The Effect of Reablement Service of Long-term Care on Physical Mobility and Quality of Life in Disable People

NCT05260476 | Unknown DMC

• 1 other identifier: IRB110-277-B
• Study Type: observational
• Target: 93
• Locations: 0 countries
• Sites: N/A

Brief Summary

The long-term care 2.0 policy has been launched at 2017 by Taiwanese government to respond the rate of aging population reached to14% and estimated to 20% in 2025, becoming a "super-aged society" in Taiwan. As aging society, the ratio of chronic disease and disability has reasonably raised. The home reablement and care of this policy are not only to prevent and delay disability but provide daily care for the elderly who needed. As the implementation of the policy, there is still insufficient research to investigate and compare the effects on physical mobility and quality of life among the individual after using these different types of the service. Therefore, the aim of the study is to compare the effects on physical function and quality of life of the frail and disabled individual with and without receiving the home reablement services. The participants will be enrolled from the long-term care service units registered in local government at Hualien county, Taiwan. The recruited participants will be assigned to two groups in a convenient method (receiving and non-receiving the home reablement service). All participants will be assessed by a professional physical therapist at three time points, before the reablement, at 1-3 months after receiving the reablement, then follow-up after 3 months

Conditions

Reablement; Home Rehabilitation

Outcome Measures

Primary Outcomes (1)

• Short Physical Performance Battery, SPPB

  The SPPB is one of the most commonly used instruments for measuring physical performance in population studies of aging. The SPPB consists of three subtests: a hierarchical test of balance, a short walk at usual pace and standing up from a chair five times consecutively. Low scores on the SPPB have a high predictive value for a wide range of health consequences including disability in Activities of Daily Living.

  15 minutes

Secondary Outcomes (5)

• Barthel index, BI

  10 minutes

• Instrumental Activities of Daily Living, IADL

  5 minutes

• EuroQol Five Dimensions Questionnaire, EQ-5D

  5 minutes

• Elderly Mobility Scale, EMS

  15 minutes

• Handheld dynamometer to measure muscle strength

  5 minutes

Study Arms (2)

Reablement group

The home reablement program will be implemented by a physical therapist according to "Long-term Care Reablement Operational Guidelines" announced by the Ministry of Health and Welfare of Taiwanese government

Other: Reablement

Non-reablement group

This group will only receive general home care service without the reablement program.

Other: Reablement

Interventions

Reablement OTHER

The service provider customizes a training plan and formulates training goals based on the patient's level of disability, family environment, and the needs of the patient and the caregiver.

Non-reablement group; Reablement group

Eligibility Criteria

• Age: 50 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

* Aged from 50-90 years old * The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.

You may qualify if:

• Aged from 50-90 years old
• Be able to follow the command and cooperate with the assessor
• The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.
• Receiving the reablement services at least 3 times/a set.

You may not qualify if:

• Using the outpatient rehabilitation service during the study period
• Transferring or delivering to institution
• Re-admission to hospital during using the service

Sponsors & Collaborators

• Buddhist Tzu Chi General Hospital: lead

Study Officials

• Jia-Ching Chen

  Department of physical therapy, Tzu Chi University

  PRINCIPAL INVESTIGATOR

• Lian-Cing Yan

  Department of physical therapy, Tzu Chi University

  STUDY DIRECTOR

Central Study Contacts

Jia-Ching Chen

CONTACT

886-3-8565301; chenjiaching0608@gmail.com

Lian-Cing Yan

CONTACT

886-3-8565301; 110331102@gms.tcu.edu.tw

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: c123010@yahoo.com.tw

Study Record Dates

• First Submitted: February 19, 2022
• First Posted: March 2, 2022
• Study Start: April 1, 2022
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: March 16, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share