ASSIST 1.0 an Intervention Program Addressing Reablement Services

NCT03505619 | Completed

• 1 other identifier: ASSIST 1.0
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Reablement holds a potential to become a new rehabilitation model and has been implemented in some western countries including Norway and Denmark. At present, there is a lack of scientific evidence for the effectiveness of reablement and lack of an explicit theoretical underpinning, leading to a gap in knowledge. Trends show, however, that reablement is beneficial for the person and their significant others, increasing quality of life. There is a need for further investigation of the effects among community-dwelling adults in terms of clinical and economic outcomes. This research project will investigate the effectiveness of reablement including smart products (digitally based) (ASSIST) to facilitate and manage reablement services in home-dwelling adults compared with standard home help services in terms of daily activities, physical functioning, health-related quality of life, coping, mental health, use of health care services, and costs. Methods and analysis: This feasibility study will evaluate the perceived value and acceptability of ASSIST 1.0 intervention program as the fidelity, reach and dose, and potential outcomes by using a pre-post test design involving an intervention group and a control group (n=30). All participants will be living at home and with a need of home care services. Qualitative interviews among home care providers delivering ASSIST and older adults and their significant others receiving the intervention will be conducted to explore aspects affecting the intervention. Ethics and dissemination: The results will form the base for refinement of the "ASSIST" program and planning of a large-scale randomized, controlled trial investigating the effect of the program on quality of life as physical health, mental well-being, conditions for social community when focusing on supporting the older person's to meaningful everyday life. Dissemination will include peer-reviewed publications and presentations at national and international conferences.

Conditions

Older Adults; Participation

Keywords

home care service; reablement service; rehabilitation

Outcome Measures

Primary Outcomes (1)

• Change in Canadian Occupational Performance Measure (COPM)

  Measuring the older adults' self-perception of activity performance and satisfaction within the areas of self care, productivity and leisure, measured on a 1-10 scale, where 10 represents most satsified and highest performance ranking.

  Change between baseline and 8 to 10 weeks post baseline.

Secondary Outcomes (9)

• Change in Barthel Index

  Change between baseline and 8 to 10 weeks post baseline.

• Frenchay Activity Index (FAI)

  Change between baseline and 8 to 10 weeks post baseline.

• The Swedish version of the General Self -Efficacy Scale)(GSE)

  Change between baseline and 8 to 10 weeks post baseline.

• EQ5-D

  Change between baseline and 8 to 10 weeks post baseline.

• Hospital Anxiety and Depression Scale (HAD)

  Change between baseline and 8 to 10 weeks post baseline.

Other Outcomes (4)

• Creative Climate Questionnaire (CCQ)

  Change between baseline and 8 to 10 weeks post baseline.

• QPS Nordic

  Change between baseline and 8 to 10 weeks post baseline.

• Life Satisfaction Questionnaire (LiSat -11)

  Change between baseline and 8 to 10 weeks post baseline.

Study Arms (2)

ASSIST 1.0

EXPERIMENTAL

A ten-week intervention program using a person-centred approach to support the older person to set up goals to perform daily activities that he/she wants or needs to do. The activity goals will target improvements in quality of life, physical health, mental well-being, and conditions for social community. The focus will be on supporting the older person's activities in everyday life that are considered meaningful for the individual. During the intervention, a specially designed application will send reminders and feedback related to the older adults' activity goals of doing their prioritized everyday activities both to the older adults and to the home care providers via mobile phones, tablet etc. The home care providers will participate in coaching sessions supporting the intervention held by the team of researchers.

Behavioral: ASSIST 1.0

Ordinary home care services

NO INTERVENTION

The home care providers in the control group (CG) will provide services as usual to older adults participating in the control group. They will however, identify potential older persons to participate in the control group according to the same procedure and criteria as the intervention group.

Interventions

ASSIST 1.0 BEHAVIORAL

10 weeks intervention applying a person-centred approach by using goal setting and smart products.

ASSIST 1.0

Eligibility Criteria

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

You may qualify if:

• ≥65 years or older and live at home,
• home care has been granted and the user is deemed not to need home rehabilitation performed by rehabilitation staff,
• two or more identified challenges in everyday activities that can benefit from everyday rehabilitation,
• are able to understand and express themselves in Swedish.

You may not qualify if:

• have cognitive limitations that make reablement unappropriate,
• in need of care in institutional dwelling or are terminally ill ,
• the older adults have had home help services more than three years.

Sponsors & Collaborators

• Karolinska Institutet: lead

Study Sites (1)

Stockholms Äldre förvaltning

Stockholm, Sweden

Location

Related Publications (2)

• Assander S, Bergstrom A, Eriksson C, Meijer S, Guidetti S. ASSIST: a reablement program for older adults in Sweden - a feasibility study. BMC Geriatr. 2022 Jul 26;22(1):618. doi: 10.1186/s12877-022-03185-2.

  PMID: 35879678 DERIVED

• Bergstrom A, Borell L, Meijer S, Guidetti S. Evaluation of an intervention addressing a reablement programme for older, community-dwelling persons in Sweden (ASSIST 1.0): a protocol for a feasibility study. BMJ Open. 2019 Jul 24;9(7):e025870. doi: 10.1136/bmjopen-2018-025870.

  PMID: 31345964 DERIVED

Study Officials

• Lena Borell, professor

  Karolinska Institutet

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: The older adults will be included if they fulfil the following inclusion criteria a) ≥65 years or older and live at home, b) home care has been granted and the user is deemed not to need home rehabilitation performed by rehabilitation staff, c) two or more identified challenges in everyday activities that can benefit from everyday rehabilitation, d) are able to understand and express themselves in Swedish. One or more of the reasons will result in exclusion from the study: have cognitive limitations that make reablement unappropriate, in need of care in institutional dwelling or are terminally ill ,the older adults have had home help services more than three years. When the older person in either the intervention or control group agrees to be involved in the study, they will be asked if they could consider involving a significant other. The home care providers delivering ASSIST 1.0 or the ordinary home care will be included consisting of 8-10 staff from each group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, PhD

Model Details: A feasibility study with a pre-post-test design.

Study Record Dates

• First Submitted: January 22, 2018
• First Posted: April 23, 2018
• Study Start: November 1, 2018
• Primary Completion: November 30, 2019
• Study Completion: March 2, 2020
• Last Updated: September 22, 2020

Record last verified: 2020-09

Locations

SE (1)