Clinical trial NCT05260476: The Effect of Reablement Service of Long-term Care on Physical Mobility and Quality of Life in Disable People
Official title: To Investigate the Effect of Rreablement Service of Long-term Care on Physical Mobility and Quality of Life in Disable People
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Reablement
Home Rehabilitation
Lead sponsor: Buddhist Tzu Chi General Hospital
Sponsor class: OTHER
First posted: 2022-03-02
Enrollment: 93
Sex: ALL
Minimum age (years): 50
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: * Aged from 50-90 years old
* The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.

Brief summary: The long-term care 2.0 policy has been launched at 2017 by Taiwanese government to respond the rate of aging population reached to14% and estimated to 20% in 2025, becoming a "super-aged society" in Taiwan. As aging society, the ratio of chronic disease and disability has reasonably raised. The home reablement and care of this policy are not only to prevent and delay disability but provide daily care for the elderly who needed. As the implementation of the policy, there is still insufficient research to investigate and compare the effects on physical mobility and quality of life among the individual after using these different types of the service. Therefore, the aim of the study is to compare the effects on physical function and quality of life of the frail and disabled individual with and without receiving the home reablement services.

The participants will be enrolled from the long-term care service units registered in local government at Hualien county, Taiwan. The recruited participants will be assigned to two groups in a convenient method (receiving and non-receiving the home reablement service). All participants will be assessed by a professional physical therapist at three time points, before the reablement, at 1-3 months after receiving the reablement, then follow-up after 3 months


Eligibility criteria: Inclusion Criteria:

* Aged from 50-90 years old
* Be able to follow the command and cooperate with the assessor
* The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.
* Receiving the reablement services at least 3 times/a set.

Exclusion Criteria:

* Using the outpatient rehabilitation service during the study period
* Transferring or delivering to institution
* Re-admission to hospital during using the service

Primary outcomes:
measure: Short Physical Performance Battery, SPPB
timeFrame: 15 minutes
Secondary outcomes:
measure: Barthel index, BI
timeFrame: 10 minutes
measure: Instrumental Activities of Daily Living, IADL
timeFrame: 5 minutes
measure: EuroQol Five Dimensions Questionnaire, EQ-5D
timeFrame: 5 minutes
measure: Elderly Mobility Scale, EMS
timeFrame: 15 minutes
measure: Handheld dynamometer to measure muscle strength
timeFrame: 5 minutes
Other outcomes:
Locations:
Study officials:
affiliation: Department of physical therapy, Tzu Chi University
name: Jia-Ching Chen
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of physical therapy, Tzu Chi University
name: Lian-Cing Yan
role: STUDY_DIRECTOR
References: