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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.date.accessioned2015-01-19T13:38:58Z
dc.date.available2015-01-19T13:38:58Z
dc.date.issued2014eng
dc.identifier.issn1471-2318eng
dc.identifier.urihttp://hdl.handle.net/1956/9199
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 ClinicalTrials.gov November 20, 2012, identifier: NCT02043262en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/15926" target="blank">Reablement in home-dwelling older adults</a>
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.subjectActivities of daily livingeng
dc.subjectRehabilitationeng
dc.subjectAgedeng
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.date.updated2015-01-19T13:28:00Z
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 ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.type.versionpublishedVersioneng
bora.peerreviewedPeer reviewedeng
bora.journalTitleBMC Geriatricseng
bibo.volume14eng
bibo.number139
bora.accessRightsinfo:eu-repo/semantics/openAccesseng
dc.identifier.cristinID1186975eng
dc.identifier.doi10.1186/1471-2318-14-139


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