Reducing Disability Via a Bundled Bio-Behavioral-Environmental Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- Activities of Daily Living (ADLs)
研究概览
简要总结
The purpose of the study is to determine whether a combination of occupational therapy visits, nursing visits, and handyman repair are effective in helping low income older adults avoid costly health care services
详细描述
We will recruit low-income age 65 or older
-principally African-American, adults from the Baltimore Department of Housing Energy Assistance Program.
-We will interview them at home and randomize participants to either the treatment (CAPABLE intervention) or control (attention-control) group. Participants in the treatment group will receive up to 10 in-home sessions -- 6 visits with an occupational therapist and 4 visits from a nurse - and $1200 in safety and modification services from a licensed handyman. Each treatment participant will receive each intervention component but interventionists will systematically tailor content to the participants' risk profile and goals based on protocols.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcomes assessor did not know which study group the person they visited was in and told participant not to reveal it.
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •at least 65 years old
- •cognitively intact
- •difficulty with at least one activity of daily living or two instrumental activities of daily living
- •less than 175% of the Federal Poverty level
- •be able to stand with or without assistance
- •agree to study participation
排除标准
- •hospitalized more than three times in the last year
- •receiving in home rehabilitation
- •have a terminal diagnosis with less than one year life expectancy
- •plan to move in less than one year
研究组 & 干预措施
CAPABLE
Experimental group participants received up to 10 sessions; up to 6 with an OT, and up to 4 sessions with an RN, and ≤ $1200 of safety and functional modifications from a licensed handyman. These sessions happened in coordinated fashion over the course of 4 months.
干预措施: CAPABLE (Behavioral)
Attention visits
Participants in the attention visit arm received 10 visits of one hour length spaced across 16 weeks. These visits included sedentary activities of their choice based on their goals and interests.
干预措施: Attention visits (Behavioral)
结局指标
主要结局
Activities of Daily Living (ADLs)
时间窗: 5 months
次要结局
未报告次要终点