Aging With Long Term Physical Disabilities

The Washington University

Status: Completed

Conditions: Physical Disability

Treatments: Behavioral: Removing Environmental Barriers to Independent Living (REBIL); Behavioral: Waitlist Attentional Control

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT04589988

201710186

Details and patient eligibility

About

The purpose of this study is to determine the feasibility and efficacy of an adapted evidence-based program (REBIL) to reduce barriers to community participation and remove fall hazards at home for adults aging with physical disabilities.

Full description

Investigators will test the working hypothesis that the adapted program, focused on resolving environmental barriers, removing fall hazards, and building self-management skills in the home and community, will be feasible and superior to usual care for daily activity performance and participation outcomes in adults aging with physical disabilities.

Enrollment: 50 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 45-65 years
• Self-report of difficulty with at least 2 daily activities using the Older Adult Retirement Survey Activities of Daily Living (OARS ADL) scale
• onset of a physical disability 5 years prior to participation (e.g., spinal cord injury (SCI), cerebral palsy, post-polio syndrome, stroke, amputation).
• live within 60 miles of the research lab

Exclusion criteria

• Currently institutionalized.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

REBIL- Intervention arm

Experimental group

Description:

Participants in this arm will receive the Removing Environmental Barriers to Independent Living (REBIL) intervention.

Treatment:

Behavioral: Removing Environmental Barriers to Independent Living (REBIL)

Waitlist Attentional control

Other group

Description:

Participants in this arm will receive life interview visits provided by a trained occupational therapist (OT) or OT student remotely for an equivalent amount of time to the treatment group. The waitlist control group will be offered the REBIL intervention after the 6-month follow-up is completed.

Treatment:

Behavioral: Waitlist Attentional Control