ASSIST 1.0 an Intervention Program Addressing Reablement Services

NCT ID: NCT03505619

Last Updated: 2020-09-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-11-01
• Study Completion Date: 2020-03-02

Brief Summary

Reablement holds a potential to become a new rehabilitation model and has been implemented in some western countries including Norway and Denmark. At present, there is a lack of scientific evidence for the effectiveness of reablement and lack of an explicit theoretical underpinning, leading to a gap in knowledge. Trends show, however, that reablement is beneficial for the person and their significant others, increasing quality of life. There is a need for further investigation of the effects among community-dwelling adults in terms of clinical and economic outcomes. This research project will investigate the effectiveness of reablement including smart products (digitally based) (ASSIST) to facilitate and manage reablement services in home-dwelling adults compared with standard home help services in terms of daily activities, physical functioning, health-related quality of life, coping, mental health, use of health care services, and costs.

Methods and analysis: This feasibility study will evaluate the perceived value and acceptability of ASSIST 1.0 intervention program as the fidelity, reach and dose, and potential outcomes by using a pre-post test design involving an intervention group and a control group (n=30). All participants will be living at home and with a need of home care services. Qualitative interviews among home care providers delivering ASSIST and older adults and their significant others receiving the intervention will be conducted to explore aspects affecting the intervention.

Ethics and dissemination: The results will form the base for refinement of the "ASSIST" program and planning of a large-scale randomized, controlled trial investigating the effect of the program on quality of life as physical health, mental well-being, conditions for social community when focusing on supporting the older person's to meaningful everyday life. Dissemination will include peer-reviewed publications and presentations at national and international conferences.

Conditions

Older Adults; Participation

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

ASSIST 1.0

A ten-week intervention program using a person-centred approach to support the older person to set up goals to perform daily activities that he/she wants or needs to do. The activity goals will target improvements in quality of life, physical health, mental well-being, and conditions for social community. The focus will be on supporting the older person's activities in everyday life that are considered meaningful for the individual. During the intervention, a specially designed application will send reminders and feedback related to the older adults' activity goals of doing their prioritized everyday activities both to the older adults and to the home care providers via mobile phones, tablet etc. The home care providers will participate in coaching sessions supporting the intervention held by the team of researchers.

Group Type: EXPERIMENTAL

ASSIST 1.0

Intervention Type: BEHAVIORAL

10 weeks intervention applying a person-centred approach by using goal setting and smart products.

Ordinary home care services

The home care providers in the control group (CG) will provide services as usual to older adults participating in the control group. They will however, identify potential older persons to participate in the control group according to the same procedure and criteria as the intervention group.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

ASSIST 1.0

10 weeks intervention applying a person-centred approach by using goal setting and smart products.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• ≥65 years or older and live at home,
• home care has been granted and the user is deemed not to need home rehabilitation performed by rehabilitation staff,
• two or more identified challenges in everyday activities that can benefit from everyday rehabilitation,
• are able to understand and express themselves in Swedish.

Exclusion Criteria

• have cognitive limitations that make reablement unappropriate,
• in need of care in institutional dwelling or are terminally ill ,
• the older adults have had home help services more than three years.

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Karolinska Institutet

OTHER

Sponsor Role: lead

Responsible Party

Susanne Guidetti

Principal Investigator, PhD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Lena Borell, professor

Role: STUDY_CHAIR

Karolinska Institutet

Locations

Stockholms Äldre förvaltning

Stockholm, , Sweden

Countries

Sweden

References

Assander S, Bergstrom A, Eriksson C, Meijer S, Guidetti S. ASSIST: a reablement program for older adults in Sweden - a feasibility study. BMC Geriatr. 2022 Jul 26;22(1):618. doi: 10.1186/s12877-022-03185-2.

Reference Type: DERIVED

PMID: 35879678 (View on PubMed)

Bergstrom A, Borell L, Meijer S, Guidetti S. Evaluation of an intervention addressing a reablement programme for older, community-dwelling persons in Sweden (ASSIST 1.0): a protocol for a feasibility study. BMJ Open. 2019 Jul 24;9(7):e025870. doi: 10.1136/bmjopen-2018-025870.

Reference Type: DERIVED

PMID: 31345964 (View on PubMed)

Other Identifiers

ASSIST 1.0

Identifier Type: -

Identifier Source: org_study_id