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Effects of a continuum of care intervention on frail elders’ self-rated health, experiences of security/safety and symptoms: A randomised controlled trial

Journal article
Authors Zahra Ebrahimi
Kajsa Eklund
Synneve Dahlin-Ivanoff
Annika Jakobsson
Katarina Wilhelmson
Published in Nordic Journal of Nursing Research
Volume 37
Issue 1
Pages 33–43
ISSN 2057-1585
Publication year 2017
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Institute of Medicine, School of Public Health and Community Medicine
Institute of Health and Care Sciences
Centre for Ageing and Health (Agecap)
Pages 33–43
Language en
Keywords experiences of health, frail older people, integrated care, person-centred care, security/safety, symptoms
Subject categories Nursing


We aimed to evaluate effects of the intervention on self-rated health, experiences of security/safety and symptoms. A nonblinded controlled trial was performed with participants randomised to either the intervention group or a control group, with follow-ups at 3, 6 and 12 months. The intervention involved collaboration between a nurse with geriatric competence at the emergency department, the hospital wards and a multi-professional team for care and rehabilitation of older adults, with a case manager from the municipality as the hub. Older people who sought care at the emergency department at Sahlgrenska University Hospital/Mo¨ lndal and who were discharged to their own homes in the Mo¨ lndal municipality were asked to participate. Inclusion criteria were age 80 years and older, or 65 to 79 years with at least one chronic disease and dependency in at least one activity of daily living. Analyses were conducted on the basis of the intention-to-treat principle. Outcome measures were self-rated health, experiences of security/safety and symptoms. These were analysed using Svensson’s method. Of 161 participants, 76 were allocated to the control group and 85 to the intervention group. Positive effects of the intervention were observed for frail older adult’s symptoms and self-rated health.

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