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
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 240
- 试验地点
- 2
- 主要终点
- Change in self-assessed overall life satisfaction
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •life-threatening disease
- •severe mental illness
- •severe cognitive dysfunction
- •other conditions that prevent the participants from expressing their will or desires
结局指标
主要结局
Change in self-assessed overall life satisfaction
时间窗: Change from baseline overall life satisfaction rating at 6 months
Participants' overall life satisfaction ratings are included in the Health as Ability of Acting questionnaire (HACT; Snellman et al. 2011), which is based on Nordenfelt's theory of health (2004). These global ratings are made on a VAS scale, which is coded from 0 (very unsatisfied with life) to 100 (very satisfied with life).
次要结局
- Change in upper extremities physical activity performance(Change from baseline upper extremities physical activity ability at 6 months)
- Change in self-assessed health-related quality of life(Change from baseline health-related quality of life ratings at 6 months)
- Change in self-assessed mental health(Change from baseline mental health ratings at 6 months)
- Change in self-assessed activity performance satisfaction(Change from baseline activity performance satisfaction ratings at 6 months)
- Change in self-assessed general health(Change from baseline self-assessed general health ratings at 6 months)
- Change in self-assessed health with respect to personal priorities(Change from baseline self-assessed health with respect to personal priorities at 6 months)
- Change in self-assessed activity performance(Change from baseline activity performance ratings at 6 months)
- Change in lower extremities physical activity performance(Change from baseline lower extremities physical activity performance at 6 months)