Prioritising restorative care programs in light of current age care reform

Author:

Falland Laura12,Henwood Tim13,Keogh Justin W. L.4567ORCID,Davison Kade2

Affiliation:

1. Southern Cross Care (SA, NT & VIC) Adelaide South Australia Australia

2. Alliance for Exercise, Nutrition and Activity, Allied Health and Human Performance University of South Australia Adelaide South Australia Australia

3. Faculty of Health Sciences and Medicine Bond University Gold Coast Queensland Australia

4. Faculty of Health Charles Darwin University Darwin Northern Territory Australia

5. Human Potential Centre AUT University Auckland New Zealand

6. Cluster for Health Improvement, Faculty of Science, Health, Education and Engineering University of the Sunshine Coast Sunshine Coast Queensland Australia

7. Kasturba Medical College, Mangalore Manipal Academy of Higher Education Manipal Karnataka India

Abstract

AbstractBackgroundShort‐term restorative care (STRC) aims to reduce the demand for long‐term aged care services through 8 weeks of intensive, multidisciplinary services designed to enhance the independence of community‐dwelling older Australians at risk of functional decline. Evidence surrounding the effectiveness and feasibility of STRC is limited.ObjectiveThis study aimed to examine the effectiveness of an existing exercise‐based STRC model and help inform successful service delivery to maximise participant outcomes nationally.MethodsAn observational cohort study was conducted to evaluate the potential benefits accrued by community‐dwelling older adults accessing Southern Cross Care's current exercise‐based STRC model in Adelaide, South Australia. Program effectiveness was determined via improvements in outcome measures specific to functional decline risk factors from baseline (Week 0) to discharge (Week 8).ResultsResults demonstrated significant improvements (p < 0.001) in participants' (n = 62) lower extremity function (44.9%), depressive symptoms (52.4%), anxiety (45.8%), frailty stage (57.9%), independence in activities of daily living (17.3%) and health‐related quality of life (24.0%). No significant change was found for grip strength or BMI post‐intervention. The most frequent services were exercise‐based (54.3% of total services), with participants receiving an average of two to three exercise services per week.ConclusionsAn exercise‐based STRC model is an effective mechanism to reverse functional decline and associated risk factors among community‐dwelling older Australians. Adoption of multidisciplinary intervention as a standardised STRC service model could help improve client outcomes nationally and offset expected increases in community and long‐term aged care demand.

Publisher

Wiley

Reference20 articles.

1. Time-limited home-care reablement services for maintaining and improving the functional independence of older adults

2. Reablement, Reactivation, Rehabilitation and Restorative Interventions With Older Adults in Receipt of Home Care: A Systematic Review

3. Effectiveness of reablement: a systematic review;Tessier A;Health Policy,2016

4. Department of Health and Aged Care.2021–22 report on the operation of the aged care act 1997.2022. Accessed January 16 2023.http://agedcaredata.gov.au/resources/reports‐and‐publications/2022/November/2021%E2%80%9322‐Report‐on‐the‐Operation‐of‐the‐Aged‐Care‐Act‐1997

5. Royal Commission into Aged Care Quality and Safety.Final report: care dignity and respect.2022. Accessed June 8 2022.https://agedcare.royalcommission.gov.au/sites/default/files/2021‐03/final‐report‐volume‐1_0.pdf

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