The Effect of Reablement Service of Long-term Care on Physical Mobility and Quality of Life in Disable People

To Investigate the Effect of Rreablement Service of Long-term Care on Physical Mobility and Quality of Life in Disable People

The long-term care 2.0 policy has been launched at 2017 by Taiwanese government to respond the rate of aging population reached to14% and estimated to 20% in 2025, becoming a "super-aged society" in Taiwan. As aging society, the ratio of chronic disease and disability has reasonably raised. The home reablement and care of this policy are not only to prevent and delay disability but provide daily care for the elderly who needed. As the implementation of the policy, there is still insufficient research to investigate and compare the effects on physical mobility and quality of life among the individual after using these different types of the service. Therefore, the aim of the study is to compare the effects on physical function and quality of life of the frail and disabled individual with and without receiving the home reablement services.

The participants will be enrolled from the long-term care service units registered in local government at Hualien county, Taiwan. The recruited participants will be assigned to two groups in a convenient method (receiving and non-receiving the home reablement service). All participants will be assessed by a professional physical therapist at three time points, before the reablement, at 1-3 months after receiving the reablement, then follow-up after 3 months

Study Overview

• Status: Not yet recruiting
• Conditions: Reablement; Home Rehabilitation
• Intervention / Treatment: Other: Reablement

• Study Type: Observational
• Enrollment (Anticipated): 93

Contacts and Locations

• Study Contact: Name: Jia-Ching Chen; Phone Number: 2493 886-3-8565301; Email: chenjiaching0608@gmail.com
• Study Contact Backup: Name: Lian-Cing Yan; Phone Number: 2493 886-3-8565301; Email: 110331102@gms.tcu.edu.tw

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

• Aged from 50-90 years old
• The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.

Description

Inclusion Criteria:

• Aged from 50-90 years old
• Be able to follow the command and cooperate with the assessor
• The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.
• Receiving the reablement services at least 3 times/a set.

Exclusion Criteria:

• Using the outpatient rehabilitation service during the study period
• Transferring or delivering to institution
• Re-admission to hospital during using the service

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Reablement group; The home reablement program will be implemented by a physical therapist according to "Long-term Care Reablement Operational Guidelines" announced by the Ministry of Health and Welfare of Taiwanese government	Other: Reablement; The service provider customizes a training plan and formulates training goals based on the patient's level of disability, family environment, and the needs of the patient and the caregiver.
Non-reablement group; This group will only receive general home care service without the reablement program.	Other: Reablement; The service provider customizes a training plan and formulates training goals based on the patient's level of disability, family environment, and the needs of the patient and the caregiver.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Short Physical Performance Battery, SPPB	The SPPB is one of the most commonly used instruments for measuring physical performance in population studies of aging. The SPPB consists of three subtests: a hierarchical test of balance, a short walk at usual pace and standing up from a chair five times consecutively. Low scores on the SPPB have a high predictive value for a wide range of health consequences including disability in Activities of Daily Living.	15 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Barthel index, BI	The total score is from 0 to 100, each item is divided into 2-4 levels according to complete independence, need assistance and complete dependence. The lower the score, the higher the dependent level.	10 minutes
Instrumental Activities of Daily Living, IADL	There are eight domains of function measured with the Lawton IADL scale. Evaluators are scored according to their highest level of functioning in that category. A summary score ranges from 0 (low function, dependent) to 8 (high function, independent) for women, and 0 through 5 for men.	5 minutes
EuroQol Five Dimensions Questionnaire, EQ-5D	The quality of life was assessed using 5 items: Mobility, Self-care, Usual Activities, Pain/Discomfort, Anxiety/Depression. This questionnaire asks respondents to choose the option that best suits them based on their health status.	5 minutes
Elderly Mobility Scale, EMS	The EMS is a 7-item objective measure designed to assess mobility and function in elderly adults. Divided into bedside mobility and functional mobility (lying to sitting, sitting to lying, standing, and balance and walking). The total score is 0 to 20 points. The higher the score, the better performance.	15 minutes
Handheld dynamometer to measure muscle strength	Grip strength will be measured twice on the left and right sides of the elderly in a standard sitting position with elbow 90 degree and shoulder in neutral position, and the average value will be taken.	5 minutes

Collaborators and Investigators

• Sponsor: Buddhist Tzu Chi General Hospital
• Investigators: Principal Investigator: Jia-Ching Chen, Department of physical therapy, Tzu Chi University; Study Director: Lian-Cing Yan, Department of physical therapy, Tzu Chi University

Study record dates

Study Major Dates

• Study Start (Anticipated): April 1, 2022
• Primary Completion (Anticipated): December 31, 2023
• Study Completion (Anticipated): December 31, 2023

Study Registration Dates

• First Submitted: February 19, 2022
• First Submitted That Met QC Criteria: February 19, 2022
• First Posted (Actual): March 2, 2022

Study Record Updates

• Last Update Posted (Actual): March 16, 2022
• Last Update Submitted That Met QC Criteria: March 15, 2022
• Last Verified: March 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: IRB110-277-B

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No