Synergizing Home Health Rehabilitation Therapy

University of Florida

Status: Completed

Conditions: Rehabilitation; Occupational Therapy; Home Health Care; Health Services for the Aged; Treatment Outcome; Physical Functional Performance; Frailty; Functional Status; Activities of Daily Living; Frail Elderly

Treatments: Other: Usual home health rehabilitation therapy; Other: ADL-enhanced program

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05411393

R21AG076972 (Other Identifier)

IRB202102816 -N

Details and patient eligibility

About

The objective of this project is to pilot test an ADL (activities of daily living)-enhanced program as an adjuvant therapy to usual home health rehabilitation to improve patient outcomes. The project will compare the ADL-enhanced program plus usual care with usual care using an RCT design in home health patients.

Full description

Regaining the ability to take care of oneself after an illness or medical episode is critical for home health patients to maintain independent living at home. An ADL-enhanced program may augment the effect of home health rehabilitation therapy to support patients' self-care outcomes. Patients will be randomly assigned to two groups: one will receive the ADL-enhanced program with usual home health care, and the other will receive usual home health care. Researchers will compare outcomes in self-care activities and physical performance between the two groups to determine the effect of the ADL-enhanced program.

Enrollment: 47 patients

Sex: All

Ages: 65 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Patients are eligible if they

• are 65 years of age over older
• are Medicare beneficiaries
• are referred for skilled rehabilitation services at the partnered home health agency
• have three or more comorbidities

Patients are ineligible if they have

• acute fractures with surgical or weight-bearing restrictions,
• elective joint replacement surgery
• lower-extremity amputation
• active treatment for cancer diagnosis
• ongoing dialysis treatment
• acute cardiac surgery,
• acute stroke or a major neurologic disorder limiting motor movements
• terminal stage of congestive heart failure
• a referral to hospice care
• severe cognitive deficits limiting verbal communication.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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47 participants in 2 patient groups

Experimental arm

Experimental group

Description:

Research participants in this arm will receive the ADL-enhanced program and usual home health care rehabilitation. The ADL-enhanced program consists of six home visits delivered by a study occupational therapist.

Treatment:

Other: ADL-enhanced program

Other: Usual home health rehabilitation therapy

Control arm

Other group

Description:

Research participants in this arm will receive usual home health care rehabilitation.

Treatment:

Other: Usual home health rehabilitation therapy