The importance of personnel competence to achieve social participation and activity amongst users of municipal home care
Quality of life: Long-term interventions (case management program) probably improve the quality of life for fragile elderly living in their own homes compared to those living in care homes. The quality of available research is too low to determine whether physiotherapy and multidisciplinary treatmen...
| Main Authors: | , , |
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| Format: | eBook |
| Language: | English |
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Oslo
Knowledge Centre for the Health Services
May 2009, 2009
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| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | Quality of life: Long-term interventions (case management program) probably improve the quality of life for fragile elderly living in their own homes compared to those living in care homes. The quality of available research is too low to determine whether physiotherapy and multidisciplinary treatment for stroke victims and personal assistants for older or younger users have effect on social participation and activity. We performed a systematic search for systematic reviews in international research databases. We selected studies that met our inclusion criteria, scored their quality and summarized the results. We have only identified systematic reviews within rehabilitation and elderly care and have not found reviews in this context assessing mental health or drug addictions. Most included reviews have focused on measures taken in care, and not on the qualifications of the personnel. Only two of the reviews specifically referred to personnel. We identified studies on two occupations with specialized expertise in functional training and activation: occupational therapists and functional therapists. We therefore have little knowledge about other professions. In addition there are personal assistants - that have no formal competence in training function and activation. Several of the reviews included interdisciplinary measures and group therapies. We have limited information about what personnel were used in these studies. These reviews can only partially answer our question. There is little available research on the effects of using personnel with special expertise in municipal home care. We have not found systematic reviews that evaluated these measures for the areas of mental health or alcohol and drug addictions. Concerning the elderly, group activities seem to reduce isolation and loneliness. For stroke patients, occupational therapy probably has a small positive effect on social participation and activity, but present research does not address the applicability of these results to other patients The Norwegian Knowledge Centre for the Health Sciences has been commissioned by the Norwegian Department of Health to produce a systematic review of the scientific evidence concerning effects of the use of personnel with special expertise in functional training and activation compared to standard care at achieving social participation and activity amongst users of municipal home care. Summary of the results: Social participation: Group activities apparently reduce social isolation and loneliness amongst elderly living at home or with assisted living. Occupational therapy (at home) probably has a small but positive effect on social participation and activity of stroke patients. Physical function: Inter-disciplinary measures (at home) probably have a small but positive effect on the general physical function amongst elderly. Occupational therapy (at home) probably has a small, positive effect on physical function amongst stroke victims and patients with rheumatoid arthritis. |
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| Item Description: | English summary excerpted from full technical report in Norwegian: Betydningen av personellkompetanse for å bedre sosial deltakelse og aktivitet for brukere av kommunale hjemmetjenester. - Excerpt from Systematic review no. 13-2009 |
| Physical Description: | 1 PDF file (12 pages) |
| ISBN: | 9788281212756 |