| Bonnefoy et al.,15
|
Randomized trial |
102 participants |
To assess whether a home-based program supervised by home helpers during their normal working hours can prevent excessive sedentariness and preserve functional status in elderly people at risk of frailty or disability and using domestic services. |
This study confirmed the feasibility of a supervised prevention program and some benefit from the intervention and identifies predictors for better compliance |
| Darton et al.,19
|
Cross-sectional |
Residents of 19 extra care schemes with a comparative sample of people admitted to care homes. |
This paper presents findings on the characteristics of the residents at the time of moving in, drawing on information collected from the 19 schemes in the evaluation, and a recent comparable study of residents who moved into care homes providing personal care. |
Although extra-care housing may be operating as an alternative to care homes for some individuals, it is providing for a wider population, who may be making a planned move rather than reacting to a crisis. |
| Fleming et al.,23
|
Case report |
1 patient |
To understand the fragmentation of care, characterized by miscommunications and lack of follow-up, which can lead to oversights in diagnosis and management. |
Reduced hospital readmissions and a critical role for the home health industry in improving patient outcomes and reducing costs. |
| Wu et al.,14
|
Cross-sectional |
2,608 participants |
To investigate determinants of long-term care use and to clarify the differing characteristics of home/community-based and institution-based services users. |
Age, single marital status, stroke, dementia, and ADL disability are predictive factors for long-term care use. The utilization was directly proportional to the level of disability. |
| Dorresteijn et al.,16
|
Randomized controlled trial |
389 people |
To assess the effectiveness of a home-based cognitive behavioral program on concerns over falls, in frail, older people living in the community. |
At 12 months, the intervention group showed significantly lower levels of concerns over falls compared to the control group. Furthermore, significant reductions in activity avoidance, disability and indoor falls were identified in the intervention group compared with the control group. |
| Kamitani et al.,21
|
Observational study |
40 patients |
To develop and validate a scale that assesses quality of life in patients receiving home-based medical care. |
The scale’s internal consistency was confirmed, as was its external validity. |
| Kasteridis et al.,13
|
Cross-sectional |
170,387 patients |
To run multi-level logit models to assess the impact of the Quality and Outcomes Framework, or QOF review, on the risk of care home placement following emergency admission to hospital. |
The QOF dementia review may help to reduce the risk of long-term care home placement following acute hospital admission. |
| Szanton et al.,17
|
Single-arm clinical trial |
2,217 participants |
To determine whether the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program saves Medicaid more money than it costs to provide. |
CAPABLE is associated with lower likelihood of inpatient and long-term service use and lower overall Medicaid spending. The magnitude of reduced Medicaid spending could pay for CAPABLE delivery and provide further Medicaid program savings due to averted services use. |
| Watanabe et al.,18
|
Clinical trial |
178 patients |
To investigate the medical health of older adults receiving home medical care services. |
Dysphagia risk predicts the first unexpected hospitalization in older individuals receiving home medical care. |
| Kim et al.,25
|
Retrospective cohort study |
7,112 people |
To investigate the association between the type of long-term care service and the incidence of hip fracture among older adults with dementia receiving long-term care insurance, and to investigate how said association differs according to characteristics of beneficiaries and structural characteristic of institutional care. |
Institutional care was more likely to be associated with a higher incidence of hip fracture than home care. |
| Husebo et al.,22
|
Clinical trial |
315 participants |
The article describes the rationale, development, feasibility testing, and implementation process of the LIVE@Home.Path trial. |
As the article concludes, we hope that implementing LIVE will lead to a pathway to dementia treatment and care that is cost-effective, viable, and supports independent living at home. Does not demonstrate other results. |
| Barker et al.,24
|
Clinical trial |
621 patients |
To compare the outcomes from a traditional outpatient physiotherapy model with those from a home-based rehabilitation program for people assessed as being at risk of a poor outcome after knee arthroplasty. |
Found no important differences in outcomes when post-arthroplasty rehabilitation was delivered using home-based rehabilitation. However, the health economic analysis found that when adopting a societal perspective, home-based rehabilitation had a 75% probability of being cost-effective at a threshold of £30,000 per quality-adjusted life-year |
| Vislapuu et al.,20
|
Clinical trial |
105 patients |
To investigate the consequences of restrictions on formal (homecare staff) and informal (family, friends) resource utilization among co-residing (e.g., spouses) and visiting caregivers (e.g., children). |
The care situation changed dramatically in the early phase of the COVID-19 pandemic, especially for those living alone who received less support from homecare services and visiting caregivers. |
Atenção domiciliar ao idoso com demência: uma revisão sistemática
Thumbnail
