmerman Sheryl,
Galik Elizabeth,
PretzerAboff Ingrid,
Russ Karin,
Hebel J. Richard
Publication year - 2009
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2009.02327.x
Subject(s) - tinetti test , medicine , quality of life (healthcare) , physical therapy , intervention (counseling) , grip strength , activities of daily living , balance (ability) , gait , randomized controlled trial , nursing , gerontology , physical medicine and rehabilitation , surgery
OBJECTIVES: To test the effectiveness of a restorative care (Res‐Care) intervention on function, muscle strength, contractures, and quality of life of nursing home residents, with secondary aims focused on strengthening self‐efficacy and outcome expectations. DESIGN: A randomized controlled repeated‐measure design was used, and generalized estimating equations were used to evaluate status at baseline and 4 and 12 months after initiation of the Res‐Care intervention. SETTING: Twelve nursing homes in Maryland. PARTICIPANTS: Four hundred eighty‐seven residents consented and were eligible: 256 from treatment sites and 231 from control sites. The majority were female (389, 80.1%) and white (325, 66.8%); 85 (17.4%) were married and the remaining widowed, single, or divorced/separated. Mean age was 83.8 ± 8.2, and mean Mini‐Mental State Examination score was 20.4 ± 5.3. INTERVENTION: Res‐Care was a two‐tiered self‐efficacy‐based intervention focused on motivating nursing assistants and residents to engage in functional and physical activities. MEASUREMENTS: Barthel Index, Tinetti Gait and Balance, grip strength, Dementia Quality‐of‐Life Scale, self‐efficacy, and Outcome Expectations Scales for Function. RESULTS: Significant treatment‐by‐time interactions ( P <.05) were found for the Tinetti Mobility Score and its gait and balance subscores and for walking, bathing, and stair climbing. CONCLUSION: The findings provide some evidence for the utility and safety of a Res‐Care intervention in terms of improving function in NH residents.