Baseline | 6 Months | Difference between needs identified at discharge and levels of service received during the first 6 months | 12 Months | Difference in level of services received during the 1st and 2nd 6-month periods | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Missing | Mean (SD) | Mean (SD) | Mean difference | 95% CI | p Value | Effect size* | Missing | Mean (SD) | Mean difference | 95% CI | p Value | Effect size* | |
NPCS | Needs | Gets at 6 months | Gets at 12 months | ||||||||||
Health and personal care domain | |||||||||||||
Health | 2 | 2.3 (1.5) | 2.4 (1.7) | 0.04 | −0.3 to 0.4 | 0.81 | 0.03 | 2 | 2.2 (1.6) | −0.1 | −0.4 to 0.1 | 0.25 | 0.06 |
Personal care | 7 | 3.7 (2.7) | 3.6 (2.6) | 0.02 | −0.4 to 0.5 | 0.92 | 0.01 | 8 | 3.3 (2.6) | −0.4 | −0.7 to 0.1 | 0.02 | 0.15 |
Rehabilitation | 5 | 5.3 (1.9) | 3.6 (2.0) | −1.7 | −2.1 to −1.3 | <0.001 | 0.89 | 8 | 2.9 (2.2) | −0.8 | −1.2 to −0.5 | <0.001 | 0.40 |
Total | 13 | 11.4 (4.2) | 9.5 (4.7) | −1.6 | −2.5 to −0.8 | <0.001 | 0.38 | 16 | 8.4 (4.9) | −1.4 | −2.0 to −0.8 | <0.001 | 0.30 |
Social care and support domain | |||||||||||||
Social support | 12 | 2.8 (2.6) | 1.6 (2.0) | −1.2 | −1.7 to −0.7 | <0.001 | 0.46 | 15 | 1.2 (1.7) | −0.4 | −0.7 to −0.1 | 0.005 | 0.20 |
Equipment | 4 | 1.2 (0.9) | 0.8 (0.8) | −0.4 | −0.6 to −0.2 | <0.001 | 0.44 | 6 | 0.6 (0.8) | −0.2 | −0.4 to −0.1 | 0.004 | 0.25 |
Accommodation | 2 | 1.6 (1.9) | 1.8 (2.0) | 0.2 | −0.1 to 0.5 | 0.16 | 0.11 | 2 | 1.9 (1.9) | 0.1 | −0.1 to 0.4 | 0.23 | 0.05 |
Total | 14 | 5.6 (4.0) | 4.1 (3.2) | −1.5 | −2.2 to −0.9 | 0.07 | 0.37 | 18 | 3.8 (3.2) | −0.4 | −0.8 to 0.0 | 0.06 | 0.13 |
Total needs and provision | |||||||||||||
Total | 22 | 16.8 (7.6) | 13.7 (6.9) | −3.1 | −4.3 to −1.8 | <0.001 | 0.41 | 29 | 12.1 (7.1) | −1.9 | −2.7 to −1.1 | <0.001 | 0.27 |
Outcome measures (total scores) | |||||||||||||
Dependency (NPDS) | 0 | 12.8 (13.3) | 12.4 (14.4) | −0.4 | −1.6 to 0.8 | 0.51 | 0.03 | 0 | 11.4 (13.5) | −1.0 | −1.9 to 0.0 | 0.05 | 0.07 |
Integration (CIQ) | 24 | 12.3 (4.9) | 11.4 (5.6) | −1.0 | −1.7 to 0.2 | 0.01 | 0.22 | 21 | 12.4 (5.7) | 0.9 | −0.4 to 1.5 | 0.002 | 0.16 |
Carer burden (ZBI) | 53† | 23.7 (17.1) | 24.1 (17.2) | 0.4 | −2.1 to 2.9 | 0.75 | 0.06 | 55† | 25.3 (18.1) | 1.5 | −0.5 to 3.5 | 0.15 | 0.09 |
*Effect sizes for the first 6 months were calculated as mean difference/SD baseline and for the second 6 months: mean difference/SD at 6 months
†Carer burden scores were only recorded where a family carer was involved.
CIQ, Community Integration Questionnaire; NPCS, Needs and Provision Complexity Scale; NPDS, Northwick Park Dependency Scale; ZBI, Zarit Care Burden Interview.
Significant p values (tested by paired t tests) are highlighted in bold.