Implementation and effects of Movement-oriented Restorative Care in a nursing home - a quasi-experimental study

Marinda Henskens*, Ilse M. Nauta, Erik J.A. Scherder, Frits G.J. Oosterveld, Susan Vrijkotte

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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Abstract

Abstract
Background: The prevalence of dementia is expected to increase rapidly, and institutionalization is a common
consequence of the disease. Dependence in activities of daily living (ADL) is a predictor for institutionalization and
a determinant for the quality of life (QoL). A promising method to increase functional independence in nursing
homes is a restorative care or function focused care (FFC) approach. Movement-oriented restorative care (MRC) is
derived from the concept of FFC and restorative care and focuses on the integration of physical activity in
the daily lives of nursing home residents with dementia using a multidisciplinary approach. The objective of
this study was to assess the effectiveness of MRC in preservation of ADL independence and QoL in nursing
home residents with dementia.
Methods: In this quasi-experimental 12-month study, the effects of MRC were compared to care as usual in 61
nursing home residents with moderate to severe dementia. The outcome measures were ADL independence and QoL.
These outcomes were measured five times (i.e. at baseline, and after 3, 6, 9, and 12 months). Additionally, data was
collected regarding the degree of implementation, and the barriers to the implementation process. The effect of the
intervention was analyzed using linear mixed model analyses.
Results: There was no significant overall intervention effect on ADL independence and QoL. A significant group-bytime
interaction was found for the QoL subscale positive self-image: after a 12 month intervention period, the MRC
group scored significantly better than the control group on positive self-image. Regarding the other subscales and the
total score of the QoL, as well as ADL, no significant group-by-time interactions were found.
Conclusions: MRC did not demonstrate significant improvements in ADL or QoL. After a 12-month intervention
period, residents who received MRC showed higher scores on positive self-image compared to the control group. This
study contributes to the limited research regarding the effect of MRC on resident outcomes. Further large-scale studies
are recommended.
Trial registration: The trial was retrospectively registered in http://clinicaltrials.gov on February 2, 2017: NCT03001232.
Keywords: Dementia, Movement, Quality of life, Activities of daily living, Institutionalization
Original languageEnglish
Article number243
Pages (from-to)1-11
Number of pages11
JournalBMC Geriatrics
Volume17
DOIs
Publication statusPublished - 23 Oct 2017

Keywords

  • Activities of daily living
  • Dementia
  • Institutionalization
  • Movement
  • Quality of life

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