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

NCT02904889 | Completed

• 1 other identifier: ZonMw no. 520002003
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Community-dwelling Older Adults

Outcome Measures

Primary Outcomes (2)

• Short Physical Performance Battery (older adults)

  after 6 months

• Groningen Activity Restriction Scale (older adults)

  after 6 months

Secondary Outcomes (8)

• Patient Health Questionnaire-9 (older adults)

  baseline, after 6 and 9 months

• EQ-5D-5L (older adults)

  baseline, after 6 and 9 months

• Healthcare utilisation questionnaire (older adults)

  baseline, after 6 and 9 months

• Self-efficacy and outcome expectation questionnaire (older adults and professionals)

  baseline, after 6 and 9 months

• Satisfaction with care, 1 item CQ index (older adults)

  baseline, after 6 and 9 months

Study Arms (2)

Stay Active at Home

EXPERIMENTAL

One group of homecare professionals receives a training programme. In this training they learn to motivate their clients to be more active in daily and physical activities.

Behavioral: Stay Active at Home

Usual care

ACTIVE COMPARATOR

Second group of homecare professionals will get no training and their clients will receive usual homecare.

Other: Usual care

Interventions

Stay Active at Home BEHAVIORAL

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.

Stay Active at Home

Usual care OTHER

Homecare professionals will get no training and their clients will receive usual homecare.

Usual care

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• ≥65 years
• Community-dwelling
• Indication for homecare
• ≥10 hours sedentary behaviour/day (measured with LASA vragenlijst questionnaire)
• Written informed consent

You may not qualify if:

• Terminal
• Serious cognitive or psychological problems
• Not able to speak Dutch

Sponsors & Collaborators

• Maastricht University Medical Center: lead

Study Sites (1)

MeanderGroep Zuid-Limburg

Kerkrade, Limburg, Netherlands

Location

Study Officials

• Gertrudis IJ Kempen, PhD

  Maastricht University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: September 8, 2016
• First Posted: September 19, 2016
• Study Start: September 1, 2016
• Primary Completion: July 1, 2017
• Study Completion: July 1, 2017
• Last Updated: September 26, 2017

Record last verified: 2016-12

Locations

NL (1)