Synergizing Home Health Rehabilitation Therapy to Optimize Patients' Activities of Daily Living
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 47
- 试验地点
- 2
- 主要终点
- Activity Measure Post Acute Care: Home Care Short Form
研究概览
简要总结
The objective of this project is to pilot test an ADL (activities of daily living)-enhanced program as an adjuvant therapy to usual home health rehabilitation to improve patient outcomes. The project will compare the ADL-enhanced program plus usual care with usual care using an RCT design in home health patients.
详细描述
Regaining the ability to take care of oneself after an illness or medical episode is critical for home health patients to maintain independent living at home. An ADL-enhanced program may augment the effect of home health rehabilitation therapy to support patients' self-care outcomes. Patients will be randomly assigned to two groups: one will receive the ADL-enhanced program with usual home health care, and the other will receive usual home health care. Researchers will compare outcomes in self-care activities and physical performance between the two groups to determine the effect of the ADL-enhanced program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The outcome assessor will be blinded to the group allocation of the patients.
入排标准
- 年龄范围
- 65 Years 至 100 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients are eligible if they
- •are 65 years of age over older
- •are Medicare beneficiaries
- •are referred for skilled rehabilitation services at the partnered home health agency
- •have three or more comorbidities
- •Patients are ineligible if they have
- •acute fractures with surgical or weight-bearing restrictions,
- •elective joint replacement surgery
- •lower-extremity amputation
- •active treatment for cancer diagnosis
- •ongoing dialysis treatment
- •acute cardiac surgery,
- •acute stroke or a major neurologic disorder limiting motor movements
- •terminal stage of congestive heart failure
- •a referral to hospice care
- •severe cognitive deficits limiting verbal communication.
排除标准
- 未提供
结局指标
主要结局
Activity Measure Post Acute Care: Home Care Short Form
时间窗: six months
A patient-report outcome measure in mobility and self-care activities.
The Assessment of Motor and Process Skills Assessment of Motor and Process Skills
时间窗: Three months
A performance-based measure of activities of daily living.
次要结局
- Jebsen Hand Function Test(Three months)
- Short Physical Performance Battery(Three months)
- Box and Block Test(Three months)
- Timed-Up-and-Go Test(Three months)