Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNational Taiwan University Hospital
About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial design
Design model
Crossover
Treatments tested in this trial
Reablement intervention
BehavioralReablement intervention consists group activities and individualized activities. Group activities will be conducted once a week for 30 minutes per session. The activities will focus on mobility, cognition and emotional well-being, independence in activities of daily living, and social participation. Healthcare professionals will design practical and engaging activities based on everyday life situations. Individualized activities will be conducted for 15-30 minutes per session, at least twice a week. Healthcare professionals will develop individualized activities that can be incorporated into participants' daily routines based on their functional abilities, personal interests, and available facility resources.
Treatment groups
300 Participants
are divided into 2 treatment groupsGroup A: Reablement GroupExperimental treatment 1 intervention
Group B: Waiting List Control GroupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Mobility - Short Physical Performance Battery (SPPB)
The SPPB assesses lower-extremity physical performance in older adults and comprises three major components: static balance, gait speed, and lower-extremity strength. Total scores range from 0 to 12, with higher scores indicating better physical function.
Time frame
For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks2
Cognition - Brain Health Test-7 (BHT-7)
The BHT-7 was developed from the cognitive assessment component of the original BHT-cog. It includes assessments of time orientation, five-item immediate and delayed recall, categorical verbal fluency, cube copying, clock drawing, and the three-step Luria test, with a total score of 23 points. The BHT-7 can be used to identify individuals with mild cognitive impairment and dementia, with cutoff scores of 17/18 and 14/15, respectively. The BHT-7 also maintains good screening performance among individuals with higher levels of education.
Time frame
For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks3
Basic Activities of Daily Living - Barthel Index (BI)
The Barthel Index measures functional independence in performing basic activities of daily living. It comprises 10 items covering feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, transfers, mobility, and stair climbing. Items are scored according to the participant's level of independence, typically as 0, 5, 10, or 15 points. Total scores range from 0 to 100, with higher scores indicating greater functional independence.
Time frame
For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks4
Instrumental Activities of Daily Living - Lawton Instrumental Activities of Daily Living Scale (Lawton IADL Scale)
The Lawton IADL Scale assesses independence in instrumental activities of daily living (IADL) among older adults. The scale includes eight activities: telephone use, shopping, food preparation, housekeeping, laundry, transportation, medication management, and financial management. The traditional version uses dichotomous scoring (0-8 points); however, modified versions employ three- or four-level scoring systems according to the degree of independence, with each item scored from 0 to 4 and total scores ranging from 0 to 24. Higher scores indicate better functional performance. The present study will use the 24-point version to provide greater sensitivity in detecting intervention effects.
Time frame
For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeksSponsors and contacts
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Source ClinicalTrials.gov