An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.
Identifieur interne : 001844 ( Main/Corpus ); précédent : 001843; suivant : 001845An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.
Auteurs : Fary Khan ; Bhasker Amatya ; Alaeldin Elmalik ; Matthew Lowe ; Louisa Ng ; Isabella Reid ; Mary P. GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2016.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cognition (MeSH), Environment (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Neurological Rehabilitation (methods), Patient Satisfaction (MeSH), Physical Stimulation (methods), Psychometrics (MeSH), Quality of Life (psychology), Rehabilitation Centers (MeSH), Self Care (MeSH), Self Efficacy (MeSH), Single-Blind Method (MeSH), Stroke Rehabilitation (methods), Surveys and Questionnaires (MeSH), Treatment Outcome (MeSH).
- MESH :
- methods : Neurological Rehabilitation, Physical Stimulation, Stroke Rehabilitation.
- psychology : Quality of Life.
- Adolescent, Adult, Aged, Aged, 80 and over, Cognition, Environment, Female, Humans, Male, Middle Aged, Patient Satisfaction, Psychometrics, Rehabilitation Centers, Self Care, Self Efficacy, Single-Blind Method, Surveys and Questionnaires, Treatment Outcome.
Abstract
OBJECTIVE
To assess the effectiveness of an enriched environmental activities programme in an inpatient tertiary neuro-rehabilitation unit.
METHODS
A total of 103 participants were randomized to an intervention group (n = 52) undertaking an enriched environmental activities programme or a control group (n = 51) receiving usual ward activity.
PRIMARY OUTCOME MEASURE
Depression, Anxiety Stress Scale (DASS). Other measures included: Neurological Impairment Scale; Multidimensional Health Locus of Control, Rosenberg Self-Esteem Scale, Montreal Cognitive Assessment (MoCA); Functional Independence Measure (FIM), and Euro-Quality of Life-5D. Questionnaire assessments were performed at admission, discharge and 3-months post-discharge.
RESULTS
Mean age of subjects was 62.5 years (standard deviation 18.5), 63% were male; 53 had stroke and the remainder had other neurological conditions. Compared with controls, the intervention group showed significant improvement at discharge in: DASS: "total", "depression", and "stress" subscales (p < 0.05 for all, with small effect sizes (η2) = 0.04-0.05); MoCA (p = 0.048, η2 = 0.04) and FIM motor (total and "self-care", "mobility" subscales (p < 0.05 for all, with moderate effect sizes, η2 = 0.0-0.08). At 3-month follow-up, significant differences were maintained in most secondary outcomes in the intervention group. Cognitive function and activities improved most in participants with stroke.
CONCLUSION
An enriched environmental programme can produce significant improvements in functional and cognitive ability in inpatient neurological cohorts compared with routine ward activity programmes.
DOI: 10.2340/16501977-2081
PubMed: 27058405
Links to Exploration step
pubmed:27058405Le document en format XML
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<author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
<affiliation><nlm:affiliation>Department of Rehabilitation Medicine, Royal Melbourne Hospital, 34-54 Poplar Road, Parkville, Melbourne VIC 3052, Australia. fary.khan@mh.org.au.</nlm:affiliation>
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<author><name sortKey="Amatya, Bhasker" sort="Amatya, Bhasker" uniqKey="Amatya B" first="Bhasker" last="Amatya">Bhasker Amatya</name>
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<author><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name>
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<author><name sortKey="Lowe, Matthew" sort="Lowe, Matthew" uniqKey="Lowe M" first="Matthew" last="Lowe">Matthew Lowe</name>
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<author><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name>
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<author><name sortKey="Reid, Isabella" sort="Reid, Isabella" uniqKey="Reid I" first="Isabella" last="Reid">Isabella Reid</name>
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<author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.</title>
<author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name>
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<author><name sortKey="Elmalik, Alaeldin" sort="Elmalik, Alaeldin" uniqKey="Elmalik A" first="Alaeldin" last="Elmalik">Alaeldin Elmalik</name>
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<author><name sortKey="Lowe, Matthew" sort="Lowe, Matthew" uniqKey="Lowe M" first="Matthew" last="Lowe">Matthew Lowe</name>
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<author><name sortKey="Ng, Louisa" sort="Ng, Louisa" uniqKey="Ng L" first="Louisa" last="Ng">Louisa Ng</name>
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<author><name sortKey="Reid, Isabella" sort="Reid, Isabella" uniqKey="Reid I" first="Isabella" last="Reid">Isabella Reid</name>
