Randomised trial of restorative home care for frail older people in New Zealand.

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dc.contributor.author Parsons, Matthew
dc.contributor.author Senior, Hugh
dc.contributor.author Kerse, Ngaire
dc.contributor.author Chen, Mei-Hua
dc.contributor.author Jacobs, Stephen
dc.contributor.author Anderson, Craig
dc.coverage.spatial England
dc.date.accessioned 2022-07-26T01:45:16Z
dc.date.available 2022-07-26T01:45:16Z
dc.date.issued 2017-08
dc.identifier.citation (2017). Nursing Older People, 29(7), 27-33.
dc.identifier.issn 1472-0795
dc.identifier.uri https://hdl.handle.net/2292/60526
dc.description.abstract Aim To establish the effectiveness of a restorative home support service on institutional-free survival in frail older people referred for needs assessment. Method A randomised controlled trial of Community Flexible Integrated Responsive Support Team versus usual care in 113 older people at risk of institutionalisation in New Zealand. Primary outcome was death or permanent institutional care evaluated in a Cox proportional hazards model adjusted for baseline prognostic variables. A variety of secondary outcomes including the health of informal caregivers were also evaluated. Results The primary outcome was lower, but not statistically significant, in the intervention group (adjusted hazard ratio 0.69, 95% confidence interval 0.4 to 1.16). Informal caregivers of interventional participants had significantly better physical and mental component scores on the 36-item Short-Form questionnaire. Conclusion Restorative home support may reduce the risk of death and institutionalisation in frail older people without affecting the health of informal caregivers.
dc.format.medium Print
dc.language eng
dc.publisher RCN Publishing
dc.relation.ispartofseries Nursing older people
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.subject Humans
dc.subject Institutionalization
dc.subject Survival Analysis
dc.subject Needs Assessment
dc.subject Aged
dc.subject Frail Elderly
dc.subject Caregivers
dc.subject Home Care Services
dc.subject Health Services Research
dc.subject Referral and Consultation
dc.subject New Zealand
dc.subject Surveys and Questionnaires
dc.subject frailty
dc.subject home care
dc.subject informal caregivers
dc.subject institutional care
dc.subject older people
dc.subject restorative home support
dc.subject Prevention
dc.subject Clinical Research
dc.subject Clinical Trials and Supportive Activities
dc.subject Health Services
dc.subject Aging
dc.subject 7.1 Individual care needs
dc.subject 7 Management of diseases and conditions
dc.subject 1117 Public Health and Health Services
dc.subject Clinical
dc.subject 1110 Nursing
dc.title Randomised trial of restorative home care for frail older people in New Zealand.
dc.type Journal Article
dc.identifier.doi 10.7748/nop.2017.e897
pubs.issue 7
pubs.begin-page 27
pubs.volume 29
dc.date.updated 2022-06-09T00:26:36Z
dc.rights.holder Copyright: The author en
dc.identifier.pmid 28857007 (pubmed)
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/28857007
pubs.end-page 33
pubs.publication-status Published
dc.rights.accessrights http://purl.org/eprint/accessRights/RetrictedAccess en
pubs.subtype Randomized Controlled Trial
pubs.subtype Journal Article
pubs.elements-id 656783
pubs.org-id Medical and Health Sciences
pubs.org-id Nursing
pubs.org-id Population Health
pubs.org-id Gen.Practice& Primary Hlthcare
dc.identifier.eissn 2047-8941
pubs.record-created-at-source-date 2022-06-09
pubs.online-publication-date 2017-08-31


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