Study Results
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View full resultsBasic Information
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COMPLETED
NA
47 participants
INTERVENTIONAL
2022-10-06
2025-03-15
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Experimental arm
Research participants in this arm will receive the ADL-enhanced program and usual home health care rehabilitation. The ADL-enhanced program consists of six home visits delivered by a study occupational therapist.
ADL-enhanced program
The ADL-enhanced program consists of six home visits delivered by a study occupational therapy staff. The study therapy staff will use the compensatory approach and the restorative approach during the visits to enhance patients' activity engagement. The compensatory approach uses strategies to reduce the activity demand to make every task easier. For example, using the sitting position to perform self-care tasks. The restorative approach uses strategies to increase the demand of the task to increase the patient's functional capacity. For example, carrying a full-load laundry basket versus an empty laundry basket.
Usual home health rehabilitation therapy
Usual home health rehabilitation therapy is prescribed by the home health agency. It often includes occupational therapy and physical therapy delivered in one to three home visits per week for one to two months.
Control arm
Research participants in this arm will receive usual home health care rehabilitation.
Usual home health rehabilitation therapy
Usual home health rehabilitation therapy is prescribed by the home health agency. It often includes occupational therapy and physical therapy delivered in one to three home visits per week for one to two months.
Interventions
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ADL-enhanced program
The ADL-enhanced program consists of six home visits delivered by a study occupational therapy staff. The study therapy staff will use the compensatory approach and the restorative approach during the visits to enhance patients' activity engagement. The compensatory approach uses strategies to reduce the activity demand to make every task easier. For example, using the sitting position to perform self-care tasks. The restorative approach uses strategies to increase the demand of the task to increase the patient's functional capacity. For example, carrying a full-load laundry basket versus an empty laundry basket.
Usual home health rehabilitation therapy
Usual home health rehabilitation therapy is prescribed by the home health agency. It often includes occupational therapy and physical therapy delivered in one to three home visits per week for one to two months.
Eligibility Criteria
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Inclusion Criteria
* are Medicare beneficiaries
* are referred for skilled rehabilitation services at the partnered home health agency
* have three or more comorbidities
Patients are ineligible if they have
* acute fractures with surgical or weight-bearing restrictions,
* elective joint replacement surgery
* lower-extremity amputation
* active treatment for cancer diagnosis
* ongoing dialysis treatment
* acute cardiac surgery,
* acute stroke or a major neurologic disorder limiting motor movements
* terminal stage of congestive heart failure
* a referral to hospice care
* severe cognitive deficits limiting verbal communication.
65 Years
100 Years
ALL
No
Sponsors
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National Institute on Aging (NIA)
NIH
University of Florida
OTHER
Responsible Party
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Principal Investigators
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Chiung-ju Liu, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Florida
Locations
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University of Florida
Gainesville, Florida, United States
Countries
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Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Document Type: Informed Consent Form
Other Identifiers
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IRB202102816 -N
Identifier Type: -
Identifier Source: org_study_id
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