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From Intervention Trial to Full-scale Implementation Research: Positive Tendencies for Frailty and Self-rated Health in Frail Older People.

Journal article
Authors Isabelle Ottenvall Hammar
Theresa Westgård
Kajsa Eklund
Katarina Wilhelmson
Synneve Dahlin-Ivanoff
Published in International Journal of Geriatrics and Gerontology
Volume 2018
Issue 2
ISSN 2577-0748
Publication year 2018
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Centre for Ageing and Health (Agecap)
Language en
Keywords Activities of daily living; Frailty; Geriatric; Intervention; Multi-professional team
Subject categories Other Medical Sciences not elsewhere specified, Occupational Therapy, Gerontology, specializing in Medical and Health Sciences


A continuum of care for frail older people was created to link the chain between the hospital, and discharge to the person’s home. Despite earlier positive findings, it remains unclear if the benefits are sustainable in a real-life context. The present longitudinal study aimed at evaluate the effects of the implementation of a full-scale process program for frail older people in a real-life context regarding levels of frailty, self-rated health and activities of daily living up to one year later. The sample consisted of a total of 143 frail people aged 75 years and older, divided in the two groups: 77 participants from the full-scale process program and 66 historical controls. The findings showed that at the six months follow-up, the participants partaking in the full-scale process program had a significantly higher odds of displaying decreased frailty (p=0.015), and at twelve months, this sample had a significant lower likelihood of reporting decreased self-rated health (p=0.023). Thus, the findings showed positive results on frailty level and self-rated health when implementing the intervention in real life, indicating that a person-centred, multi-professional team with a case manager is beneficial for frail older people.

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