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An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.

Identifieur interne : 001844 ( Main/Curation ); précédent : 001843; suivant : 001845

An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.

Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Alaeldin Elmalik ; Matthew Lowe ; Louisa Ng ; Isabella Reid ; Mary P. Galea

Source :

Journal of rehabilitation medicine [ 1651-2081 ] ; 2016.

RBID : pubmed:27058405

Descripteurs français

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

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Le 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>
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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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<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>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Auto-efficacité (MeSH)</term>
<term>Autosoins (MeSH)</term>
<term>Centres de rééducation et de réadaptation (MeSH)</term>
<term>Cognition (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Environnement (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Méthode en simple aveugle (MeSH)</term>
<term>Psychométrie (MeSH)</term>
<term>Qualité de vie (psychologie)</term>
<term>Réadaptation après un accident vasculaire cérébral (méthodes)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Rééducation neurologique (méthodes)</term>
<term>Satisfaction des patients (MeSH)</term>
<term>Stimulation physique (méthodes)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
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<term>Physical Stimulation</term>
<term>Stroke Rehabilitation</term>
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<term>Rééducation neurologique</term>
<term>Stimulation physique</term>
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<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>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Auto-efficacité</term>
<term>Autosoins</term>
<term>Centres de rééducation et de réadaptation</term>
<term>Cognition</term>
<term>Enquêtes et questionnaires</term>
<term>Environnement</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Méthode en simple aveugle</term>
<term>Psychométrie</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction des patients</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>
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An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.

An enriched environmental programme during inpatient neuro-rehabilitation: A randomized controlled trial.

Source :

Descripteurs français

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Abstract

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Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki