Activity based health related actions: Intervention study towards activity, participation and health among older people with risk for health decline
ISRCTN | ISRCTN44231162 |
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DOI | https://doi.org/10.1186/ISRCTN44231162 |
Secondary identifying numbers | N/A |
- Submission date
- 29/10/2010
- Registration date
- 15/03/2011
- Last edited
- 15/03/2011
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Ingeborg Nilsson
Scientific
Scientific
Umea University
Department of Community Medicine and Rehabilitation &
Ageing and Living Conditions Programme (ALC)
Umea
SE 901 87
Sweden
Study information
Study design | Randomised controlled trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Other |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Activity based health related actions: Intervention study towards activity, participation and health among older people with risk for health decline, a randomised controlled trial |
Study objectives | The aim of this project is to use a health preventive perspective to identify aspects of what and how activity-based services can best contribute, in the most cost-effective way, to activity and participation aimed ultimately toward sustained health of older people with risk for health decline. The specific aims are reflected in the following research questions: 1. In relation to a control group, what benefits (e.g., person: activity, participation and self-reported health; society: more effective and less costly elderly care) can be identified for older people with risk for health decline receiving activity-based services (individual or group-based) and are the benefits maintained over time? 2. When comparing ordinary societal services, individual activity-based and group activity-based services for older people with risk for health decline, which intervention yields greater benefits for the person and which is most cost-effective? 3. What are the therapeutic mechanisms in the intervention processes that lead to promotion of activity, participation and health among older persons with risk for health decline? |
Ethics approval(s) | Ethical Committee in Umea (Sweden) approved (ref: 210-242-32 (M)) |
Health condition(s) or problem(s) studied | Health decline with older people |
Intervention | All three types of activity-focused services (short and longer group- and individual-based) is implemented by an occupational therapist (OT) experienced in working with older people who are experiencing or at risk for problems with performance of and engagement in their daily activities. Briefly, all additional services are focused on health, activity and participation of the older people with risk for health decline and are inspired by the evaluation and intervention principles of the Occupational Therapy Intervention Process Model (OTIPM). The participants in the individualised activity focused service receive client-centred evaluations and interventions that are activity-based (up to 10 OT contacts over three months). The group-based activity focused service is also addressing client-centred goals but provided within the group context (10 sessions over 3 months). The short group-based service is a single meeting with discussions about activity, participation and health. The two different activity groups are each comprised of approximately six persons in each group. The control group receives ordinary existing societal services but no additional service. |
Intervention type | Other |
Primary outcome measure | Person's activity level and participation using the Activities of Daily Living (ADL) Taxonomy together with self-rated Modified NPS Interest Checklist (MNPS) that address leisure activities. Measured at base-line, post intervention and at 12 and 24 months follow-up. |
Secondary outcome measures | 1. Whether changes in activity level and participation influences health, including activity-based well being and loneliness 2. Self-rated health, measured using the 12-item Short Form Health Survey (SF-12) 3. Secondary measure of health measured with the Occupational Well Being Questionnaire 4. Parameters of social aspects of everyday life, evaluated using loneliness scale 5. Health related quality of life measured with the EQ5D 6. Health economic issues such as cost-effectiveness and cost-utility, will be based on relevant costs from a societal perspective (e.g., technical aids, health consumption, costs related to intervention All measured at baseline, post intervention and at 12 and 24 months follow-up. |
Overall study start date | 01/04/2010 |
Completion date | 01/04/2013 |
Eligibility
Participant type(s) | Patient |
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Age group | Senior |
Sex | Both |
Target number of participants | 200 persons |
Key inclusion criteria | Older people with risk for health decline, i.e.: 1. Living in ordinary housing 2. Aged 76 - 82 years old, either sex 3. No homecare services 4. Living in an urban area in northern Sweden The target sample will be identified through the National Tax Board. |
Key exclusion criteria | Persons with clear problems in either cognition and/or communication that would not enable informed consent to participate or ability to participate reliably in self-report |
Date of first enrolment | 01/04/2010 |
Date of final enrolment | 01/04/2013 |
Locations
Countries of recruitment
- Sweden
Study participating centre
Umea University
Umea
SE 901 87
Sweden
SE 901 87
Sweden
Sponsor information
Umeå University (Sweden)
University/education
University/education
Department of Community Medicine and Rehabilitation &
Ageing and Living Conditions Programme (ALC)
Umea
SE 901 87
Sweden
Website | http://www.umu.se/english |
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https://ror.org/05kb8h459 |
Funders
Funder type
Research council
Swedish Research Council (Sweden)
Government organisation / National government
Government organisation / National government
- Alternative name(s)
- Swedish Research Council, VR
- Location
- Sweden
Carl Wikstroms Foundation (Sweden)
No information available
Swedish Council for Working Life and Social Research (Sweden)
Private sector organisation / Other non-profit organizations
Private sector organisation / Other non-profit organizations
- Alternative name(s)
- Swedish Council for Working Life and Social Research, FAS
- Location
- Sweden
Umea University (Sweden) - IB & CA Branholms Foundation
No information available
Erik & Anne-Marie Detlof Foundation (Sweden)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |