scholarly journals Factors associated to functioning and health in relation to home rehabilitation in Sweden: a non-randomized pre-post intervention study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anette Johansson ◽  
Marie Ernsth Bravell ◽  
Eleonor I. Fransson ◽  
Sofi Fristedt
Keyword(s):  
Repeated Measures ◽  
Linear Models ◽  
Medical Condition ◽  
Rehabilitation Program ◽  
Community Dwelling ◽  
Rehabilitation Service ◽  
Post Intervention ◽  
Factors Associated ◽  
Rehabilitation Outcomes ◽  
Self Rated Health

Abstract Background Home rehabilitation is a growing rehabilitation service in many countries, but scientific knowledge of its components and outcomes is still limited. The aim of this study was to investigate; 1) which changes in functioning and self-rated health could be identified in relation to a home rehabilitation program in a population of community-dwelling citizens, and 2) how socio-demographic factors, health conditions and home rehabilitation interventions were associated to change in functioning and self-rated health after the home rehabilitation program. Method The sample consisted of participants in a municipal home rehabilitation project in Sweden and consisted of 165 community-dwelling citizens. General Linear Models (ANOVA repeated measures) was used for identifying changes in rehabilitation outcomes. Logistic regressions analysis was used to investigate associations between rehabilitation outcomes and potential factors associated to outcome. Result Overall improvements in functioning and self-rated health were found after the home rehabilitation program. Higher frequencies of training sessions with occupational therapists, length of home rehabilitation, and orthopaedic conditions of upper extremities and spine as the main health condition, were associated with rehabilitation outcomes. Conclusion The result indicates that the duration of home rehabilitation interventions and intensity of occupational therapy, as well as the main medical condition may have an impact on the outcomes of home rehabilitation and needs to be considered when planning such programs. However, more research is needed to guide practice and policymaking.

scholarly journals Preschoolers Build Fundamental Motor Skills Critical to an Active Lifestyle: The All 4 Kids© Intervention Study

2020 ◽  
Vol 17 (9) ◽  
pp. 3098 ◽  
Author(s):  
Anne R. Lindsay ◽  
Angela Starrett ◽  
Ali Brian ◽  
Teresa A. Byington ◽  
Jennifer Lucas ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Linear Models ◽  
Scale Up ◽  
Post Intervention ◽  
Active Lifestyle ◽  
Movement Skills ◽  
Natural Development ◽  
Quasi Experimental ◽  
Movement Assessment ◽  
Development Methods

This pragmatic, real world study examined the effects of the All 4 Kids© intervention on preschoolers’ mastery of movement skills and determined whether the instruction had greater impact than natural development. Methods included a quasi-experimental intervention-comparison subsample of 379 children (COMPARISON) and a pretest-posttest design with convenience scale-up sampling of 2817 preschoolers (SCALE-UP). Children receiving education and dance instruction 3 times/week for 8 weeks were assessed using the Preschool Movement Assessment to evaluate skills pre and post intervention. Using repeated measures ANOVA, McNemar and Wilcoxon signed ranks tests, preschooler’s participation in the intervention resulted in greater improvement in 12 movement skills (F = 83.451, df = 1, p < 0.001, η p 2 = 0.555), balance (p = 0.028), hopping (t = −3.545, df = 112, p = 0.001) and crossing the midline (p < 0.001) than natural development (COMPARISON). In the SCALE-UP study, children significantly improved in all measures based on post-intervention scores. Significant differences were observed between Hispanic and non-Hispanic children for the 12-skills (b = −0.758, se = 0.161, p < 0.001) using hierarchical linear models; boys’ and girls’ scores were not differentially impacted by the intervention. Therefore, implementation of interventions focused on fundamental movement skill development have the potential to remediate secular motor skill decline in young children.

scholarly journals Prevalence and factors associated with poor self-rated health among community dwelling older adults in Lomé (Togo) in 2019

