Experimental Control Investigation of the Impact of Assistive Technology on the User-caregiver Dyad: a Multi-site Trial (ATUTI)
Experimental Control Investigation of the Impact of an Assistive Technology Updating and Tune up Intervention on the User-caregiver Dyad: a Multi-site Trial
The purpose of this study is to determine the effectiveness of an assistive technology updating and tune up intervention on users and their caregivers. This intervention includes 4 components:
- an in-residence assessment of the mobility preferences of the older person and his/her caregiver
- a detailed review of forms of assistance, technological and human, that are currently being used
- recommendations by an occupational therapist for possible changes in the older person's mobility assistive technology or assistance strategy
- therapist negotiation of an mobility assistive technology updating and tune-up intervention plan with the individual and his or her caregiver. The intervention is provided to the immediate treatment following the administration of baseline measures and the delayed intervention group six weeks later, after an additional baseline measurement. The treatment is six weeks long and the follow-up is 26 weeks.
Hypothesis 1: For community-dwelling older people, an intervention that increases the appropriateness of existing or new assistive technology(AT) for mobility or self-care will alter established patterns of human assistance, such that caregiver burden is reduced or eliminated.
Hypothesis 2: At the same time, AT users will report less difficulty in mobility or self-care, as well as enhanced subjective well-being, and satisfaction with their modified personal assistance strategy.
Hypothesis 3: Following the AT intervention, caregivers will report reduced physical and/or psychological demands and increased satisfaction with their caregiving-related activities compared with
- the pre-intervention period
- caregivers in a delayed intervention control group. Hypothesis 4: Decreased physical and/or psychological demands on helpers will be associated with increases in device users' satisfaction with their personal assistance strategies.
研究概览
研究类型
注册 (实际的)
阶段
- 阶段2
联系人和位置
学习地点
-
-
British Columbia
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Vancovuer、British Columbia、加拿大、V6B 5K3
- Simon Fraser University
-
-
Quebec
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Montreal、Quebec、加拿大
- Centre de santé et des services sociaux de Bordeaux-Cartierville--St-Laurent
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Montreal、Quebec、加拿大
- the Centre de santé et des services sociaux Cavendish
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Montreal、Quebec、加拿大
- the Centre de santé et des services sociaux de Laval
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Users: Aged 65 years and over
- Have moderate to severe disability that limits their ability to move from place to place independently and/or to perform self-care activities.
- Living at home
- Receiving 2 or more hour per week of assistance with mobility and/or self-care activities from a non-professional, caregiver who is also willing to take part in the study.
- Those caregivers will be adults aged 18 years and over.
Exclusion Criteria:
- Assistive technology users will be excluded if they have severe aphasia, are currently on a community occupational therapist caseload, or are unable to communicate in English or French.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的:Immediate intervention
Subjects and their caregivers randomized to this arm receive the intervention immediately after baseline data is collected.
|
This intervention includes 4 components: 1) an in-residence assessment of the mobility preferences of the older person and his/her caregiver; 2) a detailed review of forms of assistance, technological and human, that are currently being used; 3) recommendations by an occupational therapist for possible changes in the older person's mobility assistive technology or assistance strategy; and 4) therapist negotiation of an mobility assistive technology updating and tune-up intervention plan with the individual and his or her caregiver.
|
实验性的:Delayed Intervention
Subjects and their caregivers who are randomized to this group will receive the intervention after baseline measurements are administered twice (6 weeks apart).
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This intervention includes 4 components: 1) an in-residence assessment of the mobility preferences of the older person and his/her caregiver; 2) a detailed review of forms of assistance, technological and human, that are currently being used; 3) recommendations by an occupational therapist for possible changes in the older person's mobility assistive technology or assistance strategy; and 4) therapist negotiation of an mobility assistive technology updating and tune-up intervention plan with the individual and his or her caregiver.
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Assessment of Life Habits
大体时间:baseline (1or 2 times), 6 weeks (immediately after intervention), 16 weeks later
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baseline (1or 2 times), 6 weeks (immediately after intervention), 16 weeks later
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Caregivers: Caregiver Assistive Technology Outcome Measure
大体时间:base line (1 or 2), 6 weeks (immediately after intervention), 16 weeks later
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base line (1 or 2), 6 weeks (immediately after intervention), 16 weeks later
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次要结果测量
结果测量 |
大体时间 |
---|---|
Individually Prioritized Problem Assessment
大体时间:Baseline (1 or 2 times), Immediately after intervention, 16 weeks later
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Baseline (1 or 2 times), Immediately after intervention, 16 weeks later
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Functional Autonomy Measurement System
大体时间:Baseline (1 or 2 times), Immediately after intervention, 16 weeks later
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Baseline (1 or 2 times), Immediately after intervention, 16 weeks later
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Psychological Impact of Assistive Devices Scale
大体时间:Imediately after intervention. 16 weeks later
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Imediately after intervention. 16 weeks later
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Satisfaction with Personal Assistance Strategy
大体时间:Baseline (1 or 2 times), Immediately after intervention, 16 weeks later
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Baseline (1 or 2 times), Immediately after intervention, 16 weeks later
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合作者和调查者
调查人员
- 首席研究员:Louise Demers, PhD、Université de Montréal
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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