Randomised trial of restorative home care for frail older people in New Zealand
Evidence & Practice    

Randomised trial of restorative home care for frail older people in New Zealand

Matthew Parsons Clinical chair in gerontology, School of Nursing, University of Auckland, New Zealand
Hugh Senior Senior lecturer, Massey University – Albany Campus, New Zealand
Ngaire Kerse Professor of primary care, University of Auckland, New Zealand
Mei-hua Chen Biostatistician, University of Auckland, New Zealand
Stephen Jacobs Senior lecturer, University of Auckland, New Zealand
Craig Anderson Director, Neurological and Mental Health Division, George Institute for International Health, University of Sydney, Australia
Aim

To establish the effectiveness of a restorative home support service on institutional-free survival in frail older people referred for needs assessment.

Method

A randomised controlled trial of Community Flexible Integrated Responsive Support Team versus usual care in 113 older people at risk of institutionalisation in New Zealand. Primary outcome was death or permanent institutional care evaluated in a Cox proportional hazards model adjusted for baseline prognostic variables. A variety of secondary outcomes including the health of informal caregivers were also evaluated.

Results

The primary outcome was lower, but not statistically significant, in the intervention group (adjusted hazard ratio 0.69, 95% confidence interval 0.4 to 1.16). Informal caregivers of interventional participants had significantly better physical and mental component scores on the 36-item Short-Form questionnaire.

Conclusion

Restorative home support may reduce the risk of death and institutionalisation in frail older people without affecting the health of informal caregivers.

Nursing Older People. doi: 10.7748/nop.2017.e897

Correspondence

m.parsons@auckland.ac.nz

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Received: 14 November 2016

Accepted: 10 July 2017

Published online: 07 August 2017