Evaluation of an intervention programme addressing ability to perform activities of daily living among persons with chronic conditions: study protocol for a feasibility trial (ABLE)

Susanne Guidetti, Kristina Tomra Nielsen, Cecilie von Bülow, Marc Sampedro Pilegaard, Louise Klokker, Eva Ejlersen Wæhrens, Susanne Guidetti, Kristina Tomra Nielsen, Cecilie von Bülow, Marc Sampedro Pilegaard, Louise Klokker, Eva Ejlersen Wæhrens

Abstract

Introduction: The number of persons living with a chronic condition is increasing worldwide. Conditions are considered chronic when lasting 1 year or more and requiring ongoing medical attention and/or limiting activities of daily living (ADL). Besides medical treatment, physical exercise to improve body functions is recommended and prescribed. However, improvements in body functions do not necessarily improve ability to perform ADL. Thus, it is necessary to develop interventions aiming directly at enhancing ADL ability. As a part of the research programme 'A Better Everyday Life', the first version of the ABLE intervention programme was developed.

Methods and analysis: This feasibility study examine the perceived value and acceptability of the ABLE programme by evaluating the fidelity, reach, dose and potential outcomes using a pretest and post-test design involving 30 persons living with chronic conditions. Qualitative interviews among occupational therapists delivering and participants receiving the ABLE programme will be conducted to explore aspects affecting the intervention.

Ethics and dissemination: The results will form the base for refinement of the ABLE programme and planning of a large-scale randomised controlled trial investigating the effect of the programme on self-reported and observed ADL ability. Dissemination will include peer-reviewed publications and presentations at national and international conferences.

Protocol version: 7 November 2017: v ersion 1.0. 19 February 2018: v ersion 2.0.

Trial registration number: NCT03335709; Pre-results.

Keywords: ADL; AMPS; assessment of motor and process skills; goal attainment scaling; occupational therapy.

Conflict of interest statement

Competing interests: None declared.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Figures

Figure 1
Figure 1
Participant timeline and data collection. ABLE, The occupational therapy intervention program; ADL-I, Activities of Daily Living Interview, version 2.0; AMPS, Assessment of Motor and Process Skills; GAS, Goal Attainment Scaling.

