Chronic Disease Clinical Trial
— Go:OTOfficial title:
Evaluating Group-based (ADAPT) Versus One-to-one (Usual) Occupational Therapy on Ability to Perform Activities of Daily Living (ADL) in People With Chronic Conditions (Go:OT Trial)
This trial aims to evaluate the ADAPT Program in terms of efficacy, process and cost-efficacy compared to usual occupational therapy (UOT) in people with decreased ability to perform activities of daily living (ADL) following chronic conditions. As both the ADAPT Program and UOT are targeted improvements in ADL ability, the primary objective of this trial is to assess equivalence between the ADAPT Program and UOT on changes in ADL ability as measured with the Assessment of Motor and Process Skills (AMPS).
Status | Recruiting |
Enrollment | 130 |
Est. completion date | December 6, 2024 |
Est. primary completion date | September 27, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion criteria: - = one year since medical diagnosed with one or more chronic conditions. - Lives in own home. - Experience ADL task performance problems. - Show ADL motor ability measures <1.50 logits on the AMPS ADL motor skill scale (indicate increased effort during ADL task performance). - Communicate independently and relevantly orally and in writing. - Willing and interested in attending occupational therapy interventions focused on improving ADL task performance. Exclusion criteria: - ADL process ability measures <0.00 indicating that the person is unlikely to profit from educational programs focused on using adaptational strategies. - Personal ADL (PADL) problems with acute need for help. - Mental illness and/or other acute (<3 months) conditions effecting ADL task performance significantly. - Significant communication barriers (significant cognitive deficits, -aphasia, -hearing loss, -dyslexia and/or -language barriers). - Known substance abuse. |
Country | Name | City | State |
---|---|---|---|
Denmark | The Parker Research Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg Frederiksberg, Denmark | Frederiksberg |
Lead Sponsor | Collaborator |
---|---|
Parker Research Institute | Den Kommunale Kvalitetsudviklingspulje, Lundbeckpuljen, Oak Foundation, Rehabilitation Center Rødovre Municipality (Genoptræning Rødovre Kommune), Tværspuljen |
Denmark,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Perceived change in ADL task performance, TRANS-Questionnaire | Participants are asked about their experienced change in a) performance of ADL tasks and b) satisfaction witt their ADL ability following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly worse' to 'markedly better' | week 12 | |
Other | Perceived change in ADL task performance, TRANS-Questionnaire | Participants are asked about their experienced change in a) performance of ADL tasks and b) satisfaction witt their ADL ability following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly worse' to 'markedly better' | week 26 | |
Other | Perceived change in problem-solving skills, TRANS-Questionnaire | Participants are asked about their experienced change in a) identifying daily task performance problems and b) the ability to solve task performance problems following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly worsened' to 'markedly better' | week 12 | |
Other | Perceived change in problem-solving skills, TRANS-Questionnaire | Participants are asked about their experienced change in a) identifying daily task performance problems and b) the ability to solve task performance problems following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly worsened' to 'markedly better' | week 26 | |
Other | Perceived change in Quality of Life, TRANS-Questionnaire | Participants are asked about their experienced change in a) overall functioning, b) mental well-being, c) physical well-being and d) social well-being following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly bigger' to 'markedly less' | week 12 | |
Other | Perceived change in Quality of Life, TRANS-Questionnaire | Participants are asked about their experienced change in a) overall functioning, b) mental well-being, c) physical well-being and d) social well-being following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly bigger' to 'markedly less' | week 26 | |
Other | Perceived change in global health, TRANS-Questionnaire | Participants are asked about their experienced change in global health following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly worse' to 'markedly better' | week 12 | |
Other | Perceived change in global health, TRANS-Questionnaire | Participants are asked about their experienced change in global health following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly worse' to 'markedly better' | week 26 | |
Other | Perceived change in assistance needed, TRANS-Questionnaire | Participants are asked about their experienced change in needing assistance in a) findings ways to ease task performance, b) accepting my chronic condition, c) managing symptoms following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly bigger' to 'markedly less' | week 12 | |
Other | Perceived change in assistance needed, TRANS-Questionnaire | Participants are asked about their experienced change in needing assistance in a) findings ways to ease task performance, b) accepting my chronic condition, c) managing symptoms following occupational therapy intervention. Response options are scored on a 7-point likert scale from 'markedly bigger' to 'markedly less' less | week 26 | |
Other | Overall experience of the occupational therapy intervention | Participants are asked to rate their experience on a 5 point Likert scale ranging from "excellent' to 'very poor' | week 12 | |
