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Evaluation of Housing Adaptations and Mobility Devices (FORMASEvid)

8. oktober 2020 opdateret af: Agneta Malmgren Fänge, Lund University

Housing Adaptations and Mobility Devices - Evaluation of a New Practice Strategy

The rationale underlying this project is the fact that HA is a very common compensatory interven¬tion within municipality health care, undertaken to support an independent living in the own home. In addition, MD are frequently prescribed and used among HA clients in order to compensate for declined body functions. In spite of this, knowledge of their effects for the individual and the society is still scarce. In particular, systematic, evidence-based strategies based on clear-cut conceptual definitions and descriptions of procedures are lacking. Such strategies are crucial in order to evaluate the effects of HA and MD. In addition, longterm cost-effectiveness evaluations are crucial for policy implementation.

The overarching aim is to investigate outcomes of HA on aspects of home and health for sub-groups of persons with disabilities.

The specific aims are to:

  • Investigate the effects of HA on home and health related outcomes, i.e. usability, fear of falling, activity/participation and health-related quality of life for different subgroups of persons, e.g. MD users and non MD-users
  • Investigate the use of a new practice strategy for HA on home and health related outcomes for subgroups of persons with disabilities in terms of differences between municipalities
  • Investigate societal level outcomes of HA and MD, i.e. costs and quality adjusted life years
  • Gain a deeper understanding of the processes behind changes in outcomes We hypothesise that using a structure strategy for housing adaptation and mobility devices case management in ordinary practice in Swedish municipalities increase activity, participation, the usability of the home, and reduces societal costs.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The ultimate goal of the project is to improve the housing situation of older people and people with disabilities, by determining the long term effects of housing adaptations (HA) for clients and society, and transferring this knowledge into guidelines for practitioners in the housing and building planning sector.

Specific research questions are:

RQ1. What are the long-term effects of HA for clients (individual goals achievement, activity, participation, health-related quality of life, usability, falls, functional capacity and use of mobility devices (MD), mortality, health care and social services consumption, and relocation)? RQ2. What are the long-term effects of HA for society (costs and cost- effectiveness)? RQ3. What are the barriers and facilitators to knowledge transfer in the area of HA? RQ4. How can evidence based knowledge be transferred into practical guidelines for housing and building planning in Sweden?

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

340

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Sverige
      • Lund, Sverige, 221 00
        • Department of Health Sciences, Lund University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

20 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Persons receiving housing adaptation
  • Above 20 years

Exclusion Criteria:

  • Persons with language deficits and/or cognitive decline

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: New Practice Strategy
Structured strategy for assessment and evaluation before and after intervention
Adfærdsmæssigt: New Practice Strategy
Application of a structured case management strategy on housing adaptation cases
Ingen indgriben: Ordinary practice
Ordinary practice, not structured

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
ADL Staircase
Tidsramme: Differences in changes between intervention and control sites at baseline and 3, 6,12, 24 and 36 months after
The ADL Staircase measures dependence on other persons in daily activities. Combined interview and observation
Differences in changes between intervention and control sites at baseline and 3, 6,12, 24 and 36 months after

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Falls Efficacy Scale- FES-I
Tidsramme: Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after
FES-I measures perceived fear of falling
Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Usability of the home, UIMH
Tidsramme: Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after
Self-rated assessment measuring the extent to which the person can perform Daily activities in the housing
Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after
Costs of housing adaptations
Tidsramme: 3,6, 12, 24 and 36 months after, for the whole sample
The actual costs for the housing adaptation, including costs for travel, work hours, and material will be calculated based on invoices benefit
3,6, 12, 24 and 36 months after, for the whole sample
Cost-benefit for client and society
Tidsramme: At 24 and 36 months after the housing adaptation, for the whole sample
The cost-benefit of the housing adaptation will be calculated based on health economic models utilising data from EQ-5D instrument
At 24 and 36 months after the housing adaptation, for the whole sample

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Lund University

Efterforskere

  • Ledende efterforsker: Agneta M Fänge, PhD, Lund University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

11. januar 2013

Primær færdiggørelse (Faktiske)

30. april 2020

Studieafslutning (Faktiske)

30. april 2020

Datoer for studieregistrering

Først indsendt

27. september 2013

Først indsendt, der opfyldte QC-kriterier

9. oktober 2013

Først opslået (Skøn)

10. oktober 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. oktober 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. oktober 2020

Sidst verificeret

1. oktober 2020

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • FORMAS 2011-907

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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Sponsorer og samarbejdspartnere

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Betingelser

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner