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  • An exercise and incontinence intervention did not reduce the incidence or cost of acute conditions in nursing home residents

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An exercise and incontinence intervention did not reduce the incidence or cost of acute conditions in nursing home residents

https://doi.org/10.1136/ebn.6.4.117

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    Schnelle JF, Kapur K, Alessi C, et al.Does an exercise and incontinence intervention save healthcare costs in a nursing home population?J Am Geriatr Soc2003;51:161–8OpenUrlCrossRefPubMedWeb of Science

    QUESTION: In nursing home (NH) residents, does an intervention combining low intensity exercise and incontinence care offset its costs by reducing selected health conditions?

    Design

    Cost effectiveness analysis of a randomised {allocation concealed}*, blinded ({data collectors}* and outcome assessors), controlled trial with follow up at 8 and 32 weeks.

    Setting

    4 NHs in the US.

    Patients

    190 NH residents (mean age 88 y, 85% women) with urinary incontinence who did not have catheters, could follow a simple 1 step instruction, and were not on Medicare Part A reimbursement for post-acute skilled care or terminal illness. Follow up was 91% at 8 weeks and 78% at 32 weeks.

    Intervention

    Patients were allocated to an 8 month exercise programme (Functional Incidental Training [FIT]) (n=92) or to usual care (n=98). The FIT intervention was implemented every 2 hours during the day for 5 days per week and involved prompts to toilet and changing if wet, encouragement to walk (or wheel their wheelchairs), repeat sit to stands up to 8 times, and practise upper body resistance …

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    Footnotes

    • ↵* Information provided by author.

    • Source of funding: National Institute on Aging.

    • For correspondence: Dr J F Schnelle, JHA/UCLA Borun Center, Reseda, CA, USA. jschnell{at}ucla.edu