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Fifonsi Adjidossi Gbeasor-Komlanvi ◽  
Martin Kouame Tchankoni ◽  
Ama Boilassi Adjonko ◽  
Wendpouire Ida Carine Zida-Compaore ◽  
Nicolas Konan Kouakou ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Herbal Products ◽  
Factors Associated ◽  
Self Rated Health ◽  
Sub Saharan ◽  
Community Dwelling Older Adults

The number of older adults is increasing worldwide, including in sub-Saharan Africa (SSA). However, there is a paucity of data on the overall health status of older adults living in SSA. To assess the prevalence and factors associated with poor Self-Rated Health (SRH) among community-dwelling older adults in Lomé, Togo, we conducted a cross-sectional study from January to June 2019 in Lomé among community-dwelling older adults aged 50 years and older. A 30- minute questionnaire was used to collect socio-demographic characteristics, medical history, patterns of medication use and use of herbal products and dietary supplements during a face-to-face interview. SRH was assessed using a single item: Overall, you would say that your health is… (1) excellent, (2) very good, (3) good, (4) fair and (5) poor with response fair or poor defining poor SRH. A total of 344 respondents with median age 63 years, (IQR: 55-72) were enrolled in the study. Women represented 57.6% of the sample. Overall prevalence of poor SRH was 56.4% (95%CI: 51.0-61.9) and was the highest among females (62.6% vs 47.9%; P=0.007) and participants >60 years (61.5% vs 51.1%; P=0.021). Female sex, aged ≥60 years, osteoarthritis, hospitalization within the 12 months preceding the survey, polypharmacy, and the use of herbal products were factors associated with poor SRH (P<0.05). More than half of community- dwelling older adults had poor SRH in Lomé. Further studies are needed to guide policymakers in their efforts to design and implement meaningful policies to improve older adults health conditions.

scholarly journals Effectiveness of a Day Rehabilitation Program in Improving Functional Outcome and Reducing Mortality and Readmission of Elderly Patients With Fragility Hip Fractures

2018 ◽  
Vol 9 ◽  
pp. 215145931875935 ◽  
Author(s):  
Tak Man Wong ◽  
Frankie K. L. Leung ◽  
Tak Wing Lau ◽  
Christian Fang ◽  
Felix H. W. Chan ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Elderly Patients ◽  
Demographic Data ◽  
Rehabilitation Program ◽  
Cognitive Outcomes ◽  
Rehabilitation Service ◽  
World Population ◽  
Rehabilitation Outcomes ◽  
Geriatric Hip Fracture ◽  
Elderly Mobility

Introduction: The incidence of hip fracture is projected to increase in the next 25 years as the world population ages. Hip fracture is often associated with subsequent readmission and mortality. Nevertheless, elderly patients often may not achieve the same level of functional ability as prior to their injury. Several studies have shown that close collaboration between orthopedic surgeons and geriatricians can improve such outcomes and Geriatric Day Hospital (GDH) is one of the examples of collaboration to improve such outcomes. The aim of this descriptive retrospective study is to review the effectiveness of the day rehabilitation program provided by a GDH on functional outcomes, mortality, and readmission rate, among a sample of elderly patients with hip fracture. Methods: The medical records of patients from January 1, 2009, to December 31, 2012, were collected and evaluated. Demographic data of the patients and Charlson Comorbidity Index were collected. The Barthel Index, Elderly Mobility Scale, and Mini-Mental State Examination were measured on admission and at discharge of the patients to evaluate both physical and cognitive functions. Results: The results showed that the majority of patients benefited from rehabilitation in the GDH. The 12-month mortality rate of patients taking full-course rehabilitation in the GDH was improved. The age of patient was the most important factor influencing the rehabilitation outcomes. Gender was the only risk factor for 12-month mortality and 6-month readmission. Discussion: Since patients were selected to attend GDH, there was a bias during the selection of patients. Furthermore, it was difficult to compare patients attended GDH with patients who did not because outcomes of the latter were difficult to be recorded. Conclusions: Our study shows that postoperative geriatric hip fracture patients definitely can benefit from rehabilitation service offered by GDH in terms of functional and cognitive outcomes.

scholarly journals Factors associated with influenza vaccine uptake in older adults living in the community in Singapore

