Evaluation of Housing Adaptations and Mobility Devices

Activities of Daily Living Clinical Trial

— FORMASEvid  

Official title:

Housing Adaptations and Mobility Devices - Evaluation of a New Practice Strategy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01960582
• Other study ID #: FORMAS 2011-907
• Status: Completed
• Phase: N/A
• Start date: January 11, 2013
• Est. completion date: April 30, 2020

Study information

• Verified date: October 2020
• Source: Lund University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The rationale underlying this project is the fact that HA is a very common compensatory interven¬tion within municipality health care, undertaken to support an independent living in the own home. In addition, MD are frequently prescribed and used among HA clients in order to compensate for declined body functions. In spite of this, knowledge of their effects for the individual and the society is still scarce. In particular, systematic, evidence-based strategies based on clear-cut conceptual definitions and descriptions of procedures are lacking. Such strategies are crucial in order to evaluate the effects of HA and MD. In addition, longterm cost-effectiveness evaluations are crucial for policy implementation.

The overarching aim is to investigate outcomes of HA on aspects of home and health for sub-groups of persons with disabilities.

The specific aims are to:

• Investigate the effects of HA on home and health related outcomes, i.e. usability, fear of falling, activity/participation and health-related quality of life for different subgroups of persons, e.g. MD users and non MD-users

• Investigate the use of a new practice strategy for HA on home and health related outcomes for subgroups of persons with disabilities in terms of differences between municipalities

• Investigate societal level outcomes of HA and MD, i.e. costs and quality adjusted life years

• Gain a deeper understanding of the processes behind changes in outcomes We hypothesise that using a structure strategy for housing adaptation and mobility devices case management in ordinary practice in Swedish municipalities increase activity, participation, the usability of the home, and reduces societal costs.

Description:

The ultimate goal of the project is to improve the housing situation of older people and people with disabilities, by determining the long term effects of housing adaptations (HA) for clients and society, and transferring this knowledge into guidelines for practitioners in the housing and building planning sector.

Specific research questions are:

RQ1. What are the long-term effects of HA for clients (individual goals achievement, activity, participation, health-related quality of life, usability, falls, functional capacity and use of mobility devices (MD), mortality, health care and social services consumption, and relocation)? RQ2. What are the long-term effects of HA for society (costs and cost- effectiveness)? RQ3. What are the barriers and facilitators to knowledge transfer in the area of HA? RQ4. How can evidence based knowledge be transferred into practical guidelines for housing and building planning in Sweden?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 340
• Est. completion date: April 30, 2020
• Est. primary completion date: April 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

• Persons receiving housing adaptation

• Above 20 years

Exclusion Criteria:

• Persons with language deficits and/or cognitive decline

Related Conditions & MeSH terms

• Activities of Daily Living
• Cost Effectiveness
• Housing

Intervention

Behavioral:
• New Practice Strategy
Application of a structured case management strategy on housing adaptation cases

Locations

Country	Name	City	State
Sweden	Department of Health Sciences, Lund University	Lund

Sponsors (1)

Lead Sponsor	Collaborator
Lund University

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Usability of the home, UIMH	Self-rated assessment measuring the extent to which the person can perform Daily activities in the housing	Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after
Other	Costs of housing adaptations	The actual costs for the housing adaptation, including costs for travel, work hours, and material will be calculated based on invoices benefit	3,6, 12, 24 and 36 months after, for the whole sample
Other	Cost-benefit for client and society	The cost-benefit of the housing adaptation will be calculated based on health economic models utilising data from EQ-5D instrument	At 24 and 36 months after the housing adaptation, for the whole sample
Primary	ADL Staircase	The ADL Staircase measures dependence on other persons in daily activities. Combined interview and observation	Differences in changes between intervention and control sites at baseline and 3, 6,12, 24 and 36 months after
Secondary	Falls Efficacy Scale- FES-I	FES-I measures perceived fear of falling	Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after