The Effect of Reablement Service of Long-term Care on Physical Mobility and Quality of Life in Disable People

Buddhist Tzu Chi General Hospital

Status: Unknown

Conditions: Reablement; Home Rehabilitation

Treatments: Other: Reablement

Study type: Observational

Funder types: Other

Identifiers

NCT05260476

IRB110-277-B

Details and patient eligibility

About

The long-term care 2.0 policy has been launched at 2017 by Taiwanese government to respond the rate of aging population reached to14% and estimated to 20% in 2025, becoming a "super-aged society" in Taiwan. As aging society, the ratio of chronic disease and disability has reasonably raised. The home reablement and care of this policy are not only to prevent and delay disability but provide daily care for the elderly who needed. As the implementation of the policy, there is still insufficient research to investigate and compare the effects on physical mobility and quality of life among the individual after using these different types of the service. Therefore, the aim of the study is to compare the effects on physical function and quality of life of the frail and disabled individual with and without receiving the home reablement services.

The participants will be enrolled from the long-term care service units registered in local government at Hualien county, Taiwan. The recruited participants will be assigned to two groups in a convenient method (receiving and non-receiving the home reablement service). All participants will be assessed by a professional physical therapist at three time points, before the reablement, at 1-3 months after receiving the reablement, then follow-up after 3 months

Enrollment: 93 estimated patients

Sex: All

Ages: 50 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged from 50-90 years old
• Be able to follow the command and cooperate with the assessor
• The disability grade level 2 to 8 according to the grading with long-term care case-mix system, approximately to 20 to 80 of Barthel Index score.
• Receiving the reablement services at least 3 times/a set.

Exclusion criteria

• Using the outpatient rehabilitation service during the study period
• Transferring or delivering to institution
• Re-admission to hospital during using the service

Trial design

93 participants in 2 patient groups

Reablement group

Description:

The home reablement program will be implemented by a physical therapist according to "Long-term Care Reablement Operational Guidelines" announced by the Ministry of Health and Welfare of Taiwanese government

Treatment:

Other: Reablement

Non-reablement group

Description:

This group will only receive general home care service without the reablement program.

Treatment:

Other: Reablement