NCT01960582

Brief 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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
340

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 11, 2013

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

September 27, 2013

Completed
13 days until next milestone

First Posted

Study publicly available on registry

October 10, 2013

Completed
6.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2020

Completed
Last Updated

October 9, 2020

Status Verified

October 1, 2020

Enrollment Period

7.3 years

First QC Date

September 27, 2013

Last Update Submit

October 8, 2020

Conditions

Activities of Daily LivingCost EffectivenessHousing

Keywords

Housing adaptationIndependenceCosts

Outcome Measures

Primary Outcomes (1)

  • 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 Outcomes (1)

  • Falls Efficacy Scale- FES-I

    Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after

Other Outcomes (3)

  • Usability of the home, UIMH

    Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after

  • Costs of housing adaptations

    3,6, 12, 24 and 36 months after, for the whole sample

  • Cost-benefit for client and society

    At 24 and 36 months after the housing adaptation, for the whole sample

Study Arms (2)

New Practice Strategy

EXPERIMENTAL

Structured strategy for assessment and evaluation before and after intervention

Behavioral: New Practice Strategy

Ordinary practice

NO INTERVENTION

Ordinary practice, not structured

Interventions

New Practice StrategyBEHAVIORAL

Application of a structured case management strategy on housing adaptation cases

New Practice Strategy

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Persons receiving housing adaptation
  • Above 20 years

You may not qualify if:

  • Persons with language deficits and/or cognitive decline

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Health Sciences, Lund University

Lund, 221 00, Sweden

Location

Related Publications (2)

  • Malmgren Fange A, Carlsson G, Axmon A, Thordardottir B, Chiatti C, Nilsson MH, Ekstam L. Effects of applying a standardized assessment and evaluation protocol in housing adaptation implementation - results from a quasi-experimental study. BMC Public Health. 2019 Nov 4;19(1):1446. doi: 10.1186/s12889-019-7815-9.

    PMID: 31684916DERIVED

  • Ekstam L, Carlsson G, Chiatti C, Nilsson MH, Malmgren Fange A. A research-based strategy for managing housing adaptations: study protocol for a quasi-experimental trial. BMC Health Serv Res. 2014 Nov 29;14:602. doi: 10.1186/s12913-014-0602-5.

    PMID: 25432718DERIVED

Study Officials

  • Agneta M Fänge, PhD

    Lund University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate professor

Study Record Dates

First Submitted

September 27, 2013

First Posted

October 10, 2013

Study Start

January 11, 2013

Primary Completion

April 30, 2020

Study Completion

April 30, 2020

Last Updated

October 9, 2020

Record last verified: 2020-10

Locations

SE(1)