dc.contributor.author | Tuntland, Hanne | en_US |
dc.contributor.author | Espehaug, Birgitte | en_US |
dc.contributor.author | Førland, Oddvar | en_US |
dc.contributor.author | Hole, Astri Drange | en_US |
dc.contributor.author | Kjerstad, Egil | en_US |
dc.contributor.author | Kjeken, Ingvild | en_US |
dc.date.accessioned | 2015-02-26T11:38:01Z | |
dc.date.available | 2015-02-26T11:38:01Z | |
dc.date.issued | 2014-11-18 | en_US |
dc.identifier.citation | Tuntland, H., Espehaug, B., Forland, O., Hole, A. D., Kjerstad, E., & Kjeken, I. (2014). Reablement in community-dwelling adults: study protocol for a randomised controlled trial. BMC geriatrics, 14(1), 139. | en_US |
dc.identifier.issn | 1471-2318 | en_US |
dc.identifier.other | FRIDAID 1186975 | en_US |
dc.identifier.uri | https://hdl.handle.net/10642/2398 | |
dc.description.abstract | Background
As 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/Design
The 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.
Discussion
The findings will make an important contribution to evaluating cost-effective and evidence-based rehabilitation approaches for community-dwelling adults.
Trial registration
The trial was registered in ClinicalTrials.gov November 20, 2012, identifier: NCT02043262. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | BioMed Central | en_US |
dc.relation.ispartofseries | BMC geriatrics;14(1) | en_US |
dc.subject | Rehabilitation | en_US |
dc.subject | Aging | en_US |
dc.subject | Home-care services | en_US |
dc.subject | Health care | en_US |
dc.subject | Costs | en_US |
dc.title | Reablement in community-dwelling adults: study protocol for a randomised controlled trial | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | © 2014 Tuntland et al.; licensee BioMed Central.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | en_US |
dc.identifier.doi | http://dx.doi.org/10.1186/1471-2318-14-139 | |