References

    1. WHO. Global status report on noncommunicable diseases 2014, 2014.
    1. Goodman RA, Posner SF, Huang ES, et al. . Defining and measuring chronic conditions: imperatives for research, policy, program, and practice. Prev Chronic Dis 2013;10:E66 10.5888/pcd10.120239
    1. Bendixen HJ, Wæhrens EE, Wilcke JT, et al. . Self-reported quality of ADL task performance among patients with COPD exacerbations. Scand J Occup Ther 2014;21:313–20. 10.3109/11038128.2014.899621
    1. Lindahl-Jacobsen L, Hansen DG, Wæhrens EE, et al. . Performance of activities of daily living among hospitalized cancer patients. Scand J Occup Ther 2015;22:137–46. 10.3109/11038128.2014.985253
    1. Nielsen KT, Wæhrens EE. Occupational therapy evaluation: use of self-report and/or observation? Scand J Occup Ther 2015;22:13–23. 10.3109/11038128.2014.961547
    1. Wæhrens EE, Bliddal H, Danneskiold-Samsøe B, et al. . Differences between questionnaire- and interview-based measures of activities of daily living (ADL) ability and their association with observed ADL ability in women with rheumatoid arthritis, knee osteoarthritis, and fibromyalgia. Scand J Rheumatol 2012;41:95–102. 10.3109/03009742.2011.632380
    1. Avlund K. Disability in old age: University of Copenhagen, 2004.
    1. Bowen A, Knapp P, Gillespie D, et al. . Non-pharmacological interventions for perceptual disorders following stroke and other adult-acquired, non-progressive brain injury. Cochrane Database Syst Rev 2011;4:CD007039 10.1002/14651858.CD007039.pub2
    1. Bowen A, Hazelton C, Pollock A, et al. . Cognitive rehabilitation for spatial neglect following stroke. Cochrane Database Syst Rev 2013;7:CD003586 10.1002/14651858.CD003586.pub3
    1. Coupar F, Pollock A, van Wijck F, et al. . Simultaneous bilateral training for improving arm function after stroke. Cochrane Database Syst Rev 2010;4:CD006432 10.1002/14651858.CD006432.pub2
    1. Coupar F, Pollock A, Legg LA, et al. . Home-based therapy programmes for upper limb functional recovery following stroke. Cochrane Database Syst Rev 2012;5:CD006755 10.1002/14651858.CD006755.pub2
    1. Giné-Garriga M, Roqué-Fíguls M, Coll-Planas L, et al. . Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Arch Phys Med Rehabil 2014;95:753–69. 10.1016/j.apmr.2013.11.007
    1. Crocker T, Young J, Forster A, et al. . The effect of physical rehabilitation on activities of daily living in older residents of long-term care facilities: systematic review with meta-analysis. Age Ageing 2013;42:682–8. 10.1093/ageing/aft133
    1. Steultjens EM, Dekker J, Bouter LM, et al. . Evidence of the efficacy of occupational therapy in different conditions: an overview of systematic reviews. Clin Rehabil 2005;19:247–54. 10.1191/0269215505cr870oa
    1. Hand C, Law M, McColl MA. Occupational therapy interventions for chronic diseases: a scoping review. Am J Occup Ther 2011;65:428–36. 10.5014/ajot.2011.002071
    1. Kottorp A, Fisher A. Evidence-based occupational therapy 2.0: Developing evidence for occupation. JOTR 2015;34:349–54.
    1. Fisher A. Occupational therapy intervention process model - a model for planning and implementing top-down, client-centered and occupation-based interventions. Fort Collins, Colorado, USA: Three Star Press, Inc, 2009:188.
    1. Craig P, Dieppe P, Macintyre S, et al. . Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ 2008;337:a1655 10.1136/bmj.a1655
    1. Straus S, Glasziou P, Richardson W, et al. ; Evidence-based medicine: how to practice and teach it. 4th edition Churchill Livingstone: Elsevier, 2011.
    1. Dreiling D. Energy conservation: Home Health Care Management and Practice, 2009:26–33.
    1. Norberg EB, Löfgren B, Boman K, et al. . Brännström M. A client-centred programme focusing energy conservation for people with heart failure. Scand J Occup Ther 2017:1–13.
    1. Martinsen U, Bentzen H, Holter MK, et al. . The effect of occupational therapy in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Scand J Occup Ther 2017;24:89–97. 10.3109/11038128.2016.1158316
    1. Mathiowetz VG, Matuska KM, Finlayson ML, et al. . One-year follow-up to a randomized controlled trial of an energy conservation course for persons with multiple sclerosis. Int J Rehabil Res 2007;30:305–13. 10.1097/MRR.0b013e3282f14434
    1. Vanage SM, Gilbertson KK, Mathiowetz V. Effects of an energy conservation course on fatigue impact for persons with progressive multiple sclerosis. Am J Occup Ther 2003;57:315–23. 10.5014/ajot.57.3.315
    1. Van Heest KNL, Mogush AR, Mathiowetz VG. Effects of a One-to-One Fatigue Management Course for People With Chronic Conditions and Fatigue. Am J Occup Ther 2017;71:7104100020p1–p9. 10.5014/ajot.2017.023440
    1. Nielsen KT, Klokker L, Wæhrens EE. Self-reported quality of activities of daily living (ADL) task performance in persons with chronic conditions. (submitted).
