Reablement in community-dwelling adults: study protocol for a randomised controlled trial

BMC Geriatrics

Study Protocol

Astri Drange Hole¹  Oddvar Forland²  Hanne Tuntland³  Birgitte Espehaug⁴  Ingvild Kjeken⁵  Egil Kjerstad⁶ 

[1] Bergen University College, P.O. Box 7030, 5020, Bergen, Norway;Centre for Care Research Western Norway, Bergen University College, P.O. Box 7030, 5020, Bergen, Norway;Haraldsplass Deaconess University College, Ulriksdal 10, 5009, Bergen, Norway;Centre for Care Research Western Norway, and Department of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, P.O. Box 7030, 5020, Bergen, Norway;Centre for Evidence-based Practice, Bergen University College, P.O. Box 7030, 5020, Bergen, Norway;Diakonhjemmet Hospital, National Advisory Unit on Rehabilitation in Rheumatology, P.O.Box 23, 0319, VinderenOslo, Norway;Program of Occupational Therapy, Prosthetics and Orthotics, Oslo and Akershus University College of Applied Sciences, P.O. Box 4, St. Olavs plass, 0130, Oslo, Norway;Uni Research Rokkan Centre, P.O. Box 7810, 5020, Bergen, Norway;

关键词: Activities of daily living;    Rehabilitation;    Aged;    Randomised controlled trial;    Home-care services;    Health care costs;   

DOI  :  10.1186/1471-2318-14-139

 received in 2014-12-04, accepted in 2014-12-15,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundAs a result of the ageing population, there is an urgent need for innovation in community health-care in order to achieve sustainability. Reablement is implemented in primary care in some Western countries to help meet these challenges. However, evidence to support the use of such home-based rehabilitation is limited. Reablement focuses on early, time-intensive, multidisciplinary, multi-component and individualised home-based rehabilitation for older adults with functional decline. The aim of this study is to investigate the effectiveness of reablement in home-dwelling adults compared with standard treatment in relation to daily activities, physical functioning, health-related quality of life, use of health-care services, and costs.Methods/DesignThe study will be a 1:1 parallel-group randomised controlled superiority trial conducted in a rural municipality in Norway. The experimental group will be offered reablement and the control group offered standard treatment. A computer-generated permuted block randomisation sequence, with randomly selected block sizes, will be used for allocation. Neither participants nor health-care providers will be blinded, however all research assistants and researchers will be blinded. The sample size will consist of 60 participants. People will be eligible if they are home-dwelling, over 18 years of age, understand Norwegian and have functional decline. The exclusion criteria will be people in need of institution-based rehabilitation or nursing home placement, and people who are terminally ill or cognitively reduced. The primary outcome will be self-perceived performance, and satisfaction with performance of daily activities, assessed with the Canadian Occupational Performance Measure. In addition, physical capacity, health-related quality of life, use of health-care services, and cost data will be collected at baseline, and after 3 and 9 months in both groups, and again after 15 months in the intervention group. Data will be analysed on an intention-to-treat basis using a linear mixed model for repeated measures.DiscussionThe findings will make an important contribution to evaluating cost-effective and evidence-based rehabilitation approaches for community-dwelling adults.Trial registrationThe trial was registered in ClinicalTrials.gov November 20, 2012, identifier: NCT02043262.

【 授权许可】

CC BY   
© Tuntland et al.; licensee BioMed Central. 2014