Synergizing Home Health Rehabilitation Therapy

Not Applicable

Completed

• Conditions: Frail Elderly; Treatment Outcome; Health Services for the Aged; Frailty; Activities of Daily Living; Occupational Therapy; Home Health Care; Physical Functional Performance; Rehabilitation; Functional Status
• Interventions: Other: ADL-enhanced program; Other: Usual home health rehabilitation therapy

• Registration Number: NCT05411393
• Lead Sponsor: University of Florida

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.

Study Timeline

• Study First Submitted: 2022-06-06
• Study First Submitted QC: 2022-06-06
• Study First Posted: 2022-06-09
• Study Start: 2022-10-06
• Primary Completion: 2025-01-10
• Status Verified: 2025-03
• Study Completion: 2025-03-15
• Last Update Submitted: 2025-03-24
• Last Update Posted: 2025-03-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 47

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental arm	ADL-enhanced program	Research participants in this arm will receive the ADL-enhanced program and usual home health care rehabilitation. The ADL-enhanced program consists of six home visits delivered by a study occupational therapist.
Control arm	Usual home health rehabilitation therapy	Research participants in this arm will receive usual home health care rehabilitation.
Experimental arm	Usual home health rehabilitation therapy	Research participants in this arm will receive the ADL-enhanced program and usual home health care rehabilitation. The ADL-enhanced program consists of six home visits delivered by a study occupational therapist.

Primary Outcome Measures

Name	Time	Method
Activity Measure Post Acute Care: Home Care Short Form	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	Three months	A performance-based measure of activities of daily living.

Secondary Outcome Measures

Name	Time	Method
Jebsen Hand Function Test	Three months	The test measures upper extremity function in seven tasks: sentence writing, card turning, moving small common objects (e.g., pennies), simulated feeding, stacking checkers, moving light objects, and moving heavy objects.
Short Physical Performance Battery	Three months	The test measures balance, walking speed and chair stand.
Box and Block Test	Three months	The test measures motor coordination of the upper extremity through moving small wooden blocks.
Timed-Up-and-Go Test	Three months	The test measures functional mobility from getting up from a chair, walking, and returning to the chair.

Trial Locations

Locations (1)

University of Florida; 🇺🇸 Gainesville, Florida, United States