2016 ◽  
Vol 145 (4) ◽  
pp. 775-786 ◽  
Author(s):  
L. W. ANG ◽  
J. CUTTER ◽  
L. JAMES ◽  
K. T. GOH
Keyword(s):  
Older Adults ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Seasonal Influenza ◽  
Medical Condition ◽  
Family Doctor ◽  
Community Dwelling ◽  
Vaccine Uptake ◽  
Factors Associated ◽  
Health Related

SUMMARYIn Singapore, influenza vaccination is recommended for persons at higher risk of complications of seasonal influenza, including those with chronic medical conditions and the elderly (individuals aged ⩾65 years). We investigated the factors associated with influenza vaccine uptake based on a nationally representative sample of community-dwelling adults aged >50 years. The data for this study were obtained from the National Health Surveillance Survey (NHSS) 2013. The association between influenza vaccine uptake and socio-demographic and health-related variables was analysed using univariable and multivariable logistic regression models. Of 3700 respondents aged ⩾50 years in the NHSS, 15·2% had received seasonal influenza vaccination in the past year. Older age, single marital status and economic inactivity were the socio-demographic variables independently associated with vaccine uptake. Health-related factors which were predictive of influenza vaccine uptake were sufficient total physical activity, better self-rated health, having at least one medical condition at risk of influenza complications and a regular family doctor/general practitioner. Influenza vaccine uptake in community-dwelling older adults was low. Our findings are of relevance in the formulation of public health policies and targeted health promotion strategies to increase vaccine uptake in this population group.

scholarly journals Social Disconnection and Living Arrangements among Older Adults: The Singapore Chinese Health Study

Gerontology ◽  
2021 ◽  
pp. 1-9
Author(s):  
Jon Barrenetxea ◽  
Yi Yang ◽  
An Pan ◽  
Qiushi Feng ◽  
Woon-Puay Koh
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Living Arrangement ◽  
Community Dwelling ◽  
Living Alone ◽  
Health Study ◽  
Factors Associated ◽  
Self Rated Health ◽  
Singapore Chinese ◽  
Social Disconnection

<b><i>Introduction:</i></b> Although living alone is associated with social disconnection, older adults could be socially disconnected despite living with others. Understanding the factors associated with social disconnection by living arrangement could help identify vulnerable older adults in the community. We examined the sociodemographic and health factors associated with social disconnection among two groups of older adults: those living alone and those living with others. <b><i>Methods:</i></b> We used data from 16,943 community-dwelling older adults from the third follow-up of the Singapore Chinese Health Study (mean age: 73 years, range: 61–96 years). We defined social disconnection as having no social participation and scoring in the lowest decile on the Duke Social Support Scale of perceived social support. We ran logistic regression models to study the sociodemographic (age, gender, and education) and health (self-rated health, instrumental limitations, cognitive function, and depression) factors associated with social disconnection, stratified by living arrangement. <b><i>Results:</i></b> About 6% of our participants were socially disconnected. Although living alone was significantly associated with social disconnection (OR 1.93, 95% CI: 1.58–2.35), 85.6% of socially disconnected older adults lived with others, most of them (92%) with family. Lower education level, cognitive impairment, fair/poor self-rated health, instrumental limitations, and depression were independently associated with social disconnection. Among those living alone, men were more likely to experience social disconnection than women (OR 2.18, 95% CI: 1.43–3.32). <b><i>Discussion/Conclusion:</i></b> Though living alone is associated with social disconnection, most socially disconnected individuals lived with family. Community interventions could focus on those in poor health despite living with family and older men living alone.

