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• W2025647524 abstract "To test the hypotheses that older people and their informal carers are not disadvantaged by home-based rehabilitation (HBR) relative to day hospital rehabilitation (DHR) and that HBR is less costly.Two-arm randomised controlled trial.Four trusts in England providing both HBR and DHR.Clinical staff reviewed consecutive referrals to identify subjects who were potentially suitable for randomisation according to the defined inclusion criteria.Patients were randomised to receive either HBR or DHR.The primary outcome measure was the Nottingham Extended Activities of Daily Living (NEADL) scale. Secondary outcome measures included the EuroQol 5 dimensions (EQ-5D), Hospital Anxiety and Depression Scale (HADS), Therapy Outcome Measures (TOMs), hospital admissions and the General Health Questionnaire (GHQ-30) for carers.Overall, 89 subjects were randomised and 42 received rehabilitation in each arm of the trial. At the primary end point of 6 months there were 32 and 33 patients in the HBR and DHR arms respectively. Estimated mean scores on the NEADL scale at 6 months, after adjustment for baseline, were not significantly in favour of either HBR or DHR [DHR 30.78 (SD 15.01), HBR 32.11 (SD 16.89), p = 0.37; mean difference -2.139 (95% CI -6.870 to 2.592)]. Analysis of the non-inferiority of HBR over DHR using a 'non-inferiority' limit (10%) applied to the confidence interval estimates for the different outcome measures at 6 months' follow-up demonstrated non-inferiority for the NEADL scale, EQ-5D and HADS anxiety scale and some advantage for HBR on the HADS depression scale, of borderline statistical significance. Similar results were seen at 3 and 12 months' follow-up, with a statistically significant difference in the mean EQ-5D(index) score in favour of DHR at 3 months (p = 0.047). At the end of rehabilitation, a greater proportion of the DHR group showed a positive direction of change from their initial assessment with respect to therapist-rated clinical outcomes; however, a lower proportion of HBR patients showed a negative direction of change and, overall, median scores on the TOMs scales did not differ between the two groups. Fewer patients in the HBR group were admitted to hospital on any occasion over the 12-month observation period [18 (43%) versus 22 (52%)]; however, this difference was not statistically significant. The psychological well-being of patients' carers, measured at 3, 6 and 12 months, was unaffected by whether rehabilitation took place at day hospital or at home. As the primary outcome measure and EQ-5D(index) scores at 6 months showed no significant differences between the two arms of the trial, a cost-minimisation analysis was undertaken. Neither the public costs nor the total costs at the 6-month follow-up point (an average of 213 days' total follow-up) or the 12-month follow-up point (an average of 395 days' total follow-up) were significantly different between the groups.Compared with DHR, providing rehabilitation in patients' own homes confers no particular disadvantage for patients and carers. The cost of providing HBR does not appear to be significantly different from that of providing DHR. Rehabilitation providers and purchasers need to consider the place of care in the light of local needs, to provide the benefits of both kinds of services. Caution is required when interpreting the results of the RCT because a large proportion of potentially eligible subjects were not recruited to the trial, the required sample size was not achieved and there was a relatively large loss to follow-up.Current Controlled Trials ISRCTN71801032." @default.
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• W2025647524 date "2009-08-01" @default.
• W2025647524 modified "2023-10-17" @default.
• W2025647524 title "Rehabilitation of older patients: day hospital compared with rehabilitation at home. A randomised controlled trial" @default.
• W2025647524 cites W128825967 @default.
• W2025647524 cites W131464745 @default.
• W2025647524 cites W14052386 @default.
• W2025647524 cites W1488603340 @default.
• W2025647524 cites W1501619595 @default.
• W2025647524 cites W1510386142 @default.
• W2025647524 cites W1521266957 @default.
• W2025647524 cites W1524506629 @default.
• W2025647524 cites W1541080151 @default.
• W2025647524 cites W1559018917 @default.
• W2025647524 cites W1563506882 @default.
• W2025647524 cites W1571272128 @default.
• W2025647524 cites W1595046345 @default.
• W2025647524 cites W1597871827 @default.
• W2025647524 cites W1642866390 @default.
• W2025647524 cites W1695923532 @default.
• W2025647524 cites W184756754 @default.
• W2025647524 cites W1964443988 @default.
• W2025647524 cites W1966444218 @default.
• W2025647524 cites W1966897685 @default.
• W2025647524 cites W1968106809 @default.
• W2025647524 cites W1968133476 @default.
• W2025647524 cites W1969006368 @default.
• W2025647524 cites W1969043607 @default.
• W2025647524 cites W1970616811 @default.
• W2025647524 cites W1972203198 @default.
• W2025647524 cites W1973185874 @default.
• W2025647524 cites W1973885488 @default.
• W2025647524 cites W1977079297 @default.
• W2025647524 cites W1981501248 @default.
• W2025647524 cites W1982037168 @default.
• W2025647524 cites W1984386330 @default.
• W2025647524 cites W1986348763 @default.
• W2025647524 cites W1987138256 @default.
• W2025647524 cites W1988516867 @default.
• W2025647524 cites W1989163567 @default.
• W2025647524 cites W1991216993 @default.
• W2025647524 cites W1992254924 @default.
• W2025647524 cites W1993282245 @default.
• W2025647524 cites W1993553202 @default.
• W2025647524 cites W1994032445 @default.
• W2025647524 cites W1994394357 @default.
• W2025647524 cites W1995067043 @default.
• W2025647524 cites W1996151477 @default.
• W2025647524 cites W1996607042 @default.
• W2025647524 cites W1996784517 @default.
• W2025647524 cites W1998094270 @default.
• W2025647524 cites W1998343198 @default.
• W2025647524 cites W2001597243 @default.
• W2025647524 cites W2002600726 @default.
• W2025647524 cites W2006280481 @default.
• W2025647524 cites W2007476930 @default.
• W2025647524 cites W2008577611 @default.
• W2025647524 cites W2010109270 @default.
• W2025647524 cites W2012670493 @default.
• W2025647524 cites W2013504325 @default.
• W2025647524 cites W2014979672 @default.
• W2025647524 cites W2019219799 @default.
• W2025647524 cites W2020628724 @default.
• W2025647524 cites W2022676685 @default.
• W2025647524 cites W2022950741 @default.
• W2025647524 cites W2025271445 @default.
• W2025647524 cites W2027666532 @default.
• W2025647524 cites W2027904579 @default.
• W2025647524 cites W2028479357 @default.
• W2025647524 cites W2032601178 @default.
• W2025647524 cites W2033257301 @default.
• W2025647524 cites W2033597965 @default.
• W2025647524 cites W2033875888 @default.
• W2025647524 cites W2037284963 @default.
• W2025647524 cites W2038243754 @default.
• W2025647524 cites W2040124597 @default.
• W2025647524 cites W2040560891 @default.
• W2025647524 cites W2040917948 @default.
• W2025647524 cites W2041643208 @default.
• W2025647524 cites W2041934298 @default.
• W2025647524 cites W2042004314 @default.
• W2025647524 cites W2042415429 @default.

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