Multidisciplinary Allied Health Reablement Model of Care for Older People in Residential Aged Care and Community Settings: Mixed-Methods Evaluation.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-06-24 DOI:10.1177/07334648251351690

Laura Mo, Katharine Scrivener, Alice Pashley, Diane Gibson, Kasia Bail, Nathan D'Cunha, Stephen Isbel

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Abstract

This study aimed to explore the feasibility, acceptability, and clinical outcomes of a best practice-aligned multidisciplinary allied health reablement model of care for older people. A mixed-methods pre-post-intervention study was conducted in two nursing homes and the community. Quantitative measures were collected for frailty, physical function, and quality of life for all participants pre-implementation and 12 weeks post-implementation. Semi-structured interviews were conducted with a sub-group of participants and allied health professionals involved in the intervention. Participants' (n = 50) physical function increased (SPPB 4.2 vs. 4.9) while frailty (FRAIL-NH 6.0 vs. 5.5) and quality of life (16 vs. 16) were maintained. There was a high retention (93%) and attendance rate (84%), indicating acceptability. Participants received a daily median of 16 allied health minutes, costing $26AUD. Findings confirm acceptability and feasibility of the model with potential to maintain or improve clinical outcomes. Future work is needed to define long-term outcomes, scalability and sustainability. The study was registered with the ANZCTR [Trial ID: ACTRN12623000915651; Registration Date: 12/1/2024].

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多学科联合健康实现模式的老年人护理在住宅老年护理和社区设置：混合方法评估。

本研究旨在探讨老年人最佳实践的多学科联合健康治疗模式的可行性、可接受性和临床结果。在两个养老院和社区进行了一项混合方法的干预前和干预后研究。定量测量收集了所有参与者在实施前和实施后12周的虚弱、身体功能和生活质量。对参与干预的一组参与者和专职卫生专业人员进行了半结构化访谈。参与者（n = 50）的身体功能增加（SPPB 4.2 vs. 4.9），而虚弱（FRAIL-NH 6.0 vs. 5.5）和生活质量（16 vs. 16）得到维持。有很高的保留率（93%）和出勤率（84%），表明可接受性。参与者每天平均得到16分钟的联合健康服务，花费26澳元。研究结果证实了该模型的可接受性和可行性，具有维持或改善临床结果的潜力。未来的工作需要确定长期成果、可扩展性和可持续性。该研究已在ANZCTR注册[试验号：ACTRN12623000915651；报名日期：12/1/2024]。

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

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.