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dc.contributor.authorLangeland, Eva
dc.contributor.authorTuntland, Hanne
dc.contributor.authorFolkestad, Bjarte
dc.contributor.authorFørland, Oddvar
dc.contributor.authorJacobsen, Frode F.
dc.contributor.authorKjeken, Ingvild
dc.date.accessioned2019-05-24T08:21:16Z
dc.date.accessioned2019-06-03T07:21:20Z
dc.date.available2019-05-24T08:21:16Z
dc.date.available2019-06-03T07:21:20Z
dc.date.issued2019-01-30
dc.identifier.citationLangeland E, Tuntland HK, Folkestad B, Førland O, Jacobsen FFJ, Kjeken I. A multicenter investigation of reablement in Norway: A clinical controlled trial. BMC Geriatrics. 2019;19(29)en
dc.identifier.issn1471-2318
dc.identifier.issn1471-2318
dc.identifier.urihttps://hdl.handle.net/10642/7184
dc.description.abstractBackground: Reablement is an emerging approach in rehabilitation services, but evidence for its efficacy is rather weak and inconsistent. The purpose of the present study is therefore to investigate the health effects of reablement in home-dwelling adults. Methods: A multicenter, clinical controlled trial involving 47 municipalities in Norway, with assessments at baseline, and after 10 weeks and at 6 and 12 months. The sample consisted of 707 persons that received a 4–10 week reablement program and 121 underwent treatment as usual. Primary outcomes were activity performance and satisfaction with performance measured by the Canadian Occupational Performance Measure (COPM, 1–10). Secondary outcomes included the Short Physical Performance Measure Battery (SPPB), the European Quality of Life Scale (EQ-5D-5 L), and the Sense of Coherence Questionnaire (SOC). Overall treatment effects were estimated with mixed-model repeated measures analyses. Results: Significant treatment effects in the rehabilitation group compared with the control group were found in COPM-Performance and COPM-Satisfaction scores at 10 weeks (mean differences between groups (MD), 1.61, 95% confidence interval (CI), 1.13, 2.10 and MD 1.47, CI 0.98, 1.97, respectively), and at 6 months (MD 1.42; CI 0.82,2.02 and MD 1.37; CI 0.77,1.98, respectively). There were also significant treatment effects in the SPPB-subscales for balance and walking after 6 months, in the total SPPB score and in the subscale for sit-to-stand after 12 months. In the EQ-5D-5 L assessment, significant treatment effects were found in the subscales for mobility, and for usual activities and health after 6 months. There was a significant difference in the SOC after six months. Conclusion: Reablement seems to be a more effective rehabilitation service for persons with functional decline than traditional home-based services after six months. After 12 months, the differences between the groups decreased. Trial registration: The trial was registered at ClinicalTrials.gov on October 24, 2014, (retrospectively registered) identifier: NCT02273934.en
dc.description.sponsorshipThis study was funded by the Norwegian Directorate of Health.en
dc.language.isoenen
dc.publisherBMCen
dc.relation.ispartofseriesBMC Geriatrics;19, Article number: 29 (2019)
dc.rights© The Author(s). 2019 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectDaily living activitiesen
dc.subjectClinical controlled trialsen
dc.subjectHome-care servicesen
dc.subjectRehabilitationsen
dc.subjectReablementsen
dc.subjectAdultsen
dc.titleA multicenter investigation of reablement in Norway: A clinical controlled trialen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2019-05-24T08:21:15Z
dc.description.versionpublishedVersionen
dc.identifier.doi10.1186/s12877-019-1038-x
dc.identifier.doihttps://dx.doi.org/10.1186/s12877-019-1038-x
dc.identifier.cristin1670046
dc.source.journalBMC Geriatrics


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© The Author(s). 2019 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Except where otherwise noted, this item's license is described as © The Author(s). 2019 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.