Physical Disability Clinical Trial
Official title:
The Effectiveness of Reablement in Home Dwelling Adults. A Quasi Experimental Trial
The purpose of this study is to determine whether a special kind of rehabilitation offered to home-dwelling adults is effective with regards to functional ability, health-related quality of life, coping, mental health and municipal costs.
Health promotion and prevention of functional decline among home dwelling adults and
immediate onset of rehabilitation, can improve function, and reduce or delay need for
home-based assistance and institution placement. In the coming years there will be a
significant increase in number of persons in Norway that need interventions aiming at coping
with everyday activities. Therefore there is a call for new models for early intervention
and rehabilitation in order to give service to a larger amount of home living people.
Reablement is a new and promising rehabilitation model which many Norwegian municipalities
are implementing in order to meet current and future needs for municipal home-based
services. However, very little research has been performed regarding the effectiveness of
this intervention. This study aims at assessing the effectiveness of reablement in terms of
daily functioning, health-related quality of life, coping, mental health and economic
municipal costs.
The study will be conducted in 44 municipalities in Norway. It is a quasi-experimental
intervention trial, recruiting home-dwelling adults with an initial functional decline in
daily activities. The intervention is intensive, multidisciplinary, home-based
rehabilitation given by home-trainers, under supervision from an occupational therapist,
nurse or a physiotherapist. The control intervention is standard home-based treatment and
care.
A total of approximately 750 participants will be recruited, including approximately 100
participants the control group. The participants will be assessed at baseline, and at 10
weeks ,6-, and 12 months follow-up. Primary outcomes will be participation, activity, and
municipal expenditures. Costs are generated by the working hours of the different
professions. Hence, there will be a weekly registration of the working hours different
health care professions spend in the private homes of the participants.
Data analyses will be performed according to intention to treat. Univariate analysis of
covariance will be used to investigate differences between the groups from baseline to the
end of intervention. The working hour data is panel data and will be analyzed accordingly; a
random or a mixed effect regression model will be employed. Also, descriptive statistics and
simpler tests will be carried out.
;
Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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