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| Name | Class |
|---|---|
| Forte | INDUSTRY |
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The goal of this study is to continue to develop, implement, and evaluate a unique reablement service, ASSIST 2.0. The project will determine the differences in the reablement service (ASSIST 2.0) compared to regular home care in terms of older adults' performance in daily activities, self-efficacy, perceived health, quality of life, frailty and perceived person-centered approach.
The research question is: Can older adults receiving ASSIST 2.0 improve their performance and satisfaction in daily life activities, experience a higher level of self-efficacy, perceived health, quality of life and a person-centered approach?
The ASSIST project involves older adults receiving home care, home care assistants, occupational and physical therapists. ASSIST 2.0 reablement consists of the following components:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group - ASSIST intervention groups Uppsala/Stockholm | Active Comparator | All staff in the intervention group will recieve an on-line reablement education. The occupational and physcial therapist in the intervention group will provide mentoring including reflection for the homecare staff. Together the team will focus on the older persons everyday occuations and deliver reablement to the older persons. |
|
| Control group Uppsala/Stockholm | No Intervention | The older person will recieve home care as usual without a reablement education or support from occupational or physical therapists. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Assist Reablement (including education and mentoring) | Behavioral | Reablement on-line education will be standard and mandatory for both intervention groups. Mentoring will be formed according to the pre-requisites at the site. |
| Measure | Description | Time Frame |
|---|---|---|
| The improvement of performance and/or satisfaction in prioritized everyday activities after the end of the reablement intervention, 6 and 12 months post baseline. | The Canadian Occupational Performance Measure (COPM) will be used. The COPM measures the level of self-assessed performanace and satisfaction of up to five prioritized everyday activities that the person needs, wants or is expected to do, but percieves difficulties doing them. The person rates, for each everyday activity, on a scale of 1 to 10 the prioritisation, the performance and the satisfaction of the activity. For the prioritisation 10 represents very important, one not important). For the performance scale, 10 represents the person does the activity extremely well, and one represents can not do the activity at all. For the satisfaction scale, 10 represents being extremely satisfied and and one not satisfied at all. An increase in two points or more from base-line to follow-up is a positive clinically significant difference. | Measurements will be at baseline, two weeks post base line, at the end of the intervention (6-12 weeks post baseline), 6 and 12 months post baseline. |
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Inclusion criteria:
Exclusion criteria:
• The person has palliative care
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aileen L Bergström, PhD | Contact | +4673 7490139 | aileen.bergstrom@ki.se | |
| Susanne Assander, PhD | Contact | susanne.assander@uu.se |
| Name | Affiliation | Role |
|---|---|---|
| Susanne Guidetti, PhD, Professor | Karolinska Institutet | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska Institutet | Active, not recruiting | Huddinge | Sweden | 181 83 | Sweden | |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35879678 | Background | Assander S, Bergstrom A, Eriksson C, Meijer S, Guidetti S. ASSIST: a reablement program for older adults in Sweden - a feasibility study. BMC Geriatr. 2022 Jul 26;22(1):618. doi: 10.1186/s12877-022-03185-2. |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Uppsala Kommun |
| Recruiting |
| Uppsala |
| Sweden |
| 753 75 |
| Sweden |
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