Acceptability and utility of a broad test battery to evaluate physical functioning and frailty in community-based settings for people experiencing homelessness and addiction–Findings from the LEAP trials

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy Pub Date : 2024-11-07 DOI:10.1016/j.physio.2024.101449

F. Kennedy , C. Ní Cheallaigh , R. Romero-Ortuno , D. Murray , J. Broderick

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引用次数: 0

Abstract

Background

Physical function deficits and frailty are commonly reported in people experiencing homelessness and addiction. Typically, geriatric, or general physical performance measures are employed to evaluate these constructs.

Objectives and setting

We aimed to investigate the feasibility of a broad test battery to evaluate physical functioning and frailty in a non-geriatric community-based population of people experiencing homelessness and addiction.

Design and methods

Physical function and the presence of frailty was evaluated using combined data from two linked low-threshold exercise pre-post intervention studies (LEAP-I and II).

Participants

Seventy-four participants attending an open-access day-service centre (18 to 65 years) were evaluated. Participants with acute confusion or behavioural issues, or major medical conditions precluding safe participation were excluded.

Intervention

A broad test battery was performed which evaluated physical functioning and frailty.

Main outcome measures

Outcome measures included were the Short Physical Performance Battery, Single Leg Stance, Chair Stand Test, 10mWT and 2 Minute Walk Tests, limb circumference, dynamometry, Clinical Frailty Scale, SHARE-Frailty Instrument, Numerical Pain Rating Scale and Short Form-12.

Results

Test completion was 100% for all outcomes except pain rating (81% and 79% for LEAP-I and II, respectively), and balance and walking tests (95% and 93% in LEAP-II). A ceiling effect was detected for the Short Physical Performance Battery.

Conclusion

High feasibility of the test batteries was demonstrated. An optimised test battery was proposed based on findings. This has important implications for clinicians working in inclusion health settings.

Clinical Trial Registration Number

Clinical Trials.gov: NCT05700305.

Contribution of the Paper

•
This paper proposes a suitable test battery to enable clinicians to evaluate physical functioning and frailty in people experiencing homelessness and addiction challenges in community settings.
•
There is a paucity of research evaluating outcome measures for this population and no core outcome set has been reported.
•
This test battery would allow the effect of treatment and targeted interventions to be evaluated in this marginalised population.

查看原文本刊更多论文

在社区环境中评估无家可归者和成瘾者身体功能和脆弱性的广泛测试电池的可接受性和实用性——LEAP试验的结果。

背景：身体功能缺陷和虚弱是普遍报道的人经历无家可归和成瘾。通常，老年人或一般的物理性能测量被用来评估这些结构。目的和背景：我们旨在研究一种广泛的测试方法的可行性，以评估无家可归和成瘾的非老年社区人群的身体功能和脆弱性。设计和方法：使用两个相关的低阈值运动干预前和干预后研究（LEAP-I和II）的综合数据评估身体功能和虚弱的存在。参与者：74名参加开放式日间服务中心的参与者（18至65岁）进行评估。有严重神志不清或行为问题，或严重健康状况妨碍安全参与的参与者被排除在外。干预：进行了广泛的测试，以评估身体功能和虚弱。主要评价指标包括短体能测试、单腿站立、椅子站立测试、10mWT和2分钟步行测试、肢体围度、动力测量、临床虚弱量表、share -虚弱量表、数值疼痛评定量表和Short Form-12。结果：除了疼痛评分（分别为81%和79%的LEAP-I和II）以及平衡和行走测试（95%和93%的LEAP-II）之外，所有结果的测试完成度均为100%。短物理性能电池检测到天花板效应。结论：试验电池具有较高的可行性。在此基础上，提出了一种优化的试验电池。这对在包容性卫生环境中工作的临床医生具有重要意义。临床试验注册号：Clinical Trials.gov: NCT05700305。论文贡献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy 医学-康复医学

CiteScore

6.40

自引率

3.00%

发文量

377

审稿时长

82 days

期刊介绍： Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic reviews or meta-analyses, theoretical or debate articles, brief reports and technical reports. All papers should demonstrate methodological rigour.