Synergizing Home Health Rehabilitation Therapy

Summary

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.

Conditions

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

Interventions

OTHER

ADL-enhanced program

The ADL-enhanced program consists of six home visits delivered by a study occupational therapy staff. The study therapy staff will use the compensatory approach and the restorative approach during the visits to enhance patients' activity engagement. The compensatory approach uses strategies to reduce the activity demand to make every task easier. For example, using the sitting position to perform self-care tasks. The restorative approach uses strategies to increase the demand of the task to increase the patient's functional capacity. For example, carrying a full-load laundry basket versus an empty laundry basket.

OTHER

Usual home health rehabilitation therapy

Usual home health rehabilitation therapy is prescribed by the home health agency. It often includes occupational therapy and physical therapy delivered in one to three home visits per week for one to two months.

Sponsors & Collaborators

• National Institute on Aging (NIA)

  collaborator NIH

• University of Florida

  lead OTHER

Principal Investigators

• Chiung-ju Liu, PhD · University of Florida

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

65 Years

Max Age

100 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-10-06

Primary Completion

2025-01-10

Completion

2025-03-15

Countries

• United States

Study Locations