Stimulating Engagement in Daily and Physical Activities Among Older Adults Receiving Homecare Services (Part of Basic Care Revisited)

Community-dwelling Older Adults Clinical Trial

Official title:

Stimulating Engagement in Daily and Physical Activities Among Older Adults Receiving Homecare Services: An Exploratory Trial (Part of Basic Care Revisited)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02904889
• Other study ID #: ZonMw no. 520002003
• Status: Completed
• Phase: N/A
• First received: September 8, 2016
• Last updated: September 25, 2017
• Start date: September 2016
• Est. completion date: July 2017

Study information

• Verified date: December 2016
• Source: Maastricht University Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Most older adults want to stay at home for as long as possible. To reach this aim it is important to maintain their mobility and self-care abilities. However, many older adults are at risk to lose their abilities, as they have an inactive lifestyle. In this study, homecare professionals learn to motivate their clients to be more active in daily and physical activities. Examples of these activities are washing and dressing, household chores or going for a walk.

The primary aim of this exploratory study is to evaluate the implementation of the 'Stay Active at Home' program (process evaluation). The secondary aim is to get insight into the potential effectiveness of the program with regard to several primary and secondary outcomes measures (effect evaluation). The tertiary aim is to test the feasibility of the proposed study design.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: July 2017
• Est. primary completion date: July 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• =65 years

• Community-dwelling

• Indication for homecare

• =10 hours sedentary behaviour/day (measured with LASA vragenlijst questionnaire)

• Written informed consent

Exclusion Criteria:

• Terminal

• Serious cognitive or psychological problems

• Not able to speak Dutch

Related Conditions & MeSH terms

• Community-dwelling Older Adults

Intervention

Behavioral:
• Stay Active at Home
Stay Active at Home' aims to change the behaviour of community nurses and domestic support workers by offering them an intensive training programme. Subsequently, professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.

Other:
• Usual care
Homecare professionals will get no training and their clients will receive usual homecare.

Locations

Country	Name	City	State
Netherlands	MeanderGroep Zuid-Limburg	Kerkrade	Limburg

Sponsors (1)

Lead Sponsor	Collaborator
Maastricht University Medical Center

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Short Physical Performance Battery (older adults)		after 6 months
Primary	Groningen Activity Restriction Scale (older adults)		after 6 months
Secondary	Patient Health Questionnaire-9 (older adults)		baseline, after 6 and 9 months
Secondary	EQ-5D-5L (older adults)		baseline, after 6 and 9 months
Secondary	Healthcare utilisation questionnaire (older adults)		baseline, after 6 and 9 months
Secondary	Self-efficacy and outcome expectation questionnaire (older adults and professionals)		baseline, after 6 and 9 months
Secondary	Satisfaction with care, 1 item CQ index (older adults)		baseline, after 6 and 9 months
Secondary	Falls, 1 item 'How often did you fall during the ... months?' (older adults)		baseline, after 6 and 9 months
Secondary	LASA sedentary behaviour questionnaire (older adults)		baseline, after 6 and 9 months
Secondary	Physical activity (actigraph, counts/minute, subsample older adults)		baseline, after 6 and 9 months