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dc.contributor.authorHuson, Kelsey
dc.contributor.authorPearce, Nancy Jane Mae
dc.contributor.authorBradfield, Corrie
dc.contributor.authorHeckman, George A.
dc.contributor.authorStolee, Paul 14:37:02 (GMT) 14:37:02 (GMT)
dc.description.abstractBackground: The Hospital Elder Life Program (HELP) has been shown to effectively prevent delirium and functional decline in older patients in acute care, but has not been examined in a rehabilitation setting. This pilot study examined potential successes and implementation factors of the HELP in a post-acute rehabilitation hospital setting. Methods: A mixed methods (quantitative and qualitative) evaluation, incorporating a repeated measures design, was used. A total of 100 patients were enrolled; 58 on the pilot intervention unit and 42 on a usual care unit. Group comparisons were made using change scores (pre-post intervention) on outcome measures between pilot unit patients and usual care patients (separate analyses compared usual care patients with pilot unit patients who did or did not receive the HELP). Qualitative data were collected using focus group and individual interviews, and analyzed using emergent coding procedures. Results: Delirium prevalence reduced from 10.9 % (n = 6) to 2.5 % (n = 1) in the intervention group, while remaining the same in the usual care group (2.5 % at both measurement points). Those who received the HELP showed greater improvement on cognitive and functional outcomes, particularly short-term memory and recall, and a shorter average length of stay than patients who did not. Participant groups discussed perceived barriers, benefits, and recommendations for further implementation of the HELP in a rehabilitation setting. Conclusions: This study adds to the limited research on delirium and the effectiveness of the HELP in post-acute rehabilitation settings. The HELP was found to be feasible and have potential benefits for reduced delirium and improved outcomes among rehabilitation patients.en
dc.description.sponsorshipFunded in part by an Emerging Team Grant (ETG 92249) from the Canadian Institutes of Health Researchen
dc.publisherBioMed Centralen
dc.rightsAttribution 4.0 International*
dc.subjectHospital Elder Life Programen
dc.subjectMulticomponent Interventionen
dc.subjectOlder Patientsen
dc.subjectPrevent Deliriumen
dc.titleExamining the Hospital Elder Life Program in a rehabilitation setting: a pilot feasibility studyen
dcterms.bibliographicCitationHuson, K., Stolee, P., Pearce, N., Bradfield, C., & Heckman, G. A. (2016). Examining the Hospital Elder Life Program in a rehabilitation setting: a pilot feasibility study. Bmc Geriatrics, 16, 140.
uws.contributor.affiliation1Faculty of Applied Health Sciencesen
uws.contributor.affiliation2School of Public Health and Health Systemsen

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