Clinical trial NCT03565614: Reablement Intervention for Older Adults Conducted by a Multi Professional Home Rehabilitation Team
Official title: Reablement Intervention for Older Adults Conducted by a Multi Professional Home Rehabilitation Team: A Randomized Controlled Trial (RCT) With Qualitative Follow-ups of the Intervention
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Rehabilitation by Recovery of Function
Keywords: reablement
older people
personal care services
rehabilitation
multimorbidity
disability
Lead sponsor: Mälardalen University
Sponsor class: OTHER
First posted: 2018-06-21
Enrollment: 240
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Older adults (65+) applying for social care and services delivered by a municipality (Eskilstuna) in the county of Södermanland, Sweden. Presumptive participants are identified by the municipality care mangers. After informed consent, the users are randomized to either the intervention or control group. Exclusion criteria: Life-threatening disease, diagnosed mental illness, or severe cognitive dysfunction that would prevent the participant from expressing wants.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Background: People live increasingly longer and are expected to function independently in their own homes to a greater extent than before. This puts great demands on the support given to older persons living at home, to be efficient and provide good conditions for them to manage on their own and experience good health. Short time goal directed reablement delivered by a multidisciplinary team is expected to strengthen the functional capacity and quality of life, while home care-hours and thus municipal expenditures decline. Theoretical focus of this project is related to international classification of functionality and disability (ICF) in which participation are understood as engagement in life situations and related to the environment as well as the person. Reablement is expected to extend the time of independent and autonomous life for older persons while also reducing municipal costs of elder care.

Aim: This research project measures the effects of reablement in terms of bio-psycho-social health among older people (65+). In addition, the project highlights older person's experiences of the intervention and the professional team´s experiences of working with reablement.

Methods: This is a randomized controlled study of the intervention reablement performed by the multiprofessional team with controls receiving usual home care. The effects are measured by self-reported health and quality of life, physical capacity, and home care hours. Data are collected at inclusion (applying for home care), after the three months intervention and at six months. Interviews with users are performed after the intervention, and staff experiences through written narratives.

Impact of results: This project will contribute with collecting possible evidence of reablement, and contribute with knowledge development of older persons' bio-psycho-social health and experiences.


Eligibility criteria: Inclusion Criteria:

* older adults, over 65 years
* residing in the central areas of Eskilstuna municipality
* applying for social care and services delivered by the municipality of Eskilstuna

Exclusion Criteria:

* life-threatening disease
* severe mental illness
* severe cognitive dysfunction
* other conditions that prevent the participants from expressing their will or desires

Primary outcomes:
measure: Change in self-assessed overall life satisfaction
timeFrame: Change from baseline overall life satisfaction rating at 6 months
Secondary outcomes:
measure: Change in self-assessed general health
timeFrame: Change from baseline self-assessed general health ratings at 6 months
measure: Change in self-assessed health-related quality of life
timeFrame: Change from baseline health-related quality of life ratings at 6 months
measure: Change in self-assessed mental health
timeFrame: Change from baseline mental health ratings at 6 months
measure: Change in self-assessed health with respect to personal priorities
timeFrame: Change from baseline self-assessed health with respect to personal priorities at 6 months
measure: Change in self-assessed activity performance satisfaction
timeFrame: Change from baseline activity performance satisfaction ratings at 6 months
measure: Change in self-assessed activity performance
timeFrame: Change from baseline activity performance ratings at 6 months
measure: Change in lower extremities physical activity performance
timeFrame: Change from baseline lower extremities physical activity performance at 6 months
measure: Change in upper extremities physical activity performance
timeFrame: Change from baseline upper extremities physical activity ability at 6 months
Other outcomes:
measure: Number of home care hours needed at 6 months
timeFrame: Home care hours needed at 6 months
Locations:
city: Eskilstuna
country: Sweden
facility: Eskilstuna municipality, Care and social care service, Rehabilitation unit
state: Södermanland
Study officials:
affiliation: Mälardalen University
name: Lena-Karin Gustafsson, PhD
role: PRINCIPAL_INVESTIGATOR
References: