ASSIST 2.0: a Reablement Program for Healthy Ageing

NCT06749080 | Recruiting

• 1 other identifier: ASSIST 2.0
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this study is to continue to develop, implement, and evaluate a unique reablement service, ASSIST 2.0. The project will determine the differences in the reablement service (ASSIST 2.0) compared to regular home care in terms of older adults' performance in daily activities, self-efficacy, perceived health, quality of life, frailty and perceived person-centered approach. The research question is: Can older adults receiving ASSIST 2.0 improve their performance and satisfaction in daily life activities, experience a higher level of self-efficacy, perceived health, quality of life and a person-centered approach? The ASSIST project involves older adults receiving home care, home care assistants, occupational and physical therapists. ASSIST 2.0 reablement consists of the following components:

• an intervention aimed at older adults to help them perform daily activities they need and want to do. This will be achieved through optimal support from home care staff,
• an on-line education provided by the researchers for all staff in the art and science of reablement,
• training and support through mentorship and coaching provided by occupational and physical therapists for home care staff to ensure the proper delivery of reablement.

Conditions

Reablement; Frailty

Outcome Measures

Primary Outcomes (1)

• The improvement of performance and/or satisfaction in prioritized everyday activities after the end of the reablement intervention, 6 and 12 months post baseline.

  The Canadian Occupational Performance Measure (COPM) will be used. The COPM measures the level of self-assessed performanace and satisfaction of up to five prioritized everyday activities that the person needs, wants or is expected to do, but percieves difficulties doing them. The person rates, for each everyday activity, on a scale of 1 to 10 the prioritisation, the performance and the satisfaction of the activity. For the prioritisation 10 represents very important, one not important). For the performance scale, 10 represents the person does the activity extremely well, and one represents can not do the activity at all. For the satisfaction scale, 10 represents being extremely satisfied and and one not satisfied at all. An increase in two points or more from base-line to follow-up is a positive clinically significant difference.

  Measurements will be at baseline, two weeks post base line, at the end of the intervention (6-12 weeks post baseline), 6 and 12 months post baseline.

Study Arms (2)

Intervention group - ASSIST intervention groups Uppsala/Stockholm

ACTIVE COMPARATOR

All staff in the intervention group will recieve an on-line reablement education. The occupational and physcial therapist in the intervention group will provide mentoring including reflection for the homecare staff. Together the team will focus on the older persons everyday occuations and deliver reablement to the older persons.

Behavioral: Assist Reablement (including education and mentoring)

Control group Uppsala/Stockholm

NO INTERVENTION

The older person will recieve home care as usual without a reablement education or support from occupational or physical therapists.

Interventions

Assist Reablement (including education and mentoring) BEHAVIORAL

Reablement on-line education will be standard and mandatory for both intervention groups. Mentoring will be formed according to the pre-requisites at the site.

Intervention group - ASSIST intervention groups Uppsala/Stockholm

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Homecare has been granted
• The person can describe an ordinary day and what they have problems with doing
• years of age or over

You may not qualify if:

• The person has palliative care

Sponsors & Collaborators

• Aileen Bergström: lead
• Forte: collaborator

Study Sites (2)

Karolinska Institutet

Huddinge, Sweden, 181 83, Sweden

ACTIVE NOT RECRUITING

Uppsala Kommun

Uppsala, Sweden, 753 75, Sweden

RECRUITING

Related Publications (1)

• 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 BACKGROUND

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Susanne Guidetti, PhD, Professor

  Karolinska Institutet

  STUDY DIRECTOR

Central Study Contacts

Aileen L Bergström, PhD

CONTACT

+4673 7490139; aileen.bergstrom@ki.se

Susanne Assander, PhD

CONTACT

susanne.assander@uu.se

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: SPONSOR INVESTIGATOR
• PI Title: PhD, Ass. Lecturer

Study Record Dates

• First Submitted: December 19, 2024
• First Posted: December 27, 2024
• Study Start: February 3, 2025
• Primary Completion (Estimated): September 1, 2027
• Study Completion (Estimated): September 1, 2028
• Last Updated: March 7, 2025

Record last verified: 2025-03

Locations

SE (2)