    1. Nielsen KT, Klokker L, Guidetti S, et al. . Identifying, organizing and prioritizing ideas on how to enhance ADL ability. Scand J Occup Ther 2018:1–12. 10.1080/11038128.2018.1424235
    1. O’Cathain A, Hoddinott P, Lewin S, et al. . Maximising the impact of qualitative research in feasibility studies for randomised controlled trials: guidance for researchers. Pilot Feasibility Stud 2015;1:1–13. 10.1186/s40814-015-0026-y
    1. Chan AW, Tetzlaff JM, Gøtzsche PC, et al. . SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ 2013;346:e7586 10.1136/bmj.e7586
    1. Chan AW, Tetzlaff JM, Altman DG, et al. . SPIRIT 2013 statement: defining standard protocol items for clinical trials. Ann Intern Med 2013;158:200–7. 10.7326/0003-4819-158-3-201302050-00583
    1. Gantschnig BE, Nilsson I, Fisher AG, et al. . Feasibility study of a single-blind randomised controlled trial of an occupational therapy intervention. Scand J Occup Ther 2016;23:260–71. 10.3109/11038128.2015.1115548
    1. Simmons CD, Griswold LA. Using the evaluation of social interaction in a community-based program for persons with traumatic brain injury. Scand J Occup Ther 2010;17:49–56. 10.3109/11038120903350303
    1. Lindström M. Promoting agency among people with severe psychiatric disability - Occupation-oriented interventions in home and community settings. Arkitektkopia: Umeå University, 2011.
    1. Guetterman TC, Fetters MD, Creswell JW. Integrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays. Ann Fam Med 2015;13:554–61. 10.1370/afm.1865
    1. WK Kellogg Foundation. Logic Model Development Guide. Michigan, 2014.
    1. Wæhrens E. Measuring quality of occupational performance based on self-report and observation: Development and validation of instruments to evaluate ADL task performance. Arkitektkopia, Umeå: Umeå University, 2010.
    1. Wæhrens EE. ADL Interview (ADL-I) Manual. version 2.0, 2017. (unpublished).
    1. Fisher AG, Jones KB. Assessment of Motor and Process Skills, Volume 1: Development, standardization and administration manual. 7th edition, revised Fort Collins, Colorado, USA: Three Star Press, Inc, 2012.
    1. Fisher AG, Jones KB. Assessment of Motor and Process Skills, Volume 2: User manual. 8th edition Fort Collins, Colorado, USA: Tree Star Press, Inc, 2014.
    1. Kiresuk T, Smith A, Cardillo J. Goal attainment scaling: applications, theory and measurement. New Jersey, USA: Lawrence Erlbaum Associates, Inc, 1994.
    1. Krasny-Pacini A, Hiebel J, Pauly F, et al. . Goal attainment scaling in rehabilitation: a literature-based update. Ann Phys Rehabil Med 2013;56:212–30. 10.1016/j.rehab.2013.02.002
    1. Strong S, Rigby P, Stewart D, et al. . Application of the Person-Environment-Occupation Model: a practical tool. Can J Occup Ther 1999;66:122–33. 10.1177/000841749906600304
    1. Eriksson C, Erikson A, Tham K, et al. . Occupational therapists experiences of implementing a new complex intervention in collaboration with researchers: a qualitative longitudinal study. Scand J Occup Ther 2017;24:116–25. 10.1080/11038128.2016.1194465
    1. Billingham SA, Whitehead AL, Julious SA. An audit of sample sizes for pilot and feasibility trials being undertaken in the United Kingdom registered in the United Kingdom Clinical Research Network database. BMC Med Res Methodol 2013;13:104 10.1186/1471-2288-13-104
    1. Thabane L, Ma J, Chu R, et al. . A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol 2010;10:1 10.1186/1471-2288-10-1
    1. Gill T, Broderick D, Avery J, et al. . Self reported overall health status: implications for intervention strategies. AMJ 2009;1:44–57.
    1. OT Assessment Package (OTAP). 3.0 ed. Fort Collins, Colorado, USA: Center for Innovative OT Solutions, 2016.
    1. Moore K, Merritt B, Doble SE. ADL skill profiles across three psychiatric diagnoses. Scand J Occup Ther 2010;17:77–85. 10.3109/11038120903165115
    1. Von Bülow C, Amris K, La Cour K, et al. . Ineffective ADL skills in women with fibromyalgia: a cross-sectional study. Scand J Occup Ther 2016;23:1–7. 10.3109/11038128.2015.1095237
    1. Waehrens EE, Amris K, Fisher AG. Performance-based assessment of activities of daily living (ADL) ability among women with chronic widespread pain. Pain 2010;150:535–41. 10.1016/j.pain.2010.06.008
    1. Toto PE, Skidmore ER, Terhorst L, et al. . Goal Attainment Scaling (GAS) in geriatric primary care: a feasibility study. Arch Gerontol Geriatr 2015;60:16–21. 10.1016/j.archger.2014.10.022
    1. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105–12. 10.1016/j.nedt.2003.10.001
    1. Dworkin RH, Turk DC, Wyrwich KW, et al. . Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. J Pain 2008;9:105–21. 10.1016/j.jpain.2007.09.005

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj