Evidence map›Paper›PMID 39342131›Full record

Trial reportBMC geriatrics2024

Feasibility of a person-centred multidimensional interdisciplinary rehabilitation programme in community-dwelling people with dementia: a randomised controlled pilot trial.

Låtta Hasselgren, Mia Conradsson, Josefine Lampinen, Annika Toots, Birgitta Olofsson, Ingeborg Nilsson, Maria Gustafsson, Nina Lindelöf, Henrik Holmberg, Yngve Gustafson and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Låtta HasselgrenDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden. latta.hasselgren@umu.se.
Mia ConradssonDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.
Josefine LampinenDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.
Annika TootsDepartment of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University, Umeå, Sweden.
Birgitta OlofssonDepartment of Nursing, Umeå University, Umeå, Sweden.
Ingeborg NilssonDepartment of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University, Umeå, Sweden.
Maria GustafssonDepartment of Medical and Translational Biology, Umeå University, Umeå, Sweden.
Nina LindelöfDepartment of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Henrik HolmbergDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Yngve GustafsonDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.
Håkan LittbrandDepartment of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden.

Funding

Forte: Swedish Research Council for Helath, Working and Welfare 2014-0897
6 · The paper itself

Abstract

backgroundA team-based, individualised rehabilitation approach may be required to meet the complex needs of people with dementia. This randomised controlled pilot trial evaluated the feasibility of a person-centred multidimensional interdisciplinary rehabilitation programme for community-dwelling older people with dementia and their informal primary caregivers.

methodsParticipants with dementia were randomised to an intervention group (n = 31, mean age (SD) 78.4 (6.0) years) or usual care (n = 30, mean age 79.0 (7.1)). The rehabilitation programme consisted of a 20-week rehabilitation period containing assessments and interventions based on each individual's goals, and group-based physical exercise plus social interaction twice a week for 16 weeks at a rehabilitation unit. After 5 and 14 months, the interdisciplinary team followed up participants over two four-week periods. For both groups, dates of deaths and decision to move to nursing home over three years, as well as interventions for the relevant periods, were collected. Blinded assessors measured physical functions, physical activity, activities of daily living, cognitive functions, nutritional status, and neuropsychiatric symptoms at baseline and at 5, 12, 24, and 36 months.

resultsParticipants in the intervention group received a mean of 70.7 (20.1) interventions during the 20-week rehabilitation period, delivered by all ten team professions. The corresponding figures for the control group were 5.8 (5.9). In the intervention group, all but one participated in rehabilitation planning, including goal setting, and attendance in the exercise and social interaction groups was 74.8%. None of the adverse events (n = 19) led to any manifest injury or disease. Cox proportional hazard regression showed a non-significant lower relative risk (HR = 0.620, 95% CI 0.27-1.44) in favour of the intervention for moving to nursing home or mortality during the 36-month follow-up period. Linear mixed-effect models showed non-significant but potentially clinically meaningful between-group differences in gait, physical activity, and neuropsychological symptoms in favour of the intervention.

conclusionsThe rehabilitation programme seems feasible among community-dwelling older people with dementia. The overall results merit proceeding to a future definitive randomised controlled trial, exploring effects and cost-effectiveness. One could consider to conduct the programme earlier in the course of dementia, adding cognitive training and a control attention activity.

trial registrationThe study protocol, ISRCTN59155421 , was registered online 4/11/2015.

Indexed as

DementiaFeasibility StudiesIndependent LivingPatient-Centered CareActivities of Daily LivingAgedAged, 80 and overFemaleFollow-Up StudiesHumansMalePatient Care TeamPilot ProjectsCommunity-dwellingDementiaFeasibility studyInterdisciplinaryRehabilitation

Identifiers

PMID39342131
PMCPMC11439292

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.