Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers | NCT07775781 | Trialant

RecruitingInterventionalNot ApplicableUpdated Aug 20, 2026

Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers

Overview

Key facts that identify this study and show where it stands today.

ClinicalTrials.gov ID: NCT07775781
Lead Sponsor: National Taiwan University HospitalOTHER
Overall Status: Recruiting
Study Type: Interventional
Phase: Not Applicable
Enrollment: 300Estimated
Last Update Posted: Aug 20, 2026Actual
Start Date: Jul 1, 2026Actual
Primary Completion Date: Jul 1, 2026Actual
Completion Date: Dec 2028Estimated

Description

What the study is about and why it is being run, in the researchers' own words.

Official Title: Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers
Brief Summary: This study will examine whether a reablement approach can help people receiving community-based long-term care maintain or improve their independence, daily functioning, and quality of life. Approximately 300 adults from eight long-term care facilities across Taiwan will participate. The 12-week reablement program includes group and individualized activities designed to support mobility, cognitive function, daily activities, and social participation. Participants' physical and cognitive function, daily living abilities, emotional well-being, quality of life, and personal goals will be assessed before and after the program.

The study will also include observations and interviews with care providers, participants, and family members to understand their experiences with the program and identify factors that support successful implementation. The findings are expected to help develop a practical reablement model for community-based long-term care in Taiwan and provide guidance for improving care quality, independence, and healthy aging.

Conditions

The medical conditions and diseases this study investigates.

Elderly
Long-Term Care
Reablement

Interventions

The treatments and procedures being evaluated in this study.

Reablement intervention

Participation

Who can join this study and the criteria used to decide.

Ages Eligible for Study: Adult (18-64)Older Adult (65+)
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Yes
Eligibility Criteria: Inclusion Criteria:

Aged 18 years or older and assessed as CMS Level 2 or above.

Regularly receiving adult day care services and attending at least two days per week.

Able to understand simple instructions and participate in activities with assistance.

Exclusion Criteria:

Severe cognitive impairment or severe visual or hearing impairment that interferes with participation in activities or assessments.

A major fall within the past three months or acute symptoms that prevent participation in assessments or study procedures.

Concurrent participation in another intensive rehabilitation program or research intervention.

Clear unwillingness to participate in the study intervention or inability to complete the three-month intervention period.

Design

How the study is designed and how its participant groups are organized.

Primary Purpose: Treatment
Allocation: Non-Randomized
Interventional Model: Crossover Assignment
Masking: None (Open Label)

Contacts

The people to reach with questions about this study or how to join it.

Hui-fun Mao, ProfessorContact

huifen@ntu.edu.tw+886233668178

Locations

Where the study is run and whether each site is currently recruiting.

Xu-An Daycare CenterRecruiting

Kaohsiung City, Taiwan

Collaborators

The organizations and people involved in this study.

Lead Sponsor: National Taiwan University HospitalOTHER

Similar Studies

Other registered studies that closely resemble this one.

Detailed Description

This study adopts a mixed-methods design, incorporating both quantitative and qualitative components. The quantitative component employs a quasi-experimental design and is expected to recruit approximately 300 adults aged 18 years or older with long-term care needs from eight community-based long-term care facilities across northern, central, and southern Taiwan. Facilities will be assigned to either an experimental group or a wait-list control group. The experimental group will receive a 12-week reablement intervention, while the control group will initially receive usual care and subsequently receive the same intervention. The reablement intervention consists of group activities (once weekly, 30 minutes per session) and individualized activities (at least twice weekly, 15-30 minutes per session), addressing mobility, cognitive function, activities of daily living, and social participation. Outcomes will be assessed before and after the intervention, including mobility (SPPB), cognitive function (BHT-7), activities of daily living (Barthel Index and IADL), depressive symptoms (GDS-5), neuropsychiatric symptoms (NPI-Q), quality of life (SF-12, EQ-VAS, and Life Satisfaction Scale), and individualized goal attainment, to evaluate the effectiveness of the reablement model.

The qualitative component will employ the extended case method, with the eight day care facilities serving as the research settings. Through field observations, document analysis, and semi-structured interviews with approximately 50 facility staff members, service users, and family caregivers, the study will explore in depth the implementation process, influencing factors, and practical strategies associated with introducing the reablement model into real-world care settings. Qualitative data will be analyzed using thematic analysis to develop a reablement service model and practical implementation principles tailored to the context of community-based long-term care in Taiwan.

This study is expected to establish a locally applicable reablement service model for community-based long-term care and provide empirical evidence to support policy development and improvements in service quality. The findings may also serve as a practical reference for long-term care facilities seeking to implement reablement-oriented care, thereby promoting the maintenance of functional abilities, improving quality of life, and supporting healthy aging among older adults.