Effect of Enhanced Medical Rehabilitation on Functional Recovery in Older Adults Receiving Skilled Nursing Care After Acute Rehabilitation: A Randomized Clinical Trial

JAMA Network Open
Eric J LenzeThomas L Rodebaugh

Abstract

Enhanced medical rehabilitation (EMR) is a systematic and standardized approach for physical and occupational therapists to engage patients. Higher patient engagement in therapy might lead to improved functional recovery in rehabilitation settings, such as skilled nursing facilities (SNFs). To determine whether EMR improves older adults' functional recovery. A double-blind, parallel-group, randomized clinical trial was conducted from July 29, 2014, to July 13, 2018, in 229 adults aged 65 years or older admitted to 2 US SNFs. Participants were randomized to receive EMR (n = 114) vs standard-of-care rehabilitation (n = 115). Intention-to-treat analysis was used. The intervention group received their physical and occupational therapy from therapists trained in EMR. Based on models of motivation and behavior change, EMR is a toolkit of techniques to increase patient engagement and therapy intensity. The control group received standard-of-care rehabilitation from physical and occupational therapists not trained in EMR. The primary outcome was change in function in activities of daily living and mobility, as assessed with the Barthel Index, which measures 10 basic activities of daily living or mobility items (scale range, 0-100), fro...Continue Reading

Associated Clinical Trials

Apr 15, 2014·Eric LenzeEric Lenze

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Citations

Dec 12, 2019·Clinical Cardiology·Jonathan D WolfeMichael W Rich
Feb 1, 2020·Journal of Geriatric Physical Therapy·Marghuretta D BlandEric J Lenze
Jun 17, 2021·American Journal of Physical Medicine & Rehabilitation·Baris ErcalEric J Lenze
Jul 30, 2021·International Journal of Older People Nursing·Jo-Aine HangAnne-Marie Hill
May 30, 2021·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Amanda ChenHye-Young Jung

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