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Article

Effects of Community-Based Physical-Cognitive Training, Health Education, and Reablement among Rural Community-Dwelling Older Adults with Mobility Deficits

1
Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan
2
Department of Physical Therapy, Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
3
Master Degree Program in Healthcare Industry, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
4
Healthy Aging Research Center, Chang Gung University, Chang Gung Memorial Hospital, Taoyuan 33302, Taiwan
5
ADLers Occupational Therapy Clinic, Taipei 10491, Taiwan
*
Author to whom correspondence should be addressed.
Academic Editor: Juh Hyun Shin
Int. J. Environ. Res. Public Health 2021, 18(17), 9374; https://doi.org/10.3390/ijerph18179374
Received: 22 June 2021 / Revised: 20 August 2021 / Accepted: 31 August 2021 / Published: 5 September 2021
(This article belongs to the Special Issue To Be Healthy for the Elderly: Long Term Care Issues around the World)
Reablement services are approaches for maintaining and improving the functional independence of older adults. Previous reablement studies were conducted in a home environment. Due to the limited evidence on the effects of multicomponent interventions and reablement in a community-based context, this study aimed to develop and evaluate the effect of community-based physical–cognitive training, health education, and reablement (PCHER) among rural community-dwelling older adults with mobility deficits. The trial was conducted in rural areas of New Taipei City, Taiwan. Older adults with mild to moderate mobility deficits were recruited from six adult daycare centers, and a cluster assignment was applied in a counterbalanced order. The experimental group (n = 16) received a PCHER intervention, comprising 1.5 h of group courses and 1 h of individualized reablement training, while the control group (n = 12) underwent PCHE intervention, comprising 1.5 h of group courses and 1 h of placebo treatment. A 2.5-h training session was completed weekly for 10 weeks. The outcome measures contained the de Morton Mobility Index (DEMMI), the Saint Louis University Mental Status (SLUMS) Examination, the Barthel Index (BI), the Short Physical Performance Battery (SPPB), and the Canadian Occupational Performance Measure (COPM). The PCHER significantly improved the DEMMI, SLUMS, BI, SPPB, and COPM (all p < 0.05), with medium-to-large effect sizes. PCHER also showed an advantage over PCHE in terms of the SPPB (p = 0.02). This study verified that combining individualized reablement with group-based multicomponent training was superior to group courses alone in enhancing the functional abilities of community-dwelling older adults with mobility deficits. View Full-Text
Keywords: restorative care; reablement; function; elderly; long-term care restorative care; reablement; function; elderly; long-term care
MDPI and ACS Style

Song, C.-Y.; Lin, P.-S.; Hung, P.-L.; ADLers Occupational Therapy Clinic. Effects of Community-Based Physical-Cognitive Training, Health Education, and Reablement among Rural Community-Dwelling Older Adults with Mobility Deficits. Int. J. Environ. Res. Public Health 2021, 18, 9374. https://doi.org/10.3390/ijerph18179374

AMA Style

Song C-Y, Lin P-S, Hung P-L, ADLers Occupational Therapy Clinic. Effects of Community-Based Physical-Cognitive Training, Health Education, and Reablement among Rural Community-Dwelling Older Adults with Mobility Deficits. International Journal of Environmental Research and Public Health. 2021; 18(17):9374. https://doi.org/10.3390/ijerph18179374

Chicago/Turabian Style

Song, Chen-Yi, Pay-Shin Lin, Pei-Lun Hung, and ADLers Occupational Therapy Clinic. 2021. "Effects of Community-Based Physical-Cognitive Training, Health Education, and Reablement among Rural Community-Dwelling Older Adults with Mobility Deficits" International Journal of Environmental Research and Public Health 18, no. 17: 9374. https://doi.org/10.3390/ijerph18179374

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