Abstract
Purpose: The purpose of this pilot study was to determine the effectiveness and costs of the occupation-based practice for community dwelling frail elderly. Design: Pilot pre-post design without a control group. Setting: A care management center involving 37 local elderly. Subject: The final analysis included 26 frail elderly in a community dwelling center. Intervention: The intervention was occupation-based practice involving setting of client-centered goals, observation of real living situations, and provision of advice on the individual problem of real occupation. Outcome: The outcome was the Frenchay Activities Index (FAI), which is used to evaluate the instrumental activities of daily living (IADL). Additionally, the frequency, duration, and cost of the intervention were calculated. Results: Regarding the FAI score before and after the interventions, there were significant improvements in all items except work (P<0.05, effect size [r]: 0.67–0.93). A total of 15 people out of 26 (57.7%) showed improvement in activities of daily living. The frequency of interventions was 3.7 (95% confidence interval [CI]: 2.83–4.48), and the duration was 7.4 weeks (95% CI: 5.27–9.42). The average intervention cost was $258 (95% CI: 200.4–317.4). Conclusion: The results of this study showed that occupation-based practice has a potential to improve IADL in frail elderly, with low frequency of intervention, within a short-term, and direct cost reduction. We believe that this pilot study will contribute to future clinical studies for frail elderly, and the findings can be easily applied to daily clinical intervention. A well-designed prospective randomized-controlled trial is necessary to verify these results.
| Original language | English |
|---|---|
| Pages (from-to) | 1177-1182 |
| Number of pages | 6 |
| Journal | Clinical Interventions in Aging |
| Volume | 13 |
| DOIs | |
| Publication status | Published - 2018 Jun 26 |
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Keywords
- Activities of daily living
- Cost saving
- Frail elderly
- Frenchay activities index
- Occupational therapy
ASJC Scopus subject areas
- Geriatrics and Gerontology
Cite this
Cost and outcome of occupation-based practice for community dwelling frail elderly : A pilot study. / Nagayama, Hirofumi; Kobayashi, Norikazu; Ishibashi, Yu; Kobayashi, Ryuji; Murai, Chika; Yamauchi, Keita.
In: Clinical Interventions in Aging, Vol. 13, 26.06.2018, p. 1177-1182.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Cost and outcome of occupation-based practice for community dwelling frail elderly
T2 - A pilot study
AU - Nagayama, Hirofumi
AU - Kobayashi, Norikazu
AU - Ishibashi, Yu
AU - Kobayashi, Ryuji
AU - Murai, Chika
AU - Yamauchi, Keita
PY - 2018/6/26
Y1 - 2018/6/26
N2 - Purpose: The purpose of this pilot study was to determine the effectiveness and costs of the occupation-based practice for community dwelling frail elderly. Design: Pilot pre-post design without a control group. Setting: A care management center involving 37 local elderly. Subject: The final analysis included 26 frail elderly in a community dwelling center. Intervention: The intervention was occupation-based practice involving setting of client-centered goals, observation of real living situations, and provision of advice on the individual problem of real occupation. Outcome: The outcome was the Frenchay Activities Index (FAI), which is used to evaluate the instrumental activities of daily living (IADL). Additionally, the frequency, duration, and cost of the intervention were calculated. Results: Regarding the FAI score before and after the interventions, there were significant improvements in all items except work (P<0.05, effect size [r]: 0.67–0.93). A total of 15 people out of 26 (57.7%) showed improvement in activities of daily living. The frequency of interventions was 3.7 (95% confidence interval [CI]: 2.83–4.48), and the duration was 7.4 weeks (95% CI: 5.27–9.42). The average intervention cost was $258 (95% CI: 200.4–317.4). Conclusion: The results of this study showed that occupation-based practice has a potential to improve IADL in frail elderly, with low frequency of intervention, within a short-term, and direct cost reduction. We believe that this pilot study will contribute to future clinical studies for frail elderly, and the findings can be easily applied to daily clinical intervention. A well-designed prospective randomized-controlled trial is necessary to verify these results.
AB - Purpose: The purpose of this pilot study was to determine the effectiveness and costs of the occupation-based practice for community dwelling frail elderly. Design: Pilot pre-post design without a control group. Setting: A care management center involving 37 local elderly. Subject: The final analysis included 26 frail elderly in a community dwelling center. Intervention: The intervention was occupation-based practice involving setting of client-centered goals, observation of real living situations, and provision of advice on the individual problem of real occupation. Outcome: The outcome was the Frenchay Activities Index (FAI), which is used to evaluate the instrumental activities of daily living (IADL). Additionally, the frequency, duration, and cost of the intervention were calculated. Results: Regarding the FAI score before and after the interventions, there were significant improvements in all items except work (P<0.05, effect size [r]: 0.67–0.93). A total of 15 people out of 26 (57.7%) showed improvement in activities of daily living. The frequency of interventions was 3.7 (95% confidence interval [CI]: 2.83–4.48), and the duration was 7.4 weeks (95% CI: 5.27–9.42). The average intervention cost was $258 (95% CI: 200.4–317.4). Conclusion: The results of this study showed that occupation-based practice has a potential to improve IADL in frail elderly, with low frequency of intervention, within a short-term, and direct cost reduction. We believe that this pilot study will contribute to future clinical studies for frail elderly, and the findings can be easily applied to daily clinical intervention. A well-designed prospective randomized-controlled trial is necessary to verify these results.
KW - Activities of daily living
KW - Cost saving
KW - Frail elderly
KW - Frenchay activities index
KW - Occupational therapy
UR - http://www.scopus.com/inward/record.url?scp=85049205946&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85049205946&partnerID=8YFLogxK
U2 - 10.2147/CIA.S163381
DO - 10.2147/CIA.S163381
M3 - Article
C2 - 29983552
AN - SCOPUS:85049205946
VL - 13
SP - 1177
EP - 1182
JO - Clinical Interventions in Aging
JF - Clinical Interventions in Aging
SN - 1176-9092
ER -