Stimulating Engagement in Daily and Physical Activities Among Older Adults Receiving Homecare Services (Part of Basic Care Revisited)

September 25, 2017 updated by: Silke Metzelthin, Maastricht University Medical Center

Stimulating Engagement in Daily and Physical Activities Among Older Adults Receiving Homecare Services: An Exploratory Trial (Part of Basic Care Revisited)

Most older adults want to stay at home for as long as possible. To reach this aim it is important to maintain their mobility and self-care abilities. However, many older adults are at risk to lose their abilities, as they have an inactive lifestyle. In this study, homecare professionals learn to motivate their clients to be more active in daily and physical activities. Examples of these activities are washing and dressing, household chores or going for a walk.

The primary aim of this exploratory study is to evaluate the implementation of the 'Stay Active at Home' program (process evaluation). The secondary aim is to get insight into the potential effectiveness of the program with regard to several primary and secondary outcomes measures (effect evaluation). The tertiary aim is to test the feasibility of the proposed study design.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Netherlands
    • Limburg
      • Kerkrade, Limburg, Netherlands
        • MeanderGroep Zuid-Limburg

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • ≥65 years
  • Community-dwelling
  • Indication for homecare
  • ≥10 hours sedentary behaviour/day (measured with LASA vragenlijst questionnaire)
  • Written informed consent

Exclusion Criteria:

  • Terminal
  • Serious cognitive or psychological problems
  • Not able to speak Dutch

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Stay Active at Home
One group of homecare professionals receives a training programme. In this training they learn to motivate their clients to be more active in daily and physical activities.
Behavioral: Stay Active at Home
Stay Active at Home' aims to change the behaviour of community nurses and domestic support workers by offering them an intensive training programme. Subsequently, professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.
Active Comparator: Usual care
Second group of homecare professionals will get no training and their clients will receive usual homecare.
Other: Usual care
Homecare professionals will get no training and their clients will receive usual homecare.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Short Physical Performance Battery (older adults)
Time Frame: after 6 months
after 6 months
Groningen Activity Restriction Scale (older adults)
Time Frame: after 6 months
after 6 months

Secondary Outcome Measures

Outcome Measure
Time Frame
Patient Health Questionnaire-9 (older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
EQ-5D-5L (older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
Healthcare utilisation questionnaire (older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
Self-efficacy and outcome expectation questionnaire (older adults and professionals)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
Satisfaction with care, 1 item CQ index (older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
Falls, 1 item 'How often did you fall during the ... months?' (older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
LASA sedentary behaviour questionnaire (older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months
Physical activity (actigraph, counts/minute, subsample older adults)
Time Frame: baseline, after 6 and 9 months
baseline, after 6 and 9 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Maastricht University Medical Center

Investigators

  • Study Chair: Gertrudis IJ Kempen, PhD, Maastricht University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2016

Primary Completion (Actual)

July 1, 2017

Study Completion (Actual)

July 1, 2017

Study Registration Dates

First Submitted

September 8, 2016

First Submitted That Met QC Criteria

September 13, 2016

First Posted (Estimate)

September 19, 2016

Study Record Updates

Last Update Posted (Actual)

September 26, 2017

Last Update Submitted That Met QC Criteria

September 25, 2017

Last Verified

December 1, 2016

More Information

Terms related to this study

Other Study ID Numbers

  • ZonMw no. 520002003

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

IPD Plan Description

data are avalailble upon request depending on specific circumstances

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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