Table 2 Description of intervention and comparator using TIDieR
Rehabilitation for life | Usual rehabilitation and care | |
|---|---|---|
Why | Continuous and progressive rehabilitation as well as early detection of critical illness and complication during and after hospitalisation will improve the older adults’ physical performance and decrease mortality. Knowledge empowers older adults and facilitates a change in mindset among health professionals. | Activity-based rehabilitation restore and maintain the activities of daily living. Older adults’ need to regain functions creates motivation. |
What | 25 rehabilitation sessions with a physiotherapist over 12 weeks of these 5 within 2 weeks from discharge are planned. A virtual meeting between physiotherapist in the primary and secondary sectors and older adults is conducted in the 2 rehabilitation sessions after discharge. The suitcase contains knowledge and equipment the older adults need to take responsibility and perform daily exercises. Health professionals participate in a workshop. Early detection of critical illness and complications performed day 3 after discharge. | Older adults’ general amount of rehabilitation is approximately 1–2 rehabilitation sessions a week for 6–8 weeks. Care has to be prescribed. |
Who provide | Physiotherapists, nurses, and social- and health assistants. | Physiotherapists, nurses, and social- and health assistants. |
How | Face to face, virtual meetings, and app | Face to face. |
Where | Ortho-geriatric ward, the patients’ home, and in the rehabilitation centres. | Ortho-geriatric ward, the patients’ home, and in the rehabilitation centres. |
When and how much | Weeks 1–2 after discharge: - Five training sessions with a physiotherapist, duration up to 60 min. -One virtual meeting duration 30 min. -Vial measurements, duration up to 45 min. If necessary, one follow-up meeting with the municipal emergency nurse assessment, duration up to 45 min. Week 3 to week 12 after discharge: 2 weekly rehabilitation session with a duration up to 45 min is planned. | During admission: rehabilitation in the ortho-geriatric consist of a daily session with a physiotherapist duration of 30 min. Week 1 after discharge: -1 rehabilitation session duration up to 45 min. Weeks 2–8 after discharge: -1 or 2 weekly sessions of rehabilitation duration 45 min. |
Tailoring | Patients with a CAS score ≥ 4 receive rehabilitation at a rehabilitation centre. Progression follows the national guidelines [7]. | The patients rehabilitate at home or at a rehabilitation centre, pending on an individual assessment. |