- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04295837
A Better Everyday Life Among Persons With Chronic Conditions (ABLE)
A Better Everyday Life - a Complex Intervention Addressing Ability to Perform Activities of Daily Living Among Persons Living With Chronic Conditions
Background: Persons living with chronic conditions often have decreased ability to perform Activities of Daily Living (ADL) tasks, stressing a need to develop and evaluate intervention programs addressing decreased ADL ability. Guided by the British Medical Research Council's guidance (MRC) on how to develop and evaluate complex interventions, the program "A Better everyday LifE" (ABLE), a home-based intervention program, was developed and feasibility tested. The current phase concerns a full-scale evaluation of the ABLE program including evaluation of effectiveness, processes and cost-effectiveness.
Material and Methods: The design involves a randomized controlled trial, initiated with an internal pilot. The study will include eighty (n=80) home dwelling persons living with chronic conditions, experiencing problems performing ADL. Participants are randomized to either intervention (ABLE) or control (usual care).
Co-primary outcomes are self-reported ADL ability measured using ADL-Questionnaire (ADL-Q) and observed ADL motor ability measured using Assessment of Motor and Process Skills (AMPS). Secondary outcomes are perceived satisfaction with ADL task performance measured using ADL-Q; observed ADL process ability measured using AMPS; and Goal Attainment measured using Goal-Attainment-Scaling (GAS). Data is collected at baseline, post intervention and six months after baseline. Process evaluation data are collected using registration forms and semi-structured qualitative interviews.
The economic evaluation will be performed from a health care sector perspective with 6 months follow-up. Costs will be estimated based on micro costing and national registries. Effects will be Quality Adjusted Life Years and changes in AMPS ADL ability.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Frederiksberg, Denmark, 2000
- The Parker Research Institute, Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- ≥ one year since medical diagnosed with one or more chronic conditions
- Perceive problems performing ADL tasks
- ≥ 18 years of age
- Lives in own home
- Motivated and ready for making changes in ADL performance
- Motivated and ready to participate in program
- Communicates independently and relevant
- Able to understand and relevantly answer a questionnaire
Exclusion Criteria:
- PADL problems with acute need for help (if the client does not already receive help from home carer
- Known substance abuse
- Mental illness, and/or other acute illness effecting ADL task performance
- Communication barriers (e.g. severe cognitive deficits; and barriers that prevents receiving information on study)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ABLE - A Better everday LifE
A home-based occupational therapy intervention addressing ADL task performance issues among persons living with chronic conditions.
The ABLE intervention is occupation-focused and -based, and follows a structured process of assessment, goalsetting, intervention and evaluation.
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Home-based occupational therapy compensatory programme addressing activities of daily living
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Active Comparator: Usual care
Community-based occupational therapy addressing ADL task performance issues among persons living with chronic conditions
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Standard occupational therapy
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in observed ADL motor ability - with the Assessment of Motor and Process Skills (AMPS)
Time Frame: Week 10
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Observation-based measure of ADL ability - motor
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Week 10
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Change in self-reported ADL ability - with the ADL-Interview (ADL-I)
Time Frame: Week 10
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Self-report based on interview addressing perceived ability to perform ADL tasks.
Linear measures of ADL ability will be generated using Rasch measurement models.
Higher scores mean more ADL ability.
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Week 10
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in observed ADL process ability - with the Assessment of Motor and Process skills (AMPS)
Time Frame: Week 10
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Observation-based measure of ADL ability - process
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Week 10
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Change in observed ADL process ability - with the Assessment of Motor and Process skills (AMPS)
Time Frame: Week 27
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Observation-based measure of ADL ability - process
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Week 27
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Change in observed ADL motor ability - with the Assessment of Motor and Process skills (AMPS)
Time Frame: Week 27
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Observation-based measure of ADL ability - motor
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Week 27
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Change in self-reported satisfaction with ADL ability - with the ADL-Interview (ADL-IS)
Time Frame: Week 10
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Self-report based on interview addressing satisfaction with perceived ability to perform ADL tasks.
Linear measures of satisfactions with ADL ability will be generated using Rasch measurement models.
Higher scores mean more satisfaction.
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Week 10
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Change in self-reported satisfaction with ADL ability - with the ADL-Interview (ADL-IS)
Time Frame: Week 27
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Self-report based on interview addressing satisfaction with perceived ability to perform ADL tasks.
Linear measures of satisfactions with ADL ability will be generated using Rasch measurement models.
Higher scores mean more satisfaction.
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Week 27
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Change in self-reported ADL ability - with the ADL-Interview (ADL-I)
Time Frame: Week 27
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Self-report based on interview addressing perceived ability to perform ADL tasks.
Linear measures of ADL ability will be generated using Rasch measurement models.
Higher scores mean more ADL ability.
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Week 27
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Occupational Balance Questionnaire (OBQ11)
Time Frame: Week 10
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Assessing occupational balance
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Week 10
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Occupational Balance Questionnaire (OBQ11)
Time Frame: Week 27
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Assessing occupational balance
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Week 27
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EuroQoL 5 dimensions (EQ-5D)
Time Frame: Week 10
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Quality of life
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Week 10
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EuroQoL 5 dimensions (EQ-5D)
Time Frame: Week 27
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Quality of life
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Week 27
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Transition Questionnaire (TRANS-Q)
Time Frame: Week 10
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Perceived change in performance and satisfaction with ADL ability on a Likert scale from much less able/satisfied to fully able/satisfied.
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Week 10
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Transition Questionnaire (TRANS-Q)
Time Frame: Week 27
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Perceived change in performance and satisfaction with ADL ability on a Likert scale from much less able/satisfied to fully able/satisfied.
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Week 27
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General Health (SF36-SF1)
Time Frame: Week 10
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Perceived general health on 5-point ordinal scale
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Week 10
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General Health (SF36-SF1)
Time Frame: Week 27
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Perceived general health on 5-point ordinal scale
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Week 27
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Client-Weighted-Problems (CWP)
Time Frame: Week 10
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Self-reported weight of identified problems, need for help and hope for the future on an 11-point ordinal scale ranging from '0' representing "not at all" to '10' representing "to a high extent".
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Week 10
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Client-Weighted-Problems (CWP)
Time Frame: Week 27
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Self-reported weight of identified problems, need for help and hope for the future on an 11-point ordinal scale ranging from '0' representing "not at all" to '10' representing "to a high extent".
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Week 27
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Eva E Wæhrens, PhD, The Parker Research Institute, Bispebjerg and Frederiksberg Hospital
Publications and helpful links
General Publications
- Hagelskjaer V, Nielsen KT, von Bulow C, Oestergaard LG, Graff M, Waehrens EE. Evaluating a complex intervention addressing ability to perform activities of daily living among persons with chronic conditions: study protocol for a randomised controlled trial (ABLE). BMJ Open. 2021 Nov 26;11(11):e051722. doi: 10.1136/bmjopen-2021-051722.
- Hagelskjaer V, Nielsen KT, von Bulow C, Graff M, Waehrens EE. Occupational therapy addressing the ability to perform activities of daily living among persons living with chronic conditions: a randomised controlled pilot study of ABLE 2.0. Pilot Feasibility Stud. 2021 Jun 11;7(1):122. doi: 10.1186/s40814-021-00861-9.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 145
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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