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Meeting community ambulation criteria and confidence with walking on discharge from inpatient rehabilitation were positively associated with performance of outdoor community activities 8 weeks after discharge

Citation

Robins, L and Taylor, NF and Hogan, G and Callisaya, ML and Sounthakith, V and Snowdon, M and Brooks, S and Scanlon, S and Urmston, K and Snowdon, DA, Meeting community ambulation criteria and confidence with walking on discharge from inpatient rehabilitation were positively associated with performance of outdoor community activities 8 weeks after discharge, Disability and Rehabilitation pp. 1-99. ISSN 0963-8288 (2021) [Refereed Article]

DOI: doi:10.1080/09638288.2021.1976290

Abstract

Purpose

To assess whether meeting criteria for community ambulation and ambulatory self-confidence on discharge from inpatient rehabilitation are associated with participation in community activities.

Methods

Prospective longitudinal observational study design. Participants were assessed within 48-hours of discharge on ability to complete tasks reflective of community ambulation (walking 315 m, ascending/descending three stairs, a ramp, and a street curb and walking at 0.44 m/s) and ambulatory self-confidence. At 8 weeks post-discharge frequency of participation in domestic, leisure/work and outdoor activities was measured using the Frenchay Activities Index (FAI). Multivariable regression analysis determined factors associated with total and outdoor FAI score.

Results

Seventy-four of 79 participants were followed up at 8 weeks post-discharge. Meeting all ambulation criteria was positively associated with FAI outdoor score (β = 1.85, 95%CI 0.013.69, p = 0.049). Ambulatory self-confidence was positively associated with FAI outdoor score (β = 0.03, 95%CI 00.05, p = 0.032) and FAI total score (β = 0.05, 95%CI 00.1, p = 0.040). Age (β= −0.22, 95%CI −0.36 to −0.08, p = 0.003) and living alone (β = 3.36, 95%CI 0.106.61, p = 0.044) were associated with FAI total score.

Conclusions

Capacity to meet ambulation criteria and ambulatory self-confidence are modifiable factors that could be targeted during rehabilitation to improve participation in community activities.

  • Implications for rehabilitation

  • Meeting community ambulation criteria and confidence with walking on discharge from inpatient rehabilitation are positively associated with performance of outdoor community activities 8 weeks after discharge.

  • Capacity to meet community ambulation criteria and ambulatory confidence may be useful measures for rehabilitation teams to consider when discharging patients home.

  • Meeting ambulation criteria and ambulatory confidence are modifiable factors that could be addressed through targeted therapy to improve community integration following hospitalisation.

Item Details

Item Type:Refereed Article
Keywords:community rehabilitation, ambulation, community ambulation, inpatient rehabilitation, community integration activities of daily living;, community participation
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Geriatrics and gerontology
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Primary care
UTAS Author:Callisaya, ML (Dr Michele Callisaya)
ID Code:148601
Year Published:2021
Web of Science® Times Cited:1
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-01-27
Last Modified:2022-03-03
Downloads:0

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