Effect of Community-based Reablement

Study Overview
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Brief Summary
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This study aims o investigate the effect of a diversified community-based reablement on motor function, cognitive function, performance in activities of daily living (ADL), and physical performance of older people living in remote areas. Older adults who are mobile but unstable were recruited from 6 public elderly day care centers in remote areas of the New Taipei City. Experimental group received a 10-wk diversified community-based reablement service including group exercise, cognitive training, health education for 1.5 hours, and individualized reablement for 1.0 hour, while control group received 1.5-hr group intervention and 1.0-hr placebo intervention. The de Morton Mobility Index (DEMMI), Saint Louis Mental Status Examination (SLUMS), Barthel Index (BI), Canadian Occupational Performance Measure (COPM), and the Short Physical Performance Battery (SPPB) including balance, gait speed, chair stand tests were evaluated twice before and after interventions. The results of the current study are expected to provide evidence in supporting a novel and diversified community-based reablement in remote areas.

Official Title
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The Effect of Community-based Reablement in Remote Areas

Conditions
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Long Term Care

Intervention / Treatment
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* Other: community-based reablement service
* Other: multicomponent training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: living in community and participating in public elderly day care centers in remote areas of the New Taipei City speaking with Chinese or Taiwanese DEMMI score of 39-67 Exclusion Criteria: diagnosed with moderate or severe cognitive impairment (CDR score of 2 or above) unable to understand or follow one step instruction

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>Experimental group receive a 10-wk diversified community-based reablement service. | Other: community-based reablement service<br>* Experimental group receive a 10-wk diversified community-based reablement service including group exercise, cognitive training, health education for 1.5 hours, and individualized reablement for 1.0 hour.<br>|
| Active Comparator: Control group<br>Control group receive a 10-wk multicomponent training. | Other: multicomponent training<br>* control group receive a 10-wk multicomponent training including 1.5-hr group intervention (group exercise, cognitive training, and health education) and 1.0-hr placebo intervention.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in mobility function | de Morton Mobility Index (DEMMI) | baseline and 10 weeks | 
| Change in cognitive function | Saint Louis Mental Status Examination (SLUMS) | baseline and 10 weeks | 
| Change in performance in activities of daily living | Barthel Index (BI) | baseline and 10 weeks | 
| Change in occupational performance | Canadian Occupational Performance Measure (COPM) | baseline and 10 weeks | 
| Change in physical performance | Short Physical Performance Battery (SPPB) | baseline and 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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reablement, community