An exercise and incontinence intervention did not reduce the incidence or cost of acute conditions in nursing home residents
Year: 2003
Type: article
Abstract: Schnelle JF, Kapur K, Alessi C, et al. Does an exercise and incontinence intervention save healthcare costs in a nursing home population? J Am Geriatr Soc2003 ; 51 : 161 –8 [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In nursing home (NH) residents, does an intervention combining low intensity exercise and incontinence care offset its costs by reducing selected health conditions? Cost effectiveness analysis of a randomised {allocation concealed}*, blinded ({data collectors}* and outcome assessors), controlled trial with follow up at 8 and 32 weeks. 4 NHs in the US. 190 NH residents (mean age 88 y, 85% women) with urinary incontinence who did not have catheters, could follow a simple 1 step instruction, and were not on Medicare Part A reimbursement for post-acute skilled care or terminal illness. Follow up was 91% at 8 weeks and 78% at 32 weeks. Patients were allocated to an 8 month exercise programme (Functional Incidental Training [FIT]) (n=92) or to usual care (n=98). The FIT intervention was implemented every 2 hours during the day for 5 days per week and involved prompts to toilet and changing if wet, encouragement to walk (or wheel their wheelchairs), repeat sit to stands up to 8 times, and practise upper body resistance … [1]: {openurl}?query=rft.jtitle%253DJournal%2Bof%2Bthe%2BAmerican%2BGeriatrics%2BSociety%26rft.stitle%253DJ%2BAm%2BGeriatr%2BSoc%26rft.aulast%253DSchnelle%26rft.auinit1%253DJ.%2BF.%26rft.volume%253D51%26rft.issue%253D2%26rft.spage%253D161%26rft.epage%253D168%26rft.atitle%253DDoes%2Ban%2Bexercise%2Band%2Bincontinence%2Bintervention%2Bsave%2Bhealthcare%2Bcosts%2Bin%2Ba%2Bnursing%2Bhome%2Bpopulation%253F%26rft_id%253Dinfo%253Adoi%252F10.1046%252Fj.1532-5415.2003.51053.x%26rft_id%253Dinfo%253Apmid%252F12558711%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1046/j.1532-5415.2003.51053.x&link_type=DOI [3]: /lookup/external-ref?access_num=12558711&link_type=MED&atom=%2Febnurs%2F6%2F4%2F117.atom [4]: /lookup/external-ref?access_num=000180605400003&link_type=ISI
Source: Evidence-Based Nursing
DOI: 10.1136/ebn.6.4.117
Author: Deborah Messecar
Institution: Oregon Health & Science University
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2092201657