The Effectiveness of Reablement in Home Dwelling Adults
NCT ID: NCT02273934
Last Updated: 2015-11-18
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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UNKNOWN
NA
500 participants
INTERVENTIONAL
2014-04-30
2015-12-31
Brief Summary
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Detailed Description
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The study will be conducted in 44 municipalities in Norway. It is a quasi-experimental intervention trial, recruiting home-dwelling 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, nurse or a physiotherapist. The control intervention is standard home-based treatment and care.
A total of approximately 750 participants will be recruited, including approximately 100 participants the control group. The participants will be assessed at baseline, and at 10 weeks ,6-, and 12 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 weekly registration of the working hours different health care professions spend in the private homes of the participants.
Data analyses will be performed according to intention to treat. Univariate analysis of covariance will be used to investigate differences between the groups from baseline to the end of intervention. 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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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
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 adults, and 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 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 Oslo
OTHER
University of Bergen
OTHER
Frode F. Jacobsen
OTHER
Responsible Party
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Frode F. Jacobsen
Professor
Principal Investigators
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Frode Jacobsen, PhD
Role: STUDY_CHAIR
Bergen University College
Locations
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Bergen University College
Bergen, Bergen, Norway
Countries
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References
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Langeland E, Tuntland H, Folkestad B, Forland O, Jacobsen FF, Kjeken I. A multicenter investigation of reablement in Norway: a clinical controlled trial. BMC Geriatr. 2019 Jan 30;19(1):29. doi: 10.1186/s12877-019-1038-x.
Langeland E, Tuntland H, Forland O, Aas E, Folkestad B, Jacobsen FF, Kjeken I. Study protocol for a multicenter investigation of reablement in Norway. BMC Geriatr. 2015 Sep 15;15:111. doi: 10.1186/s12877-015-0108-y.
Other Identifiers
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EL-123-REHAB
Identifier Type: -
Identifier Source: org_study_id