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Cost and outcome of occupation-based practice for community dwelling frail elderly: a pilot study

Overview of attention for article published in Clinical Interventions in Aging, June 2018
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38 Mendeley
Title
Cost and outcome of occupation-based practice for community dwelling frail elderly: a pilot study
Published in
Clinical Interventions in Aging, June 2018
DOI 10.2147/cia.s163381
Pubmed ID
Authors

Hirofumi Nagayama, Norikazu Kobayashi, Yu Ishibashi, Ryuji Kobayashi, Chika Murai, Keita Yamauchi

Abstract

The purpose of this pilot study was to determine the effectiveness and costs of the occupation-based practice for community dwelling frail elderly. Pilot pre-post design without a control group. A care management center involving 37 local elderly. The final analysis included 26 frail elderly in a community dwelling center. The intervention was occupation-based practice involving setting of client-centered goals, observation of real living situations, and provision of advice on the individual problem of real occupation. The outcome was the Frenchay Activities Index (FAI), which is used to evaluate the instrumental activities of daily living (IADL). Additionally, the frequency, duration, and cost of the intervention were calculated. Regarding the FAI score before and after the interventions, there were significant improvements in all items except work (P<0.05, effect size [r]: 0.67-0.93). A total of 15 people out of 26 (57.7%) showed improvement in activities of daily living. The frequency of interventions was 3.7 (95% confidence interval [CI]: 2.83-4.48), and the duration was 7.4 weeks (95% CI: 5.27-9.42). The average intervention cost was $258 (95% CI: 200.4-317.4). The results of this study showed that occupation-based practice has a potential to improve IADL in frail elderly, with low frequency of intervention, within a short-term, and direct cost reduction. We believe that this pilot study will contribute to future clinical studies for frail elderly, and the findings can be easily applied to daily clinical intervention. A well-designed prospective randomized-controlled trial is necessary to verify these results.

Mendeley readers

The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 38 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 6 16%
Student > Bachelor 4 11%
Student > Master 4 11%
Other 2 5%
Unspecified 2 5%
Other 7 18%
Unknown 13 34%
Readers by discipline Count As %
Nursing and Health Professions 9 24%
Medicine and Dentistry 3 8%
Unspecified 2 5%
Economics, Econometrics and Finance 2 5%
Social Sciences 2 5%
Other 7 18%
Unknown 13 34%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 June 2018.
All research outputs
#11,685,431
of 13,157,264 outputs
Outputs from Clinical Interventions in Aging
#1,251
of 1,342 outputs
Outputs of similar age
#232,981
of 268,329 outputs
Outputs of similar age from Clinical Interventions in Aging
#20
of 21 outputs
Altmetric has tracked 13,157,264 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,342 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 268,329 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.