Enhanced Home Rehabilitation Therapy for Elderly Care
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new method to enhance home health care for seniors by adding a special program focused on daily activities to the usual home health rehabilitation therapy. The goal is to determine if this helps patients perform better at home. The trial seeks participants aged 65 and older who are on Medicare and require rehab services at home, particularly those with three or more health issues. Participants will receive either the special program alongside their regular care or just the regular care to compare results. As an unphased trial, this study provides a unique opportunity for seniors to contribute to innovative approaches in home health care.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this ADL-enhanced program is safe for elderly care?
Research has shown that treatments focusing on daily activities are generally safe and beneficial. These programs can help older adults maintain or even improve their physical abilities, quality of life, and independence. Participants in similar therapies have reported improvements without major side effects, indicating these treatments are well-tolerated.
Although the specific ADL-enhanced program hasn't been directly tested for safety, its components are commonly used and usually considered safe. The trial's "Not Applicable" phase suggests that safety is not the main concern, reflecting confidence in the treatment's safety based on previous research and similar therapies.12345Why are researchers excited about this trial?
Researchers are excited about the Enhanced Home Rehabilitation Therapy for elderly care because it offers a novel approach to improving daily living activities through an ADL-enhanced program. Unlike standard home health care rehabilitation, this experimental treatment includes six home visits by an occupational therapist, which aims to deliver more personalized and intensive support. This tailored approach could potentially enhance recovery and improve the quality of life for elderly patients by focusing more closely on specific activities of daily living, setting it apart from usual care methods.
What evidence suggests that the ADL-enhanced program is effective for improving patient outcomes in elderly care?
Research has shown that incorporating everyday activities into home rehab programs can significantly enhance recovery. In this trial, participants in the experimental arm will receive the ADL-enhanced program in addition to standard home health care rehabilitation. For instance, one study found that patients improved in movement and self-care skills. Another study noted enhanced cognitive abilities, using assessments like the Barthel Index and Mini-Mental State Examination. Further research suggests that structured home rehab can boost both physical and mental health. These findings support the notion that integrating everyday activities into home care can lead to improved recovery outcomes.23678
Who Is on the Research Team?
Chiung-ju Liu, PhD
Principal Investigator
University of Florida
Are You a Good Fit for This Trial?
This trial is for individuals aged 65 or older who are Medicare beneficiaries and referred for skilled rehabilitation services. They must have at least three comorbidities but cannot join if they have acute fractures, terminal heart failure, ongoing dialysis, recent stroke or major neurological issues, joint replacement surgery, limb amputation, active cancer treatment, hospice care referral or severe cognitive deficits.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the ADL-enhanced program and usual home health care rehabilitation
Follow-up
Participants are monitored for self-care and physical performance outcomes
What Are the Treatments Tested in This Trial?
Interventions
- ADL-enhanced program
- Usual home health rehabilitation therapy
Trial Overview
The study is testing an ADL-enhanced program alongside usual home health rehabilitation to see if it improves outcomes in elderly patients. Participants will be randomly assigned to receive either the enhanced program plus usual care or just the usual care alone.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Research participants in this arm will receive the ADL-enhanced program and usual home health care rehabilitation. The ADL-enhanced program consists of six home visits delivered by a study occupational therapist.
Research participants in this arm will receive usual home health care rehabilitation.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Florida
Lead Sponsor
National Institute on Aging (NIA)
Collaborator
Citations
Age-Related Differences in the Effectiveness of ...
This study aimed to reveal differences in the effectiveness of rehabilitation in improving activities of daily living (ADL) in patients with acute stroke ...
Evaluation of Activities of Daily Living: Current Insights and ...
The results showed significant improvements in motor function, self-care ability (Barthel Index), and cognitive function (Mini-Mental State Examination) in the ...
Effectiveness of a Structured Online Rehabilitation ...
This study evaluated the efficacy of a structured online rehabilitation program in enhancing functional performance among older adults, compared ...
Health-related outcomes of structured home-based ...
The implementation of structured home-based rehabilitation programs may contribute to improve physical and psychological health-related outcomes among older ...
Synergizing Home Health Rehabilitation Therapy | ...
Researchers will compare outcomes in self-care activities and physical performance between the two groups to determine the effect of the ADL-enhanced program.
Enhanced Home Rehabilitation Therapy for Elderly Care
Trial Overview The study is testing an ADL-enhanced program alongside usual home health rehabilitation to see if it improves outcomes in elderly patients.
Maintaining daily living activities in older adults: The impact ...
Following the intervention, participants significantly maintained ADL ability, improved physical performance and quality of life, and reduced frailty (all p < ...
ADL Activities: How They Impact Care and Quality Measures
Therapy supports independence, improves quality of life, and can sometimes enable a safe return home. Restorative Nursing Programs (RNPs) and ...
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