Primary | Change in observed ADL motor ability, Assessment of Motor and Process Skills (AMPS) | Observation-based ADL motor ability (reflecting physical effort and independence ). Linear measures of ADL motor ability generated using Rasch measurement models. Higher scores mean better ADL ability | week 12 | |
Secondary | Change in observed ADL motor ability, using AMPS | Observation-based ADL motor ability (reflecting physical effort and independence ). Linear measures of ADL motor ability generated using Rasch measurement models. Higher scores mean better ADL ability | week 26 | |
Secondary | Change in observed ADL process ability, using AMPS | Observation-based ADL process ability (reflecting efficiency, safety and independence). Linear measures of ADL process ability generated using Rasch measurement models. Higher scores mean better ADL ability | week 12 | |
Secondary | Change in observed ADL process ability, using AMPS | Observation-based ADL process ability (reflecting efficiency, safety and independence). Linear measures of ADL process ability generated using Rasch measurement models. Higher scores mean better ADL ability | week 26 | |
Secondary | Change in self-reported ADL ability, using the ADL-Interview (ADL-I), Performance scale | Self-reported ability to perform ADL tasks, based on interview. Linear measures of ADL ability generated using Rasch measurement models. Higher scores mean better ADL ability | week 12 | |
Secondary | Change in self-reported ADL ability with ADL-I, Performance scale | Self-reported ability ot perform ADL tasks, based on interview. Linear measures of ADL ability generated using Rasch measurement models. Higher scores mean better ADL ability | week 26 | |
Secondary | Change in self-reported satisfaction with ADL ability, using ADL-I, Satisfaction scale | Self-reported satisfaction with ADL task performance, based on interview. Linear measures of ADL ability generated using Rasch measurement models. Higher scores means higher satisfaction | week 12 | |
Secondary | Change in self-reported satisfaction with ADL ability, using the ADL-Interview (ADL-I), Satisfaction scale | Self-reported satisfaction with ADL task performance, based on interview. Linear measures of ADL ability will be generated using Rasch measurement models. Higher scores means higher satisfaction | week 26 | |
Secondary | Well-being, using the World Health Organisation- Five Well-Being Index (WHO-5) | Participants are asked to rate well being in regard to five questions. Response options are scored on a 6-point scale in which 0=at no time to 0=all the time. Lower scores are lower well-being | week 12 | |
Secondary | Well-being, using The World Health Organisation- Five Well-Being Index (WHO-5) | Participants are asked to rate well being in regard to five questions. Response options are scored on a 6-point scale in which 0=at no time to 0=all the time. Lower scores are lower well-being | week 26 | |
Secondary | Quality of life, using the EuroQoL 5 dimensions (EQ-5D) | Participants are asked to rate 5 aspects of health-related quality of life Quality of life in regard to five items scores on a 5 point likert scale from I am not/have none to I have extreme/i cannot | week 12 | |
Secondary | Quality of life, using EQ-5D | Participants are asked to rate 5 aspects of health-related quality of life Quality of life in regard to five items scores on a 5 point likert scale from I am not/have none to I have extreme/i cannot | week 26 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03153644 -
Improving Contraceptive Care for Women With Medical Conditions
|
||
Completed |
NCT04082585 -
Total Health Improvement Program Research Project
|
||
Recruiting |
NCT05558085 -
Biomarker Cost-Benefit Analysis of EFNEP
|
N/A | |
Completed |
NCT04037436 -
Functional Exercise and Nutrition Education Program for Older Adults
|
N/A | |
Not yet recruiting |
NCT05622422 -
A Chronic Disease Self Care Management Pilot Study
|
N/A | |
Not yet recruiting |
NCT06016101 -
Usefulness of the Medissimo Nurse Application for Supporting Medication Compliance in Elderly People With Chronic Polypathologies
|
||
Not yet recruiting |
NCT04954209 -
Comparative Study in Long-term Commitment to Physical Activity After Two Different Resumption Programs
|
||
Not yet recruiting |
NCT04090593 -
Chronic Disease Mobile Educational Experience
|
N/A | |
Not yet recruiting |
NCT03628963 -
Optimizing Patient Usability Experience for Chronic Care
|
N/A | |
Completed |
NCT02390570 -
Incorporating Patient Capacity Into the Clinical Landscape
|
N/A | |
Completed |
NCT02072941 -
Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision Making (PREPARE)
|
N/A | |
Terminated |
NCT02115971 -
Jumping Exercises Approach in Individuals With Chronic Ankle Instability
|
N/A | |
Completed |
NCT01933789 -
Improving Communication About Serious Illness
|
N/A | |
Completed |
NCT02017262 -
Group Self-Management of Depression and Medical Illness
|
N/A | |
Completed |
NCT02292940 -
Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions
|
||
Completed |
NCT02307929 -
Evaluation of Quality of Care - Nurse Allied Health Clinic Programme, HA
|
N/A | |
Completed |
NCT01458184 -
Study of PhoneCare System to Treat Patients With Chronic Diseases
|
N/A | |
Completed |
NCT00333710 -
Evaluating a Telehealth Treatment for Veterans With Hepatitis C and PTSD
|
N/A | |
Completed |
NCT00380536 -
Medical Self-Management for Improving Health Behavior Among Individuals in Community Mental Health Settings
|
N/A | |
No longer available |
NCT00096811 -
Entecavir for Subjects With Chronic Hepatitis B Infection: An Early Access Program
|
N/A |