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<author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name>
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<series><title level="j">Journal of rehabilitation medicine</title>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Cognition (MeSH)</term>
<term>Environment (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Neurological Rehabilitation (methods)</term>
<term>Patient Satisfaction (MeSH)</term>
<term>Physical Stimulation (methods)</term>
<term>Psychometrics (MeSH)</term>
<term>Quality of Life (psychology)</term>
<term>Rehabilitation Centers (MeSH)</term>
<term>Self Care (MeSH)</term>
<term>Self Efficacy (MeSH)</term>
<term>Single-Blind Method (MeSH)</term>
<term>Stroke Rehabilitation (methods)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neurological Rehabilitation</term>
<term>Physical Stimulation</term>
<term>Stroke Rehabilitation</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Quality of Life</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cognition</term>
<term>Environment</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Psychometrics</term>
<term>Rehabilitation Centers</term>
<term>Self Care</term>
<term>Self Efficacy</term>
<term>Single-Blind Method</term>
<term>Surveys and Questionnaires</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To assess the effectiveness of an enriched environmental activities programme in an inpatient tertiary neuro-rehabilitation unit.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A total of 103 participants were randomized to an intervention group (n = 52) undertaking an enriched environmental activities programme or a control group (n = 51) receiving usual ward activity.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PRIMARY OUTCOME MEASURE</b>
</p>
<p>Depression, Anxiety Stress Scale (DASS). Other measures included: Neurological Impairment Scale; Multidimensional Health Locus of Control, Rosenberg Self-Esteem Scale, Montreal Cognitive Assessment (MoCA); Functional Independence Measure (FIM), and Euro-Quality of Life-5D. Questionnaire assessments were performed at admission, discharge and 3-months post-discharge.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Mean age of subjects was 62.5 years (standard deviation 18.5), 63% were male; 53 had stroke and the remainder had other neurological conditions. Compared with controls, the intervention group showed significant improvement at discharge in: DASS: "total", "depression", and "stress" subscales (p < 0.05 for all, with small effect sizes (η2) = 0.04-0.05); MoCA (p = 0.048, η2 = 0.04) and FIM motor (total and "self-care", "mobility" subscales (p < 0.05 for all, with moderate effect sizes, η2 = 0.0-0.08). At 3-month follow-up, significant differences were maintained in most secondary outcomes in the intervention group. Cognitive function and activities improved most in participants with stroke.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>An enriched environmental programme can produce significant improvements in functional and cognitive ability in inpatient neurological cohorts compared with routine ward activity programmes.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the effectiveness of an enriched environmental activities programme in an inpatient tertiary neuro-rehabilitation unit.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 103 participants were randomized to an intervention group (n = 52) undertaking an enriched environmental activities programme or a control group (n = 51) receiving usual ward activity.</AbstractText>
<AbstractText Label="PRIMARY OUTCOME MEASURE" NlmCategory="METHODS">Depression, Anxiety Stress Scale (DASS). Other measures included: Neurological Impairment Scale; Multidimensional Health Locus of Control, Rosenberg Self-Esteem Scale, Montreal Cognitive Assessment (MoCA); Functional Independence Measure (FIM), and Euro-Quality of Life-5D. Questionnaire assessments were performed at admission, discharge and 3-months post-discharge.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean age of subjects was 62.5 years (standard deviation 18.5), 63% were male; 53 had stroke and the remainder had other neurological conditions. Compared with controls, the intervention group showed significant improvement at discharge in: DASS: "total", "depression", and "stress" subscales (p < 0.05 for all, with small effect sizes (η2) = 0.04-0.05); MoCA (p = 0.048, η2 = 0.04) and FIM motor (total and "self-care", "mobility" subscales (p < 0.05 for all, with moderate effect sizes, η2 = 0.0-0.08). At 3-month follow-up, significant differences were maintained in most secondary outcomes in the intervention group. Cognitive function and activities improved most in participants with stroke.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">An enriched environmental programme can produce significant improvements in functional and cognitive ability in inpatient neurological cohorts compared with routine ward activity programmes.</AbstractText>
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