Abstract
BackgroundHome rehabilitation is a growing rehabilitation service in many countries, but scientific knowledge of its components and outcomes is still limited. The aim of this study was to investigate; 1) which changes in functioning and self-rated health could be identified in relation to a home rehabilitation program in a population of community-dwelling citizens, and 2) how socio-demographic factors, health conditions and home rehabilitation interventions were associated to change in functioning and self-rated health after the home rehabilitation program.MethodThe sample consisted of participants in a municipal home rehabilitation project in Sweden and consisted of 165 community-dwelling citizens. General Linear Models (ANOVA repeated measures) was used for identifying changes in rehabilitation outcomes. Logistic regressions analysis was used to investigate associations between rehabilitation outcomes and potential factors associated to outcome.ResultOverall improvements in functioning and self-rated health were found after the home rehabilitation program. Higher frequencies of training sessions with occupational therapists, length of home rehabilitation, and orthopaedic conditions of upper extremities and spine as the main health condition, were associated with rehabilitation outcomes.ConclusionThe result indicates that the duration of home rehabilitation interventions and intensity of occupational therapy, as well as the main medical condition may have an impact on the outcomes of home rehabilitation and needs to be considered when planning such programs. However, more research is needed to guide practice and policymaking.
Highlights
The increased proportion of older adults in the population is expected to have an impact on healthcare systems worldwide [1, 2]
The result indicates that the duration of home rehabilitation interventions and intensity of occupational therapy, as well as the main medical condition may have an impact on the outcomes of home rehabilitation and needs to be considered when planning such programs
The aim of this study was to investigate; 1) which changes in functioning and selfrated health could be identified in relation to a home rehabilitation program in a population of communitydwelling citizens, and 2) how socio-demographic factors, health conditions and home rehabilitation interventions are associated to changes in functioning and self-rated health after a home rehabilitation program
Summary
The increased proportion of older adults in the population is expected to have an impact on healthcare systems worldwide [1, 2] This has resulted in the implementation of home rehabilitation programs to promote. Different home rehabilitation programs share common characteristics such as having a limited duration [8, 15], and being intensive, multidisciplinary, person-centred and goal-oriented [8, 15, 16]. Their common aim is to promote independence and support older adults to remain in their homes for as long as possible [8, 9]. The aim of this study was to investigate; 1) which changes in functioning and self-rated health could be identified in relation to a home rehabilitation program in a population of community-dwelling citizens, and 2) how socio-demographic factors, health conditions and home rehabilitation interventions were associated to change in functioning and self-rated health after the home rehabilitation program
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