NCT05411393

Synergizing Home Health Rehabilitation Therapy

Synergizing Home Health Rehabilitation Therapy to Optimize Patients' Activities of Daily Living

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 47 (actual)
• Sponsor: University of Florida · Academic / Other
• Sex: All
• Age: 65 Years – 100 Years
• Healthy volunteers: Not accepted

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.

Detailed description

Regaining the ability to take care of oneself after an illness or medical episode is critical for home health patients to maintain independent living at home. An ADL-enhanced program may augment the effect of home health rehabilitation therapy to support patients' self-care outcomes. Patients will be randomly assigned to two groups: one will receive the ADL-enhanced program with usual home health care, and the other will receive usual home health care. Researchers will compare outcomes in self-care activities and physical performance between the two groups to determine the effect of the ADL-enhanced program.

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

Type	Name	Description
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.

Timeline

• Start date: 2022-10-06
• Primary completion: 2025-01-10
• Completion: 2025-03-15
• First posted: 2022-06-09
• Last updated: 2026-01-22
• Results posted: 2026-01-22

Locations

1 site across 1 country: United States