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dc.contributor.authorTuntland, Hanneeng
dc.contributor.authorEspehaug, Birgitteeng
dc.contributor.authorFørland, Oddvareng
dc.contributor.authorHole, Astri Drangeeng
dc.contributor.authorKjerstad, Egileng
dc.contributor.authorKjeken, Ingvildeng
dc.descriptionStudy protocolen_US
dc.description.abstract<strong>Background:</strong> As a result of the ageing population, there is an urgent need for innovation in community health-care in order to achieve sustainability. Reablement is implemented in primary care in some Western countries to help meet these challenges. However, evidence to support the use of such home-based rehabilitation is limited. Reablement focuses on early, time-intensive, multidisciplinary, multi-component and individualised home-based rehabilitation for older adults with functional decline. The aim of this study is to investigate the effectiveness of reablement in home-dwelling adults compared with standard treatment in relation to daily activities, physical functioning, health-related quality of life, use of health-care services, and costs. <strong>Methods/Design:</strong> The study will be a 1:1 parallel-group randomised controlled superiority trial conducted in a rural municipality in Norway. The experimental group will be offered reablement and the control group offered standard treatment. A computer-generated permuted block randomisation sequence, with randomly selected block sizes, will be used for allocation. Neither participants nor health-care providers will be blinded, however all research assistants and researchers will be blinded. The sample size will consist of 60 p articipants. People will be elig ible if they are home-dwelling, over 18 years of age, understand Norwegian and have functional decline. The exclusion criteria will be people in need of institution-based rehabilitation or nursing home placement, and people who are terminally ill or cognitively reduced. The primary outcome will be self-perceived performance, and satisfaction with performance of daily activities, assessed with the Canadian Occupational Performance Measure. In addition, physical capacity, health-related quality of life, use of health-care services, and cost data will be collected at baseline, and after 3 and 9 months in both groups, and again after 15 months in the intervention group. Data will be analysed on an intention-to-treat basis using a linear mixed model for repeated measures. <strong>Discussion:</strong> The findings will make an important contribution to evaluating cost-effective and evidence-based rehabilitation approaches for community-dwelling adults. <strong>Trial registration:</strong> The trial was registered in November 20, 2012, identifier: NCT02043262en_US
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="" target="blank">Reablement in home-dwelling older adults</a>
dc.rightsAttribution CC BYeng
dc.subjectActivities of daily livingeng
dc.subjectRandomised controlled trialeng
dc.subjectHome-care serviceseng
dc.subjectHealth-care costseng
dc.titleReablement in community-dwelling adults: study protocol for a randomised controlled trialeng
dc.typeJournal articleeng
dc.rights.holderCopyright 2014 Tuntland et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
bora.peerreviewedPeer reviewedeng
bora.journalTitleBMC Geriatricseng

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