Reducing Disability Via a Bundled Bio-Behavioral-Environmental Approach (CAPABLE)

Johns Hopkins University

Status: Completed

Conditions: Quality of Life

Treatments: Behavioral: Attention visits; Behavioral: CAPABLE

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01576133

R01AG040100 (U.S. NIH Grant/Contract)

NA_00031539

Details and patient eligibility

About

The purpose of the study is to determine whether a combination of occupational therapy visits, nursing visits, and handyman repair are effective in helping low income older adults avoid costly health care services

Full description

We will recruit low-income age 65 or older

-principally African-American, adults from the Baltimore Department of Housing Energy Assistance Program.

-We will interview them at home and randomize participants to either the treatment (CAPABLE intervention) or control (attention-control) group. Participants in the treatment group will receive up to 10 in-home sessions -- 6 visits with an occupational therapist and 4 visits from a nurse - and $1200 in safety and modification services from a licensed handyman. Each treatment participant will receive each intervention component but interventionists will systematically tailor content to the participants' risk profile and goals based on protocols.

Enrollment: 300 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• at least 65 years old
• cognitively intact
• difficulty with at least one activity of daily living or two instrumental activities of daily living
• less than 175% of the Federal Poverty level
• be able to stand with or without assistance
• agree to study participation

Exclusion criteria

• hospitalized more than three times in the last year
• receiving in home rehabilitation
• have a terminal diagnosis with less than one year life expectancy
• plan to move in less than one year

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

300 participants in 2 patient groups

CAPABLE

Experimental group

Description:

Experimental group participants received up to 10 sessions; up to 6 with an OT, and up to 4 sessions with an RN, and ≤ $1200 of safety and functional modifications from a licensed handyman. These sessions happened in coordinated fashion over the course of 4 months.

Treatment:

Behavioral: CAPABLE

Attention visits

Active Comparator group

Description:

Participants in the attention visit arm received 10 visits of one hour length spaced across 16 weeks. These visits included sedentary activities of their choice based on their goals and interests.

Treatment:

Behavioral: Attention visits