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The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial.

Publication ,  Journal Article
Sanford, JA; Griffiths, PC; Richardson, P; Hargraves, K; Butterfield, T; Hoenig, H
Published in: J Am Geriatr Soc
November 2006

OBJECTIVES: To examine the effect on mobility self-efficacy of a multifactorial, individualized, occupational/physical therapy (OT/PT) intervention delivered via teletechnology or in-home visits. DESIGN: Randomized, clinical trial. SETTING: One Department of Veterans Affairs and one private rehabilitation hospital. PARTICIPANTS: Sixty-five community-dwelling adults with new mobility devices. Thirty-three were randomized to the control or usual care group (UCG), 32 to the intervention group (IG). INTERVENTION: Four, once-weekly, 1-hour OT/PT sessions targeting three mobility and three transfer tasks. A therapist delivered the intervention in the traditional home setting (trad group n = 16) or remotely via teletechnology (tele group n = 16). MEASUREMENTS: Ten-item Likert-scale measure of mobility self-efficacy. RESULTS: The IG had a statistically significantly greater increase in overall self-efficacy over the study period than the UCG (mean change: IG 8.8, 95% confidence interval (CI) = 3.8-13.7; UCG 1.2, 95% CI = -5.8-8.2). Descriptively, the IG exhibited positive changes in self-efficacy for all tasks and greater positive change than the UCG on all items with the exception of getting in and out of a chair. Comparisons of the two treatment delivery methods showed a medium standardized effect size (SES) in both the tele and trad groups, although it did not reach statistical significance for the tele group (SES: tele = 0.35, 95% CI = -2.5-0.95; trad = 0.54, 95% CI = 0.06-1.14). CONCLUSION: A multifactorial, individualized, home-based OT/PT intervention can improve self-efficacy in mobility-impaired adults. The trend toward increased self-efficacy irrespective of the mode of rehabilitation delivery suggests that telerehabilitation can be a viable alternative to or can augment traditional in-home therapy.

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Published In

J Am Geriatr Soc

DOI

ISSN

0002-8614

Publication Date

November 2006

Volume

54

Issue

11

Start / End Page

1641 / 1648

Location

United States

Related Subject Headings

  • Telemedicine
  • Self-Help Devices
  • Self Efficacy
  • Physical Therapy Modalities
  • Occupational Therapy
  • Mobility Limitation
  • Middle Aged
  • Male
  • Humans
  • Home Care Services
 

Citation

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Sanford, J. A., Griffiths, P. C., Richardson, P., Hargraves, K., Butterfield, T., & Hoenig, H. (2006). The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial. J Am Geriatr Soc, 54(11), 1641–1648. https://doi.org/10.1111/j.1532-5415.2006.00913.x
Sanford, Jon A., Patricia C. Griffiths, Peg Richardson, Katina Hargraves, Tina Butterfield, and Helen Hoenig. “The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial.J Am Geriatr Soc 54, no. 11 (November 2006): 1641–48. https://doi.org/10.1111/j.1532-5415.2006.00913.x.
Sanford JA, Griffiths PC, Richardson P, Hargraves K, Butterfield T, Hoenig H. The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial. J Am Geriatr Soc. 2006 Nov;54(11):1641–8.
Sanford, Jon A., et al. “The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial.J Am Geriatr Soc, vol. 54, no. 11, Nov. 2006, pp. 1641–48. Pubmed, doi:10.1111/j.1532-5415.2006.00913.x.
Sanford JA, Griffiths PC, Richardson P, Hargraves K, Butterfield T, Hoenig H. The effects of in-home rehabilitation on task self-efficacy in mobility-impaired adults: A randomized clinical trial. J Am Geriatr Soc. 2006 Nov;54(11):1641–1648.
Journal cover image

Published In

J Am Geriatr Soc

DOI

ISSN

0002-8614

Publication Date

November 2006

Volume

54

Issue

11

Start / End Page

1641 / 1648

Location

United States

Related Subject Headings

  • Telemedicine
  • Self-Help Devices
  • Self Efficacy
  • Physical Therapy Modalities
  • Occupational Therapy
  • Mobility Limitation
  • Middle Aged
  • Male
  • Humans
  • Home Care Services