Reducing Disability Via a Bundled Bio-Behavioral-Environmental Approach

Not Applicable

Completed

• Conditions: Quality of Life
• Interventions: Behavioral: CAPABLE; Behavioral: Attention visits

• Registration Number: NCT01576133
• Lead Sponsor: Johns Hopkins University

Brief Summary

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

Detailed Description

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.

Study Timeline

• Study Start: 2012-04
• Study First Submitted: 2012-04-04
• Study First Submitted QC: 2012-04-10
• Study First Posted: 2012-04-12
• Primary Completion: 2017-04
• Study Completion: 2017-05
• Status Verified: 2018-06
• Last Update Submitted: 2018-06-28
• Last Update Posted: 2018-07-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• 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

Exclusion Criteria

• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CAPABLE	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.
Attention visits	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.

Primary Outcome Measures

Name	Time	Method
Activities of Daily Living (ADLs)	5 months

Trial Locations

Locations (1)

Johns Hopkins University School of Nursing; 🇺🇸 Baltimore, Maryland, United States