Synergizing Home Health Rehabilitation Therapy to Optimize Patients' Activities of Daily Living
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Frailty
- Sponsor
- University of Florida
- Enrollment
- 47
- Locations
- 1
- Primary Endpoint
- Activity Measure Post Acute Care: Home Care Short Form
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Activity Measure Post Acute Care: Home Care Short Form
Time Frame: 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
Time Frame: Three months
A performance-based measure of activities of daily living.
Secondary Outcomes
- 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)