Kennedy, Fiona and Ní Cheallaigh, Clíona and Romero-Ortuno, Roman and Murray, Denis and Broderick, Julie (2025) Acceptability and utility of a broad test battery to evaluate physical functioning and frailty in community-based settings for people experiencing homelessness and addiction-Findings from the LEAP trials. Physiotherapy, 126, 101449. https://doi.org/10.1016/j.physio.2024.101449.
BACKGROUND: Physical function deficits and frailty are commonly reported in people experiencing homelessness and addiction. Typically, geriatric, or general physical performance measures are employed to evaluate these constructs.
OBJECTIVES AND SETTING: We aimed to investigate the feasibility of a broad test battery to evaluate physical functioning and frailty in a non-geriatric community-based population of people experiencing homelessness and addiction.
DESIGN AND METHODS: Physical function and the presence of frailty was evaluated using combined data from two linked low-threshold exercise pre-post intervention studies (LEAP-I and II).
PARTICIPANTS: Seventy-four participants attending an open-access day-service centre (18 to 65 years) were evaluated. Participants with acute confusion or behavioural issues, or major medical conditions precluding safe participation were excluded.
INTERVENTION: A broad test battery was performed which evaluated physical functioning and frailty.
MAIN OUTCOME MEASURES: Outcome measures included were the Short Physical Performance Battery, Single Leg Stance, Chair Stand Test, 10mWT and 2 Minute Walk Tests, limb circumference, dynamometry, Clinical Frailty Scale, SHARE-Frailty Instrument, Numerical Pain Rating Scale and Short Form-12.
RESULTS: Test completion was 100% for all outcomes except pain rating (81% and 79% for LEAP-I and II, respectively), and balance and walking tests (95% and 93% in LEAP-II). A ceiling effect was detected for the Short Physical Performance Battery.
CONCLUSION: High feasibility of the test batteries was demonstrated. An optimised test battery was proposed based on findings. This has important implications for clinicians working in inclusion health settings.
B Substances > Substances in general
G Health and disease > Substance use disorder (addiction)
HJ Treatment or recovery method > Recreation therapy (bibliotherapy, music, dance, drama, play, art, sport, exercise)
J Health care, prevention, harm reduction and treatment > Treatment and maintenance > Treatment factors
L Social psychology and related concepts > Life circumstances
MA-ML Social science, culture and community > Social condition > Homelessness
T Demographic characteristics > Homeless / unhoused person
VA Geographic area > Europe > Ireland
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