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Increasing life-space mobility in community-dwelling older persons with cognitive impairment following rehabilitation: A randomized controlled trial
Ullrich, Phoebe
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Werner, Christian
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Bongartz, Martin
;
Eckert, Tobias
;
Schönstein, Anton
;
Kiss, Rainer
;
Hauer, Klaus
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DOI:
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https://doi.org/10.1093/gerona/glaa254
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URL:
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https://academic.oup.com/biomedgerontology/advance...
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Weitere URL:
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https://pubmed.ncbi.nlm.nih.gov/33021670/
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Dokumenttyp:
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Zeitschriftenartikel
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Erscheinungsjahr:
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2021
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Titel einer Zeitschrift oder einer Reihe:
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The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
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Band/Volume:
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76
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Heft/Issue:
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11
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Seitenbereich:
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1988-1996
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Ort der Veröffentlichung:
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Oxford [u.a.]
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Verlag:
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Oxford University Press
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ISSN:
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1079-5006 , 1758-535X
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Sprache der Veröffentlichung:
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Englisch
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Einrichtung:
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Fakultät für Sozialwissenschaften > Kognitive Psychologie mit Schwerp. Kognitives Altern (Kuhlmann 2015-)
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Fachgebiet:
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150 Psychologie
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Abstract:
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Background
Community-dwelling older persons with cognitive impairment (CI) following discharge from geriatric rehabilitation are at high risk for losing life-space mobility (LSM). Interventions to improve their LSM are, however, still lacking. The study aim was to evaluate the effects of a CI-specific, home-based physical training and activity promotion program on LSM.
Methods
Older persons with mild-to-moderate CI (Mini-Mental State Examination [MMSE]: 17-26 points) discharged home from rehabilitation were included in this double-blinded, randomized, placebo-controlled trial with a 12-week intervention period and 12-week follow-up period. The intervention group (IG) received a CI-specific, home-based strength, balance and walking training supported by tailored motivational strategies. The control group (CG) received a placebo activity. LSM was evaluated by the Life-Space Assessment in Persons with Cognitive Impairment (LSA-CI), including a composite score for LSM and three sub-scores for maximal, equipment-assisted and independent life-space. Mixed-model repeated-measures analyses were used.
Results
One hundred eighteen participants (82.3±6.0 years) with CI (MMSE: 23.3±2.4) were randomized. After the intervention, the home-based training program resulted in a significant benefit in the LSA-CI composite scores (b=8.15; 95% confidence interval: 2.89-13.41; p=.003) and independent life-space sub-scores (b= 0.39; 95% confidence interval: 0.00-0.78; p=.048) in the IG (n=63) compared to CG (n=55). Other sub-scores and follow-up results were not significantly different.
Conclusions
The home-based training program improved LSM and independent life-space significantly in this vulnerable population. Effects were not sustained over the follow-up. The program may represent a model for improved transition from rehabilitation to the community to prevent high risk of LSM restriction.
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 | Dieser Datensatz wurde nicht während einer Tätigkeit an der Universität Mannheim veröffentlicht, dies ist eine Externe Publikation. |
 Suche Autoren in
BASE:
Ullrich, Phoebe
;
Werner, Christian
;
Bongartz, Martin
;
Eckert, Tobias
;
Schönstein, Anton
;
Kiss, Rainer
;
Hauer, Klaus
Google Scholar:
Ullrich, Phoebe
;
Werner, Christian
;
Bongartz, Martin
;
Eckert, Tobias
;
Schönstein, Anton
;
Kiss, Rainer
;
Hauer, Klaus
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