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Effectiveness of educational nursing home visits on quality of life, functional status and care dependency in older adults with mobility impairments: a randomized controlled trial
Author(s) -
Buss Arne,
WolfOstermann Karin,
Dassen Theo,
Lahmann Nils,
Strupeit Steve
Publication year - 2016
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12457
Subject(s) - medicine , intervention (counseling) , quality of life (healthcare) , randomized controlled trial , psychological intervention , nursing homes , gerontology , nursing , activities of daily living , descriptive statistics , physical therapy , surgery , statistics , mathematics
Rationale, aims and objectives Facilitating and maintaining functional status ( FS ) and quality of life ( QoL ) and avoiding care dependency ( CD ) are and will increasingly become major tasks of nursing. Educational nursing home visits may have positive effects on FS and QoL in older adults. The aim of this study was to determine the effectiveness of educational home visits on FS , QoL and CD in older adults with mobility impairments. Method We performed a randomized controlled trial. The study was conducted in the living environments of 123 participants with functional impairments living in H amburg, G ermany. The intervention group received an additional nursing education intervention on mobility and QoL ; the control group received care as usual. Data were collected from A ugust 2011 to D ecember 2012 at baseline, 6 months and 12 months of follow‐up. The main outcomes were FS ( B arthel I ndex), QoL ( WHOQOL ‐ BREF ) and CD ( C are D ependency S cale). Data were analyzed using descriptive statistics and generalized linear models. Results In total, 113 participants (57 in the intervention and 56 in the control group) were included in the study. The intervention had no statistical significant effect on FS , QoL and CD . Conclusions The intervention did not show the benefits that we assumed. Further studies on the effects of educational nursing interventions should be performed using different concepts and rigorous research methods.