Implementing 3-Step Workout for Life to Improve ADL Outcome in Home Health
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Sponsor
- University of Florida
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Ratio OASIS (Outcome and Assessment Information Set) Items: Self-care
Study Overview
Brief Summary
The purpose of this project is to study how to adapt and implement the 3-Step Workout for Life program in a local home health agency. A series of learning cycles will be conducted to adjust the treatment dose and delivery mode. The specific aim is to evaluate the implementation-related clinical and patient outcomes.
Detailed Description
Medicare beneficiaries admitted to home health agencies are often in frail status with decreased muscle strength and difficulty in performing activities of daily living. The purpose of the proposed research is to study how to adapt and implement the 3-Step Workout for Life program by the physical therapy and occupational therapy practitioners in a local home health agency. A series of learning cycles will be conducted to adjust the treatment dose and delivery mode, so that the program can be implemented at low cost but remains effective in improving self-care ability for Medicare beneficiaries. The specific aim is to evaluate the implementation-related clinical and patient outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •is a Medicare beneficiary
- •admitted to the partnered home health agency
- •show or experience muscle weakness
- •demonstrate functional limitation on at least one of the OASIS self-care items
Exclusion Criteria
- •has an acute fracture with surgical or weight-bearing restrictions
- •has elective joint replacement surgery
- •has a lower extremity amputation
- •is receiving active treatment for cancer diagnosis
- •has on-going dialysis treatment
- •had acute cardiac surgery
- •with acute stroke or neurologic disorder that limits motor movements
- •in terminal stages of congestive heart failure
- •has been referred to hospice care
- •has severe cognitive deficits limiting verbal communication
- •has significant medical complications that preclude safe participation in resistance exercise
Arms & Interventions
Implementation Arm
Participants will receive the 3-Step Workout for Life program and other rehabilitation services based on the plan of care.
Intervention: 3-Step Workout for Life (Other)
Outcomes
Primary Outcomes
Ratio OASIS (Outcome and Assessment Information Set) Items: Self-care
Time Frame: Discharge, on average 2 months
The self-care measure is from the OASIS. It evaluates the degree of independence in seven activities: eating, oral hygiene, toileting hygiene, upper body dressing, lower body dressing, showering/bathing, and putting on/removing footwear. Each activity is scored on a six-point Likert scale ranging from 1 (totally dependent) to 6 (totally independent). A ratio score is calculated as the sum of attempted activity scores divided by the maximal total score of attempted activities. For example, if the participant is dependent on all six self-care activities, the ratio score of this participant is 0.17 (= 7\*1/7\*6). The ratio score of OASIS self-care ranges from 0.17 (totally dependent on all self-care activities) to 1 (totally independent of all self-care activities). A higher ratio score means a higher ability to perform self-care.
Secondary Outcomes
- Ratio OASIS (Outcome and Assessment Information Set) Items: Mobility(Discharge, on average 2 months)
- EuroQoL (European Quality of Life)(Discharge, on average 2 months)
- Activity Measure of Post-Acute Care-Home Health Version(Discharge, on average 2 months)