Development of a Care Program and an Educational Tool for the improvement of Independence for Elderly Persons with Mild Care Assistance Needs

为了确定护理计划在提高需要低水平长期护理（包括支持水平1，支持水平2和护理水平1）的老年人的独立性方面的有效性，我们在家中接受基本护理援助的老年人中进行了一项随机对照试验。研究结果表明，干预组和对照组的ADL和IADL功能状态变化无显著性差异。但日常生活活动能力改变频繁的老年人组中，日常生活活动能力和日常生活活动能力保持或改善的老年人多于未改变的老年人。这一发现表明，支持老年人积极改变他们的行为可能会对改善或保持老年人的独立性产生影响。

To identify the effectiveness of a care program in improving the independence of elderly people requiring low-level long-term care(including the support level1, support level 2 and care level1), we conducted a randomized controlled trial among elderly people who receiving basic care assistance at home. The result of the study shows that there was no significant difference in changes of functional(ADL and IADL) status between intervention and control group. However, there were more elderly people who kept or improved their ADLs and IADLs functions in the group of elderly who changed more frequently performance of activity in daily living compared to the non-changed group. This finding indicates that support elderly people to change their behavior positively might have an impact on improving or keeping elderly independence.