Overview

This trial is active, not recruiting.

Condition physical disability
Treatments reablement, standard treatment
Sponsor Frode F. Jacobsen
Collaborator University of Oslo
Start date April 2014
End date December 2015
Trial size 500 participants
Trial identifier NCT02273934, EL-123-REHAB

Summary

The purpose of this study is to determine whether a special kind of rehabilitation offered to home-dwelling adults is effective with regards to functional ability, health-related quality of life, coping, mental health and municipal costs.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Intervention model parallel assignment
Masking open label
Primary purpose treatment
Arm
(Experimental)
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 Hverdagsrehabilitering
The intervention deals with improving function in daily activities the person defines as important in the areas of self-care, productivity and leisure.
(Active Comparator)
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 Usual care
The control intervention is standard home-based treatment/care in Norway.

Primary Outcomes

Measure
Change in score in Canadian Occupational Performance Measure
time frame: Baseline, 10 weeks, 6 months and 12 months

Secondary Outcomes

Measure
Expenditure
time frame: Weekly from baseline to 6 months
Short Physical Performance Battery
time frame: Baseline, 10 weeks, 6 months and 12 months

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: - Home-dwelling person - 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: - Cognitive disability - Terminal ill - Being assessed as needing nursing home placement - Being assessed as needing institution-based rehabilitation

Additional Information

Official title The Effectiveness of Reablement in Home Dwelling Adults. A Quasi Experimental Trial
Description Health promotion and prevention of functional decline among home dwelling adults and immediate onset of rehabilitation, can improve function, and reduce or delay need for home-based assistance and institution placement. In the coming years there will be a significant increase in number of persons in Norway that need interventions aiming at coping with everyday activities. Therefore there is a call for new models for early intervention and rehabilitation in order to give service to a larger amount of home living people. Reablement is a new and promising rehabilitation model which many Norwegian municipalities are implementing in order to meet current and future needs for municipal home-based services. However, very little research has been performed regarding the effectiveness of this intervention. This study aims at assessing the effectiveness of reablement in terms of daily functioning, health-related quality of life, coping, mental health and economic municipal costs. 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.
Trial information was received from ClinicalTrials.gov and was last updated in November 2015.
Information provided to ClinicalTrials.gov by Bergen University College.