The Effectiveness of Reablement in Home Dwelling Older Adults. A Randomized Controlled Trial
NCT ID: NCT02043262
Last Updated: 2016-06-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
61 participants
INTERVENTIONAL
2012-05-31
2016-06-30
Brief Summary
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Detailed Description
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The study will be conducted in the municipality of Voss in Western Norway, a municipality with only 14000 inhabitants. It is a double-blinded, block-randomized controlled intervention trial, recruiting home-dwelling older adults with an initial functional decline in daily activities. The intervention is intensive, multidisciplinary, home-based rehabilitation given by home-trainers, under supervision from an occupational therapist or a physiotherapist. The control intervention is standard home-based treatment and care.
Thirty participants will be recruited in each arm of the study. The participants will be assessed at baseline, and at 3-, and 9 months follow-up. Primary outcomes will be participation, activity, and municipal expenditures. Costs are generated by the working hours of the different professions. Hence, there will be a daily registration of the working hours different health care professions spend in the private homes of the participants.
Power calculations based on study with a similar target group using the instrument Canadian Occupational Performance Measure, estimate a need for only 21 participants in each group due to the longitudinal design. However, in order to account for possibilities of frailer target group or a large drop out rate (40 %), a total number of 30 participants in each group will be tried recruited. Data analyses will be performed according to intention to treat. The working hour data is panel data and will be analyzed accordingly; a random or a mixed effect regression model will be employed. Also, descriptive statistics and simpler tests will be carried out.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Reablement
Reablement is an intensive, multidisciplinary, client-centered, home-based type of rehabilitation, where ordinary activities of daily living are used for rehabilitative purposes. It is a rehabilitation alternative that may be offered to older adults, although there is no lower age limit. An occupational therapist and physical therapist, or nurse, constitutes the key personal, while home helpers, assistants and others with lower education, are the ones who work rehabilitative with the older person on a daily basis focusing on self-help.
Reablement
The intervention deals with improving function in daily activities the person defines as important in the areas of self-care, productivity and leisure.
Standard treatment
This arm consists of the standard treatment home-dwelling elderly persons receive when applying for home-based help. Some elderly may receive home-based nursing or home help services assisting them in daily activities, while others may receive occupational therapy or physical therapy measures for rehabilitative purposes.
Standard treatment
The control intervention is standard home-based treatment/care in Norway.
Interventions
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Reablement
The intervention deals with improving function in daily activities the person defines as important in the areas of self-care, productivity and leisure.
Standard treatment
The control intervention is standard home-based treatment/care in Norway.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Applicant of home-based services
* Above 18 years old
* Functional decline in at least one activity
* Able to understand written and oral Norwegian
Exclusion Criteria
* Terminal ill
* Being assessed as needing nursing home placement
* Being assessed as needing institution-based rehabilitation
18 Years
ALL
No
Sponsors
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University of Bergen
OTHER
Diakonhjemmet Hospital
OTHER
Frode F. Jacobsen
OTHER
Responsible Party
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Frode F. Jacobsen
Professor
Principal Investigators
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Frode Fa Jacobsen, PhD
Role: STUDY_CHAIR
Bergen University College
Locations
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Bergen University College
Bergen, , Norway
Municpality of Voss
Bergen, , Norway
Countries
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References
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Tuntland H, Aaslund MK, Espehaug B, Forland O, Kjeken I. Reablement in community-dwelling older adults: a randomised controlled trial. BMC Geriatr. 2015 Nov 4;15:145. doi: 10.1186/s12877-015-0142-9.
Tuntland H, Espehaug B, Forland O, Hole AD, Kjerstad E, Kjeken I. Reablement in community-dwelling adults: study protocol for a randomised controlled trial. BMC Geriatr. 2014 Dec 18;14:139. doi: 10.1186/1471-2318-14-139.
Related Links
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Published cost-effectiveness study
Other Identifiers
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2012/295
Identifier Type: -
Identifier Source: org_study_id
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