Further work is needed to separate the effects, if possible, of neurocognitive improvement, mood state, treatment type, and treatment response.
Outcomes not examined in the current study, such as quality of life, functional improvement, mood and carer attitudes are all of definite clinical significance.
Here, noteworthy indications of good outcomes include higher rates of pain improvement, mood improvement, and lower levels of loneliness and distress – than those in Europe and the US.
The "Clinical Balance Quality Scale," is anchored on high rates of functional improvement at the sites, and in addition to functional items incorporates the following: bladder improvement, mood improvement, pain improvement, caregiver not distressed, and not alone and distressed.
The second factor, the one anchored on the functional improvement HC-QIs incorporated nine HC-QIs – ADL improvement, IADL improvement, cognitive improvement, communication improvement, bladder improvement, mood improvement, pain improvement, caregiver not distressed, and not alone and distressed.
Canadian program sites in our sample had a more mixed response, doing better in the areas of pain improvement, mood decline, and mood improvement, but worse in the areas of bladder decline, falls, and injuries.
