The Feasibility, Effects and Costs of the 'Stay Active at Home Programme'

NCT03293303 | Completed

• 1 other identifier: ZonMw no. 50-53120-98-014
• Study Type: interventional
• Target: 265
• Locations: 1 country
• Sites: 1

Brief Summary

BACKGROUND: Older adults spend approximately 80% of their awake time in sedentary activities which represents 8 to 12 hours per day. In the past, numerous stand-alone exercise programs have been developed. However, it is challenging to persuade older adults to become and maintain physically active. Consequently, physical activity should be embedded in the daily life of older adults to reduce their sedentary time, prevent negative health consequences and facilitate ageing in place. INTERVENTION: 'Stay Active at Home' is not an additional, (classical) exercise programme; physical activity is integrated in usual home care. Healthcare professionals learn to engage older adults in daily life in order to improve their physical activity and reduce their sedentary time. For example, washing the upper body and face independently; changing the pillowcase, while professional changes bedcover; and motivating clients to join a dancing class at the community centre. AIM and DESIGN: The aim of this cluster randomised controlled trial is to provide evidence about the (cost-) effectiveness of 'Stay Active at Home' prior to dissemination and implementation of the programme. Alongside the trial an extensive process evaluation will be conducted.

Conditions

Community-dwelling Older Adults

Keywords

Prevention; Physical activity; Sedentary behaviour; Daily activities; Homecare; Nursing; Primary care; Older adults; Function Focused Care; Reablement; Restorative Care

Outcome Measures

Primary Outcomes (1)

• Sedentary behaviour measured by ActiGraph GT3X+ (older adults)

  An accelerometer that measures sedentary time and physical activity by assessing the magnitude of the body's acceleration in terms of 'counts' per unit time.

  12 months

Secondary Outcomes (6)

• Disabilities in ADL and IADL by Groningen Activity Restriction Scale (older adults)

  baseline and after 12 months

• Physical activity by Short Physical Performance Battery (older adults)

  baseline and after 12 months

• Major and minor depression by Patient Health Questionnaire-9 (older adults)

  baseline and after 12 months

• Falls, 1 item 'How often did you fall during the last 6 months?' (older adults)

  baseline and after 6, 12 months

• Health-related quality of life by EQ-5D-5L (older adults)

  baseline and after 6, 12 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

NO INTERVENTION

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

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

Eligibility Criteria

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

You may qualify if:

• Receive home care services by the selected nursing teams
• Age ≥65 years

You may not qualify if:

• Terminal ill or bedbound
• Serious cognitive or psychological problems
• Not able to communicate in Dutch

Sponsors & Collaborators

• Maastricht University Medical Center: lead

Study Sites (1)

MeanderGroep Zuid-Limburg

Landgraaf, Limburg, Netherlands

Location

Related Publications (4)

• Metzelthin SF, Rooijackers TH, Zijlstra GAR, van Rossum E, Veenstra MY, Koster A, Evers SMAA, van Breukelen GJP, Kempen GIJM. Effects, costs and feasibility of the 'Stay Active at Home' Reablement training programme for home care professionals: study protocol of a cluster randomised controlled trial. BMC Geriatr. 2018 Nov 13;18(1):276. doi: 10.1186/s12877-018-0968-z.

  PMID: 30424738 BACKGROUND

• Metzelthin SF, Zijlstra GA, van Rossum E, de Man-van Ginkel JM, Resnick B, Lewin G, Parsons M, Kempen GI. 'Doing with ...' rather than 'doing for ...' older adults: rationale and content of the 'Stay Active at Home' programme. Clin Rehabil. 2017 Nov;31(11):1419-1430. doi: 10.1177/0269215517698733. Epub 2017 Mar 14.

  PMID: 29050508 BACKGROUND

• Rooijackers TH, Metzelthin SF, van Rossum E, Kempen GIJM, Evers SMAA, Gabrio A, Zijlstra GAR. Economic Evaluation of a Reablement Training Program for Homecare Staff Targeting Sedentary Behavior in Community-Dwelling Older Adults Compared to Usual Care: A Cluster Randomized Controlled Trial. Clin Interv Aging. 2021 Dec 22;16:2095-2109. doi: 10.2147/CIA.S341221. eCollection 2021.

  PMID: 35221681 DERIVED

• Rooijackers TH, Zijlstra GAR, van Rossum E, Vogel RGM, Veenstra MY, Kempen GIJM, Metzelthin SF. Process evaluation of a reablement training program for homecare staff to encourage independence in community-dwelling older adults. BMC Geriatr. 2021 Jan 6;21(1):5. doi: 10.1186/s12877-020-01936-7.

  PMID: 33407189 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Gertrudis IJ Kempen, PhD

  Maastricht University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants (i.e., older adults will be blinded); it's not possible to blind the healthcare professionals.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A randomised controlled trial with 12 months follow-up will be conducted. In total, five homecare teams from MeanderGroep Zuid-Limburg and the local domestic support workers will be trained in 'Stay Active at Home' (intervention group). Another five homecare teams and domestic support workers will deliver usual care (control group). Both groups of professionals and their clients will be compared at baseline and after 6 and/or 12 months follow-up.

Study Record Dates

• First Submitted: September 20, 2017
• First Posted: September 26, 2017
• Study Start: October 6, 2017
• Primary Completion: July 5, 2019
• Study Completion: August 20, 2019
• Last Updated: October 19, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF, ANALYTIC CODE
• Time Frame: Data will be available beginning 9 months and ending 36 months following article publication.
• Access Criteria: Data will be available for researchers who provide a methodologically sound proposal to achieve aims in the approved proposal. Proposals should be directed to t.rooijackers@maastrichtuniversity.nl. To gain access, data requestors will need to sign a data access agreement.

Locations

NL (1)