Stimulating Engagement in Daily and Physical Activities Among Older Adults Receiving Homecare Services (Part of Basic Care Revisited)

Study Overview
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Brief Summary
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Most older adults want to stay at home for as long as possible. To reach this aim it is important to maintain their mobility and self-care abilities. However, many older adults are at risk to lose their abilities, as they have an inactive lifestyle. In this study, homecare professionals learn to motivate their clients to be more active in daily and physical activities. Examples of these activities are washing and dressing, household chores or going for a walk. The primary aim of this exploratory study is to evaluate the implementation of the 'Stay Active at Home' program (process evaluation). The secondary aim is to get insight into the potential effectiveness of the program with regard to several primary and secondary outcomes measures (effect evaluation). The tertiary aim is to test the feasibility of the proposed study design.

Official Title
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Stimulating Engagement in Daily and Physical Activities Among Older Adults Receiving Homecare Services: An Exploratory Trial (Part of Basic Care Revisited)

Conditions
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Community-dwelling Older Adults

Intervention / Treatment
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* Behavioral: Stay Active at Home
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥65 years Community-dwelling Indication for homecare ≥10 hours sedentary behaviour/day (measured with LASA vragenlijst questionnaire) Written informed consent Exclusion Criteria: Terminal Serious cognitive or psychological problems Not able to speak Dutch

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stay Active at Home<br>One group of homecare professionals receives a training programme. In this training they learn to motivate their clients to be more active in daily and physical activities. | Behavioral: Stay Active at Home<br>* Stay Active at Home' aims to change the behaviour of community nurses and domestic support workers by offering them an intensive training programme. Subsequently, professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.<br>|
| Active Comparator: Usual care<br>Second group of homecare professionals will get no training and their clients will receive usual homecare. | Other: Usual care<br>* Homecare professionals will get no training and their clients will receive usual homecare.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Short Physical Performance Battery (older adults) |  | after 6 months | 
| Groningen Activity Restriction Scale (older adults) |  | after 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Health Questionnaire-9 (older adults) |  | baseline, after 6 and 9 months | 
| EQ-5D-5L (older adults) |  | baseline, after 6 and 9 months | 
| Healthcare utilisation questionnaire (older adults) |  | baseline, after 6 and 9 months | 
| Self-efficacy and outcome expectation questionnaire (older adults and professionals) |  | baseline, after 6 and 9 months | 
| Satisfaction with care, 1 item CQ index (older adults) |  | baseline, after 6 and 9 months | 
| Falls, 1 item 'How often did you fall during the ... months?' (older adults) |  | baseline, after 6 and 9 months | 
| LASA sedentary behaviour questionnaire (older adults) |  | baseline, after 6 and 9 months | 
| Physical activity (actigraph, counts/minute, subsample older adults) |  | baseline, after 6 and 9 months |