Obesity and Metabolic Syndrome in a Psychiatric Rehabilitation Service

2007 ◽  
Vol 41 (7) ◽  
pp. 606-610 ◽  
Author(s):  
Srinivasan Tirupati ◽  
Ling-Ern Chua
Keyword(s):  
Metabolic Syndrome ◽  
Metabolic Disorders ◽  
Psychotic Disorders ◽  
Psychiatric Rehabilitation ◽  
International Diabetes Federation ◽  
Rehabilitation Program ◽  
Management Program ◽  
Rehabilitation Service ◽  
Rehabilitation Outcomes ◽  
Prevalence Of Obesity

Objective: People with schizophrenia and bipolar disorders suffer from increased rates of obesity and metabolic syndrome. Metabolic disorders add to the burden of disease and affect treatment and rehabilitation outcomes. This study aimed to study the prevalence of obesity and metabolic syndrome in people with chronic psychotic disorders in a psychiatric rehabilitation setting. Method: All patients in the psychiatry rehabilitation program were assessed for obesity and metabolic syndrome using the definition of International Diabetes Federation (2005) was conducted as part of clinical protocol recently introduced into practice. Results: A total of 221 patients were assessed. The prevalence of obesity was 59% and metabolic syndrome 68%. Metabolic syndrome was more frequent in patients receiving polypharmacy with multiple antipsychotics and mood stabilisers. Rates of nontreatment for metabolic disorders ranged from 30% to 88%. Conclusions: The rates of obesity and metabolic syndrome in patients with chronic severe mental disorders on antipsychotic drug treatment were 2 to 3 times that in the general population. A majority of them were untreated. Detection, monitoring and appropriate treatment of obesity and metabolic disorders should be a component of an assertive care management program to reduce morbidity and mortality and improve rehabilitation outcomes.

scholarly journals Socio-demographic Factors Associated with Diet Quality Among a Cohort of People Living with HIV (P04-075-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Joachim Sackey ◽  
Grace Wang ◽  
Christine Wanke ◽  
Alice Tang ◽  
Tamsin Knox
Keyword(s):  
Diet Quality ◽  
Repeated Measures ◽  
Healthy Eating Index ◽  
Community Dwelling ◽  
People Living With Hiv ◽  
Term Survival ◽  
Factors Associated ◽  
Cardiovascular Assessment ◽  
Living With Hiv ◽  
Over Time

Abstract Objectives To identify social, demographic and health factors associated with diet quality over time in a community-dwelling population of people living with HIV (PLHIV) in the Greater-Boston area. Methods Secondary analysis of data from the Cardiovascular Assessment Risk Examination (CARE) prospective cohort study carried out between 2007 and 2013. The study included 288 PLHIV recruited from the Greater-Boston area with study visits annually. Repeated measures linear regression models with diet quality [assessed using Healthy Eating Index (HEI-2010)] as the dependent variable was used to analyze the data. The HEI-2010 ranges from 0–100 with a higher score indicating higher diet quality. Results At baseline, study participants were mostly male (73%), 51 ± 7 years, unemployed (56%) and White (51%). They had been living with HIV for an average of 16years with an average CD4 count of 520 cells/mm3. Approximately one third reported being depressed (35%), being food insecure (37%), and binge drinking in the previous 6 months (30%). The mean HEI-2010 score at baseline was 48.7 ± 16.2 with male participants having a higher score (50.5) than females (43.7) (P = 0.004). Longer duration of highly active antiretroviral therapy (HAART), having an undetectable viral load, being food secure, fewer pack-years of smoking, and increasing age were independently associated with higher diet quality over time (P < 0.0001). There were no significant interactions between time and the significant independent variables. Conclusions Among this cohort of PLHIV, several sociodemographic and clinical factors were associated with higher diet quality. Interventions to improve diet quality in PLHIV should focus on younger people and those who are food insecure. In addition, clinicians should continue to push for treatment adherence and viral suppression, along with curtailing smoking. With improved long term survival due to HAART, assessment of food security and diet quality may reduce cardiometabolic risk factors and further improve mortality. Funding Sources National Heart, Lung, And Blood Institute.

scholarly journals Significant Risk Factors Associated With Stunting for Children Under the Age of 5-years in Malawi: the Application of Proportional Odds Model Using DHS Datasets.

