The Effect on Function of Increasing Activity for Nursing Home Residents

As designs of existing outcome studies are disparate and do not always relate well to a Swedish context, the need for further studies is obvious. Also, an empirical theory drawn from the best practice supporting autonomy and wellbeing for clients in a nursing home setting has not yet been fully depicted. The study described below intends to fill a gap in knowledge related to the effect of enhanced activities of daily living (ADL)-training, physical, and daily activities and staff education in a nursing home setting, based on a theory- and evidence-based intervention programme in a Swedish as well as a Nordic health care context. The aims of the study are to describe the impact of an individually tailored intervention program, in a nursing home setting, on: Physical capacity Degree of dependence in ADL Long-term participation in physical and/or daily activities Self-rated wellbeing

The Trondheim study has additional aims to assess the impact of intervention on: Urinary incontinence Falls

individualized exercise, physical activity and training in daily life situations given by trained physical therapists and occupational therapists

Inclusion Criteria: > 65 years of age Expected stay in the nursing home > 3 months Able to take instruction Exclusion Criteria: Persons in a terminal phase

Frandin K, Borell L, Gronstedt H, Bergland A, Helbostad JL, Puggaard L, Andresen M, Granbo R, Hellstrom K. A Nordic multi-center study on physical and daily activities for residents in nursing home settings: design of a randomized, controlled trial. Aging Clin Exp Res. 2009 Aug-Oct;21(4-5):314-22. doi: 10.1007/BF03324921.

Gronstedt H, Hellstrom K, Bergland A, Helbostad JL, Puggaard L, Andresen M, Granbo R, Frandin K. Functional level, physical activity and wellbeing in nursing home residents in three Nordic countries. Aging Clin Exp Res. 2011 Oct-Dec;23(5-6):413-20. doi: 10.1007/BF03337766. Epub 2011 Feb 10.

Gronstedt H, Frandin K, Bergland A, Helbostad JL, Granbo R, Puggaard L, Andresen M, Hellstrom K. Effects of individually tailored physical and daily activities in nursing home residents on activities of daily living, physical performance and physical activity level: a randomized controlled trial. Gerontology. 2013;59(3):220-9. doi: 10.1159/000345416. Epub 2012 Dec 20.