Search results for ‘Subject term:"intermediate care"’ Sort:
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The user voice: older people's experiences of reablement and rehabilitation
- Authors:
- TRAPPES-LOMAX Tessa, HAWTON Annie
- Journal article citation:
- Journal of Integrated Care, 20(3), 2012, pp.181-195.
- Publisher:
- Emerald
Effective reablement is dependent on service users' co-operation and motivation. It therefore needs to be highly responsive to their needs and views. This study offers specific user views about their experiences in different settings and at different stages of reablement, together with their ideas for how it might work better. The study describes the experiences of 42 older people in rehabilitation services in community hospitals and local authority short-term residential units followed by “usual care” services at home. It is based on semi-structured face-to-face interviews in 2002/3, from East and Mid Devon, England. Findings revealed four main themes: the complexity of rehabilitative need; the influence of the setting; the role of the staff; and the availability of reablement support back at home. The authors concluded that the findings demonstrate changing rehabilitative needs along the care pathway, with implications for commissioners and providers of reablement services.
Buying Time I: a prospective, controlled trial of a joint health/social care residential rehabilitation unit for older people on discharge from hospital
- Authors:
- TRAPPES-LOMAX Tessa, et al
- Journal article citation:
- Health and Social Care in the Community, 14(1), January 2006, pp.49-62.
- Publisher:
- Wiley
The study's objective was to determine the effectiveness of a joint NHS/Social Services rehabilitation unit (a form of intermediate care) for older people on discharge from community hospital, compared with 'usual' community services. This was a controlled clinical trial in a practice setting. The intervention was 6 weeks in a rehabilitation unit where individuals worked with care/rehabilitation assistants and occupational therapists to regain independence. Controls went home with the health/social care services they would ordinarily receive. Participants were from two matched geographical areas in Devon: one with a rehabilitation unit, one without. Recruitment was from January 1999 to October 2001 in 10 community hospitals. Study eligibility was assessed using the unit's inclusion/exclusion criteria: 55 years or older and 'likely to benefit from a short-term rehabilitation programme' ('potential to improve', 'realistic and achievable goals' and 'motivation to participate'). Ninety-four people were recruited to the intervention and 112 to the control. The mean (standard deviation) age was 81.8 (8.0) years. The main outcome measure was prevention of institutionalisation assessed by the number of days from baseline interview to admission to residential/nursing care or death ('survival-at-home time'). Secondary outcome measures were time to hospital re-admission over 12 months, quality of life and coping ability. There were no significant differences between the groups on any outcome measure. The findings suggest a stay in a rehabilitation unit is no more effective than 'usual' care at diverting older people from hospital/long-term care. Alternative service configurations may be as effective, having implications for tailoring services more specifically to individual need and/or user preferences. However, the unit did appear to facilitate earlier discharges from community hospital.
Real life research: building an evidence base for intermediate care
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie, FOX Mary
- Journal article citation:
- MCC Building Knowledge for Integrated Care, 10(6), December 2002, pp.15-21.
- Publisher:
- Pavilion
The third in a series of articles about trying to develop better evidence for a service on the health/social care interface. All are based on experiences of carrying out a comparative study of residential rehabilitation for older people. Previous articles dealt with methodology and implementation, this article reflects on the completion of the project and the first stages of dissemination.
Real-life research: bridging the gap between research and practice
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie
- Journal article citation:
- Journal of Integrated Care, 11(4), August 2003, pp.17-27.
- Publisher:
- Emerald
Research partnership between 'thinkers' and 'doers' are now thought likely to deliver more useful and useable knowledge for health and social care. Uses, 'Buying Time', a three-year comparative study of residential rehabilitation for older people coming out of hospital as a case study to examine the wider issues of partnership research. Reflects on the theoretical and practical implications of partnership research, outlines some of the messages from the literature, and reviews the experience of the research. Concludes that it is difficult in practice to balance the demands of operational relevance and academic rigour, and that better resourcing may be required.
Real life research: the ups and downs of an intermediate care study
- Authors:
- TRAPPES-LOMAX Tessa, ELLIS Annie, FOX Mary
- Journal article citation:
- Managing Community Care, 9(5), October 2001, pp.18-24.
- Publisher:
- Pavilion
The second article about a comparative study of joint health and social care rehabilitation for older people. Discusses what has worked well so far, and how the various obstacles to doing systematic research across two complex have been tackled organisations. Also describes the sample group and report on data collection so far.