Document Detail


An investigation into which individual instrumental activities of daily living are affected by a home visiting nurse intervention.
MedLine Citation:
PMID:  23034558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: to our knowledge no research has investigated the effect of home visiting nurse (HVN) interventions on individual instrumental activities of daily living (IADL).
OBJECTIVE: to investigate the effects of an HVN intervention on the difficulty or dependence in six individual IADLs.
DESIGN: a secondary analysis of a randomised controlled study comparing an HVN intervention (n = 237) with usual care (n = 262) at 22 months after study entry.
SETTING: home care linked to primary care.
SUBJECTS: a total of 499 Medicare patients needing or receiving help with at least three IADLs or two ADLs, who had recent significant health-care use.
METHODS: the intervention consisted of monthly home visits by trained nursing staff. Unadjusted and adjusted (binary and multinomial logistic regression) analyses were performed.
RESULTS: unadjusted analyses found less difficulty or dependence for the HVN group for meal preparation, telephone use, shopping and ordinary housework, and more difficulty or dependence for medication management. After adjustment, in addition to an effect through health-care services use, the HVN group had less difficulty or dependence for meal preparation and shopping and more difficulty or dependence for medication management.
CONCLUSIONS: an HVN intervention had mixed results for individual IADLs. The negative effect on medication management questions the validity of a total IADL score as an outcome measure, and implies that other medication management measures should be considered for outcome evaluation. Future research is needed to confirm and better understand these findings.
Authors:
Yanen Li; Dianne Veronica Liebel; Bruce Friedman
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2012-10-03
Journal Detail:
Title:  Age and ageing     Volume:  42     ISSN:  1468-2834     ISO Abbreviation:  Age Ageing     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-12     Completed Date:  2013-05-24     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  27-33     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living* / classification
Aged
Community Health Nursing / statistics & numerical data*
Female
Geriatric Assessment / methods*,  statistics & numerical data
Home Care Services* / organization & administration,  statistics & numerical data
Humans
Logistic Models
Male
Medicare
Outcome Assessment (Health Care)
United States
Grant Support
ID/Acronym/Agency:
T32 MH000044/MH/NIMH NIH HHS
Comments/Corrections

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