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ABSTRACT: Background
Although older people often have challenges with fractures and dizziness/balance problems, knowledge concerning the impact of reablement of people with these conditions is limited.Aim
To explore functional changes in reablement for older home-dwelling people with fractures and dizziness/balance problems regarding 1) occupational performance and satisfaction with performance, 2) physical function and 3) health-related quality of life, and 4) which occupations they prioritize as rehabilitation goals.Material and methods
The sample is derived from a nationwide clinically controlled trial in Norway consisting of 149 participants with fractures and 113 with dizziness/balance problems who participated in a four to 10-week reablement program. Data were collected at baseline and at 10-week, 6-month, and 12-month follow-up and were analyzed with paired t-tests and analysis of covariance. Occupational priorities were categorized into sub-areas of occupation.Results
Both groups had significant short-, mid-, and long-term improvements in occupational performance and satisfaction with performance. Except for balance from baseline to 12-month follow-up, the fracture group showed significant improvements in physical function and health-related quality of life at all follow-ups. The results varied more in the group with dizziness/balance problems in physical function and health-related quality of life. Functional mobility was the highest prioritized occupational sub-area in both groups.Conclusion
The findings of this study provide extended knowledge about goals and functional changes in people with fractures and dizziness/balance problems following a reablement program.Significance
Tailoring and individual adjustments according to diagnosis may be important in person-centered care in reablement.
SUBMITTER: Licina S
PROVIDER: S-EPMC10439777 | biostudies-literature | 2023
REPOSITORIES: biostudies-literature
Licina Selma S Kjeken Ingvild I Førland Oddvar O Langeland Eva E Tuntland Hanne H
Journal of multidisciplinary healthcare 20230815
<h4>Background</h4>Although older people often have challenges with fractures and dizziness/balance problems, knowledge concerning the impact of reablement of people with these conditions is limited.<h4>Aim</h4>To explore functional changes in reablement for older home-dwelling people with fractures and dizziness/balance problems regarding 1) occupational performance and satisfaction with performance, 2) physical function and 3) health-related quality of life, and 4) which occupations they prior ...[more]