Promoting social inclusion of older home care clients
| ISRCTN | ISRCTN13146087 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN13146087 |
| Secondary identifying numbers | #342267 |
- Submission date
- 30/03/2022
- Registration date
- 03/04/2022
- Last edited
- 20/12/2023
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
The day activity service is targeted at older home care clients who are unable to participate in other available activities due to poor health or functional ability. The aim of the day activity service is to support the home care client’s ability to live at home and to enhance their wellbeing and social inclusion. The aim of this study is to assess the effectiveness, cost-effectiveness and the process of day activity services targeted for older home care clients.
Who can participate?
Home care clients who are 65 years or older who are starting to participate in the day activity service or would like to participate in the same type of activities.
What does the study involve?
Intervention group members participate in the day activity service which aims to support home care clients living at home by promoting their health and wellbeing, maintaining their physical, psychological, and social functional ability, and enhancing social inclusion. The day activity service is additional to the regular home care services and takes place in local day activity centres or other places once a week. The day activity service is a group-based intervention, and the duration of one meeting is 2 to 6 hours. The intervention includes rehabilitative and preventive activities such as physical exercising, outdoor activities, thematic discussions, activating memory, listening to music, having lunch and coffee together with group participants, for example. The comparison group consist of home care clients who do not participate in the day activity service, and whose functioning and health are similar to the participants of the intervention group, and who would like to participate in the same type of activities.
What are the possible benefits and risks of participating?
Possible benefits are related to the results of the study. By verifying the effectiveness and cost-effectiveness the study may show decision-makers that the intervention is useful.
Where is the study run from?
The study is run in Finland in one municipality and in one social welfare and health care joint authority consisting of seven municipalities.
When is the study starting and how long is it expected to run for?
October 2021 to December 2024
Who is funding the study?
The Academy of Finland (Finland)
Who is the main contact?
Hanna Ristolainen, hanna.ristolainen@uef.fi
Contact information
Scientific
Yliopistonranta 1
Kuopio
70211
Finland
 ORCID ID |
0000-0002-1721-1010 |
|---|---|
| Phone | +358 (0)50 439 0671 |
| hanna.ristolainen@uef.fi |
Study information
| Study design | Quasi-experimental trial with intervention and comparison groups |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Non randomised study |
| Study setting(s) | Community |
| Study type | Quality of life |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | Evaluation of the day activity services in relation to social inclusion, loneliness and social care related quality of life of older home care clients |
| Study objectives | Day activity service is a cost-effective model for improving social inclusion, social care related quality of life and loneliness of home care clients. |
| Ethics approval(s) | Approved 28/02/2022, University of Eastern Finland Committee on Research Ethics (Yliopistonranta 1, PO Box 1627, FI-70211 Kuopio, Finland; +358 (0)503468118; mika.saukkonen@uef.fi), ref: 9/2022 |
| Health condition(s) or problem(s) studied | Promoting social inclusion of older home care clients |
| Intervention | Intervention group members participate in the day activity service which aims to support home care clients living at home by promoting their health and wellbeing, maintaining their physical, psychological, and social functional ability, and enhancing social inclusion. The day activity service is additional to the regular home care services and takes place in local day activity centres or other places once a week. The day activity service is a group-based intervention, and the duration of one meeting is 2 to 6 hours. The intervention includes rehabilitative and preventive activities such as physical exercising, outdoor activities, thematic discussions, activating memory, listening to music, having lunch and coffee together with group participants, for example. The comparison group consist of home care clients who do not participate in the day activity service, and whose functioning and health are similar to the participants of the intervention group, and who would like to participate in the same type of activities. The duration of the trial is 6 months. The intervention is in use and participants can attend as long as they are willing, but the study will end at the timepoint of 6 months. |
| Intervention type | Behavioural |
| Primary outcome measure | Social inclusion measured using the Experiences of Social Inclusion Scale (ESIS) at baseline, 3 and 6 months |
| Secondary outcome measures | 1. Loneliness measured using the De Jong Gierveld Loneliness Scale and a single question ("How often do you feel lonely?") at baseline, 3 and 6 months 2. Social care related quality of life measured using the Adult Social Care Outcomes Toolkit (ASCOT) at baseline, 3 and 6 months 3. Cost-effectiveness measured using primary and secondary outcomes and the administrative data of social and health care service use and the costs of the intervention at baseline, 3 and 6 months |
| Overall study start date | 01/10/2021 |
| Completion date | 30/12/2024 |
Eligibility
| Participant type(s) | Other |
|---|---|
| Age group | Senior |
| Lower age limit | 65 Years |
| Sex | Both |
| Target number of participants | 200 |
| Key inclusion criteria | 1. Home care client 2. Aged 65 years or older 3. Starting to participate in the day activity service (intervention group) or would like to participate in the same type of activity (comparison group) |
| Key exclusion criteria | 1. Severe memory disorder |
| Date of first enrolment | 05/05/2022 |
| Date of final enrolment | 31/05/2024 |
Locations
Countries of recruitment
- Finland
Study participating centres
70100
Finland
87100
Finland
70100
Finland
87100
Finland
Sponsor information
University/education
Yliopistonranta 1
Kuopio
70211
Finland
| Phone | +358 (0)505249708 |
|---|---|
| timo.toikko@uef.fi | |
| Website | http://www.uef.fi/en |
"ROR" |
https://ror.org/00cyydd11 |
Funders
Funder type
University/education
Government organisation / Universities (academic only)
- Alternative name(s)
- Suomen Akatemia, Finlands Akademi, Academy of Finland, AKA
- Location
- Finland
Results and Publications
| Intention to publish date | 31/08/2025 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | Planned publication in high-impact peer-reviewed journals in 2024-2025. The protocol will be submitted for publication in BMC Geriatrics. |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are not expected to be made available. The researchers made decisions of storing the datasets for the whole SOLDEX project taking into account resources they have. They decided to store other datasets of the project in the repository because those datasets are more interesting for more researchers and students. It is also not permitted to store administrative data in the repository. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | 21/10/2022 | 24/10/2022 | Yes | No |
Editorial Notes
20/12/2023: The following changes were made to the study record:
1. The recruitment end date was changed from 30/12/2023 to 31/05/2024.
2. The overall study end date was changed from 30/05/2024 to 30/12/2024.
3. The intention to publish date was changed from 30/03/2025 to 31/08/2025.
05/09/2023: The following changes have been made:
1. The recruitment end date was changed from 30/11/2023 to 30/12/2023.
2. Older Peoples Services of Wellbeing Services County of North Savo and Older Peoples Services of Wellbeing Services County of Kainuu were added as study participating centres.
17/03/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/03/2023 to 30/11/2023.
2. The overall end date was changed from 30/09/2023 to 30/05/2024.
3. The intention to publish date was changed from 30/09/2024 to 30/03/2025.
4. The plain English summary was updated to reflect these changes.
24/10/2022: Publication reference added.
22/04/2022: Internal review.
31/03/2022: Trial's existence confirmed by the University of Eastern Finland Committee on Research Ethics.
