Perceived autonomy and activity choices among physically disabled older people in nursing home settings: a randomized trial.

Abstract:

:OBJECTIVE. To evaluate the effect of individually tailored programs on perceived autonomy in institutionalized physically disabled older people and to describe participants' activity wishes and content of the programs. METHOD. This blinded randomized trial with follow up included a total of nine nursing homes and 50 nursing home residents who were randomized into either a control group or an intervention group. Perceived autonomy was measured at baseline (T1), after 12 weeks (T2) of intervention and after 24 weeks (T3) Wishes for daily activities was identified at T1. Weekly reports of individual programs were drawn up. RESULTS. Both groups perceived autonomy as average at baseline and increased their mean score at T2 to high or close to high. At T3, both groups scored average but exceeded the level of T1. Activity wishes and the content of the programs indicate incoherence. DISCUSSION. Although the correspondence between the individual wishes for activities and the concrete content of the programs was not obvious, results indicate potential for enabling the perception of autonomy among physically disabled older nursing home residents. The clinical consequences may suggest a focus on existing traditions, methods, and tools in the nursing home practice.

journal_name

J Aging Health

authors

Andresen M,Runge U,Hoff M,Puggaard L

doi

10.1177/0898264309348197

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1133-58

issue

8

eissn

0898-2643

issn

1552-6887

pii

21/8/1133

journal_volume

21

pub_type

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