Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial

• Published in: BMC geriatrics 2024-01, Vol.24 (1), p.69-15, Article 69
• Main Authors: Abel, Bastian, Bongartz, Martin, Rapp, Kilian, Roigk, Patrick, Peiter, Janine, Metz, Brigitte, Finger, Benjamin, Büchele, Gisela, Wensing, Michel, Roth, Catharina, Schmidberger, Oliver, König, Hans-Helmut, Gottschalk, Sophie, Dams, Judith, Deuster, Oliver, Immel, Désirée, Micol, William, Bauer, Jürgen M, Benzinger, Petra
• Format: Article
• Language: English
• Subjects: Activities of daily living; Aged; Aged patients; Aged, 80 and over; Aging; Analysis; Batteries; Care and treatment; Clinical trials; Collaboration; Counseling; Discharge; Discharge planning; Exercise; Exercise Therapy - methods; Geriatric patients; Geriatrics; Health aspects; Health care; Health care industry; Health care reform; Health insurance; Health insurance companies; Health services; Humans; Immunoglobulins; Independent Living - psychology; Inpatients; Intervention; Length of stay; Malnutrition; Medical technology; Mobility; Multicenter Studies as Topic; Muscles; Nutrition; Nutritional status; Older adults; Older people; Participation; Patient Discharge; Patients; Physical capacity; Physical fitness; Physical therapists; Physiological aspects; Primary care; Professionals; Quality of Life; Randomized Controlled Trials as Topic; Rehabilitation; Requirements; Social participation; Social workers; Study Protocol; Tablet; Telecommunications; Telemedicine; Therapists; Treatment Outcome
• ISSN: 1471-2318; 1471-2318
• DOI: 10.1186/s12877-023-04634-2

Geriatric rehabilitation aims to maintain the functional reserves of older adults in order to optimize social participation and prevent disability. After discharge from inpatient geriatric rehabilitation, patients are at high risk for decreased physical capacity, increased vulnerability, and limitations in mobility. As a result, ageing in place becomes uncertain for a plethora of patients after discharge from geriatric rehabilitation and effective strategies to prevent physical decline are required. Collaboration between different health-care providers is essential to improve continuity of care after discharge from inpatient geriatric rehabilitation. The aim of this study is to evaluate the effectiveness of a multi-professional home-based intervention program (GeRas) to improve functional capacity and social participation in older persons after discharge from inpatient geriatric rehabilitation. The study is a multicenter, three-arm, randomized controlled trial with a three-month intervention period. Two hundred and seventy community-dwelling older people receiving inpatient geriatric rehabilitation will be randomized with a 1:1:1 ratio to one of the parallel intervention groups (conventional IG or tablet IG) or the control group (CG). The participants of both IGs will receive a home-based physical exercise program supervised by physical therapists, a nutritional recommendation by a physician, and social counseling by social workers of the health insurance company. The collaboration between the health-care providers and management of participants will be realized within a cloud environment based on a telemedicine platform and supported by multi-professional case conferences. The CG will receive usual care, two short handouts on general health-related topics, and facultative lifestyle counseling with general recommendations for a healthy diet and active ageing. The primary outcomes will be the physical capacity measured by the Short Physical Performance Battery and social participation assessed by the modified Reintegration to Normal Living Index, three months after discharge. The GeRas program is designed to improve the collaboration between health-care providers in the transition from inpatient geriatric rehabilitation to outpatient settings. Compared to usual care, it is expected to improve physical capacity and participation in geriatric patients after discharge from inpatient geriatric rehabilitation. German Clinical Trials Register (DRKS00029559). Regi