2021 ◽  
Author(s):  
Mzwakhe Magagula ◽  
Shaun Ramroop ◽  
Faustin Habyarimana
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Regression Models ◽  
Linear Models ◽  
Medical Condition ◽  
Significant Risk ◽  
Proportional Odds ◽  
Data Set ◽  
Logistic Regression Models ◽  
Factors Associated

Abstract BackgroundChild malnutrition is perhaps the one of the main medical condition influencing general human wellbeing, mainly in non-industrial nations. The improvement of legitimate evaluations of malnutrition is one of the difficulties encountered by policymakers in numerous countries worldwide. In this manner, the current study was embraced with the essential goal of evaluating and determining all potential determinants of childhood malnutrition in Malawi, using the Demographic and Health Survey (DHS) data 2015/16. The study seeks to reveal some of the significant factors that are perpetuating the incidence of malnutrition in children of Malawi. It also designed to offer deeper insights on how the probability of being diagnosed with this medical condition (malnutrition) evolves across the different levels of the found significant factors.Methods The proportional odds (PO) model was the best model to utilize, motivated by the design of the current study's data set. The PO model is an alternative to conceptualize how the ordinal designed data can be sequentially into dichotomous groups without losing the ordinal nature of response variables. The model is an extension of logistic regression models with two outcomes, it is one of the best models to deal with ordinal response variable comprising of more than two categories. The PO model, as well as the logistic regression models are common classes of generalised linear models (GLMs) mostly used to model association between dependent variable and independent variables. ResultsThe observations derived from fitting the PO model on the Malawi DHS data to investigate risk factors associated with malnutrition (stunting) suggested that: the age of the child; birth type (singleton/multiple births), parents' level of education, household's type of resident; mother's age at the time of birth, mother's BMI, incident of diarrhoea in the last two weeks before the survey, are the most significant independent risk factors of malnutrition (stunting). ConclusionsAll the aforementioned risk factors are controllable, and they can be improved through intervention strategies. The policies that undergird the country are required to counteract this condition, as the majority of the risk factors need the coherent actions of several governing authorities.

Effect of Different Dentifrices, Bleaching with 35% Hydrogen Peroxide, and Red Wine on Surface Color and Roughness of Bovine Enamel

2020 ◽  
Vol 02 ◽  
Author(s):  
RM Garcia ◽  
WF Vieira-Junior ◽  
JD Theobaldo ◽  
NIP Pini ◽  
GM Ambrosano ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Generalized Linear Models ◽  
Repeated Measures ◽  
Red Wine ◽  
Linear Models ◽  
Artificial Saliva ◽  
Surface Color ◽  
Dental Bleaching ◽  
Surface Alteration ◽  
Bovine Enamel

Objective: To evaluate color and roughness of bovine enamel exposed to dentifrices, dental bleaching with 35% hydrogen peroxide (HP), and erosion/staining by red wine. Methods: Bovine enamel blocks were exposed to: artificial saliva (control), Oral-B Pro-Health (stannous fluoride with sodium fluoride, SF), Sensodyne Repair & Protect (bioactive glass, BG), Colgate Pro-Relief (arginine and calcium carbonate, AR), or Chitodent (chitosan, CHI). After toothpaste exposure, half (n=12) of the samples were bleached (35% HP), and the other half were not (n=12). The color (CIE L*a* b*, ΔE), surface roughness (Ra), and scanning electron microscopy were evaluated. Color and roughness were assessed at baseline, post-dentifrice and/or -dental bleaching, and after red wine. The data were subjected to analysis of variance (ANOVA) (ΔE) for repeated measures (Ra), followed by Tukey ́s test. The L*, a*, and b* values were analyzed by generalized linear models (a=0.05). Results: The HP promoted an increase in Ra values; however, the SF, BG, and AR did not enable this alteration. After red wine, all groups apart from SF (unbleached) showed increases in Ra values; SF and AR promoted decreases in L* values; AR demonstrated higher ΔE values, differing from the control; and CHI decreased the L* variation in the unbleached group. Conclusion: Dentifrices did not interfere with bleaching efficacy of 35% HP. However, dentifrices acted as a preventive agent against surface alteration from dental bleaching (BG, SF, and AR) or red wine (SF). Dentifrices can decrease (CHI) or increase (AR and SF) staining by red wine.

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