老年人使用简单辅助装置的结果:一个小社区的前测后测干预研究

IF 0.7 Q4 REHABILITATION

Technology and Disability Pub Date : 2023-02-06 DOI:10.3233/tad-220394

Turi\dh Barbara Jacobsen, G. Haanes, M. S. Petersen

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引用次数: 0

摘要

背景：只有少数研究从使用者的角度调查了辅助设备（AD）的效果。这些知识对临床和政策决策非常重要。目的：目的是确定老年人在接受简单的AD（如浴椅和滚轴）后，在多大程度上减少了日常活动的困难。方法：该研究采用测试前-测试后干预设计，使用个体优先问题评估（IPPA）评估结果，并用配对t检验进行分析。效应大小（ES）根据Cohen的d进行解释。年龄为67岁、具有足够认知或听力功能的人被纳入访谈。结果：本研究招募了52名69–93岁的居家人员。基线IPPA评分为17.29±4.27分（平均值±标准差），随访评分为9.29±4.47分，表明平均难度评分显著降低8.64分（95%置信区间：7.37–9.81分）（p⩽0.001）。组水平的ES为1.57，从无到大不等。结论：接受简单的AD可以显著减少老年人所经历的困难。然而，ES的巨大差异突出了为流动助理提供个性化培训计划的重要性，这应在进一步的结果研究中予以考虑。

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Outcomes of uncomplicated assistive devices with older people: A pretest-post-test intervention study in a small community

BACKGROUND: Only a few studies have investigated the effects of assistive devices (ADs) from the user’s perspective. This knowledge is important for clinical and policy decision-making. OBJECTIVE: The aim was to determine to what extent older people experience less difficulty in performing daily activities after having received uncomplicated ADs such as bath chairs and rollators. METHODS: The study had a pretest – post-test intervention design where the outcomes were evaluated using the Individually Prioritized Problem Assessment (IPPA) and analyzed with paired t-tests. Effect sizes (ES) were interpreted according to Cohen’s d. People aged ⩾ 67 years with sufficient cognitive or hearing functioning necessary to participate in an interview were included. RESULTS: This study enrolled 52 home-dwelling persons aged 69–93 years. Baseline IPPA score was 17.29 ± 4.27 points (mean ± standard deviation), follow-up score 9.29 ± 4.47 points, indicating a significant reduction in the mean difficulty score of 8.64 points (95% confidence interval: 7.37–9.81 points) (p⩽ 0.001). The ES at the group level was 1.57 and varied from no to large effect. CONCLUSIONS: Receiving uncomplicated ADs significantly reduced the difficulties experienced by older people. However, the large variations in the ES highlight the importance of providing individually tailored training programs for mobility ADs, which should be considered in further outcome studies.

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来源期刊

Technology and Disability Medicine-Rehabilitation

CiteScore

1.40

自引率

20.00%

发文量

期刊介绍： Technology and Disability communicates knowledge about the field of assistive technology devices and services, within the context of the lives of end users - persons with disabilities and their family members. While the topics are technical in nature, the articles are written for broad comprehension despite the reader"s education or training. Technology and Disability"s contents cover research and development efforts, education and training programs, service and policy activities and consumer experiences. - The term Technology refers to assistive devices and services. - The term Disability refers to both permanent and temporary functional limitations experienced by people of any age within any circumstance.