Implementing 3-Step Workout for Life to Improve ADL Outcome in Home Health
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- Ratio OASIS (Outcome and Assessment Information Set) Items: Self-care
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 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
- •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
排除标准
- •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
研究组 & 干预措施
Implementation Arm
Participants will receive the 3-Step Workout for Life program and other rehabilitation services based on the plan of care.
干预措施: 3-Step Workout for Life (Other)
结局指标
主要结局
Ratio OASIS (Outcome and Assessment Information Set) Items: Self-care
时间窗: 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.
次要结局
- 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)