Clinical trial NCT04589988: Aging With Long Term Physical Disabilities
Official title: Building Capacity to Improve Community Participation for People Aging With Long-Term Disability Through Evidence-Based Strategies
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Disability
Keywords: community participation
environmental modifications
home modifications
fall prevention
Lead sponsor: Washington University School of Medicine
Sponsor class: OTHER
Collaborators: name: National Institute on Disability, Independent Living, and Rehabilitation Research
First posted: 2020-10-19
Enrollment: 50
Sex: ALL
Minimum age (years): 45
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel-group, randomized control, participants in the waitlist control group will receive the intervention after 6-month follow up is completed
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to determine the feasibility and efficacy of an adapted evidence-based program (REBIL) to reduce barriers to community participation and remove fall hazards at home for adults aging with physical disabilities.

Detailed description: Investigators will test the working hypothesis that the adapted program, focused on resolving environmental barriers, removing fall hazards, and building self-management skills in the home and community, will be feasible and superior to usual care for daily activity performance and participation outcomes in adults aging with physical disabilities.

Eligibility criteria: Inclusion Criteria:

* Age 45-65 years
* Self-report of difficulty with at least 2 daily activities using the Older Adult Retirement Survey Activities of Daily Living (OARS ADL) scale
* onset of a physical disability 5 years prior to participation (e.g., spinal cord injury (SCI), cerebral palsy, post-polio syndrome, stroke, amputation).
* live within 60 miles of the research lab

Exclusion Criteria:

* Currently institutionalized.

Primary outcomes:
measure: In-Home Occupational Performance Evaluation (I-HOPE) Activity Score
timeFrame: Baseline and 6-month follow up
measure: In-Home Occupational Performance Evaluation (I-HOPE) Performance Score
timeFrame: Baseline and 6-month follow up
measure: In-Home Occupational Performance Evaluation (I-HOPE) Satisfaction Score
timeFrame: Baseline and 6-month follow up
measure: In-Home Occupational Performance Evaluation (I-HOPE) Barrier Severity Score
timeFrame: Baseline and 6-month follow up
measure: Reintegration to Normal Living Index (RNLI)
timeFrame: Baseline and 6-month follow-up
measure: Westmead Home Safety Assessment (WeHSA) Short Form
timeFrame: Baseline and 6-month follow up
Secondary outcomes:
measure: Fall Prevention Strategy Survey (FPSS)
timeFrame: Baseline and 6-month follow-up
measure: Participation Scale
timeFrame: Baseline and 6-month follow-up
measure: Fall Rate
timeFrame: 6 months
Other outcomes:
Locations:
city: Saint Louis
country: United States
facility: Washington University School of Medicine
state: Missouri
Study officials:
affiliation: Washington University School of Medicine
name: Susan Stark, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Chen SW, Somerville E, Devine M, Stark S. A protocol for Removing Environmental Barriers to Independent Living (REBIL): An adapted evidence-based occupational therapy intervention to increase community participation for individuals aging with long-term physical disabilities. Br J Occup Ther. 2022;86(5):349-58. doi: 10.1177/03080226221126901.