Mobility Limitations Clinical Trial
Official title:
Experimental Control Investigation of the Impact of an Assistive Technology Updating and Tune up Intervention on the User-caregiver Dyad: a Multi-site Trial
The purpose of this study is to determine the effectiveness of an assistive technology
updating and tune up intervention on users and their caregivers. This intervention includes
4 components:
- an in-residence assessment of the mobility preferences of the older person and his/her
caregiver
- a detailed review of forms of assistance, technological and human, that are currently
being used
- recommendations by an occupational therapist for possible changes in the older person's
mobility assistive technology or assistance strategy
- therapist negotiation of an mobility assistive technology updating and tune-up
intervention plan with the individual and his or her caregiver. The intervention is
provided to the immediate treatment following the administration of baseline measures
and the delayed intervention group six weeks later, after an additional baseline
measurement. The treatment is six weeks long and the follow-up is 26 weeks.
Hypothesis 1: For community-dwelling older people, an intervention that increases the
appropriateness of existing or new assistive technology(AT) for mobility or self-care will
alter established patterns of human assistance, such that caregiver burden is reduced or
eliminated.
Hypothesis 2: At the same time, AT users will report less difficulty in mobility or
self-care, as well as enhanced subjective well-being, and satisfaction with their modified
personal assistance strategy.
Hypothesis 3: Following the AT intervention, caregivers will report reduced physical and/or
psychological demands and increased satisfaction with their caregiving-related activities
compared with
- the pre-intervention period
- caregivers in a delayed intervention control group. Hypothesis 4: Decreased physical
and/or psychological demands on helpers will be associated with increases in device
users' satisfaction with their personal assistance strategies.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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