Community-dwelling Older Adults
Conditions
Brief summary
Most older adults want to stay at home for as long as possible. To reach this aim it is important to maintain their mobility and self-care abilities. However, many older adults are at risk to lose their abilities, as they have an inactive lifestyle. In this study, homecare professionals learn to motivate their clients to be more active in daily and physical activities. Examples of these activities are washing and dressing, household chores or going for a walk. The primary aim of this exploratory study is to evaluate the implementation of the 'Stay Active at Home' program (process evaluation). The secondary aim is to get insight into the potential effectiveness of the program with regard to several primary and secondary outcomes measures (effect evaluation). The tertiary aim is to test the feasibility of the proposed study design.
Interventions
BEHAVIORALStay Active at Home
Stay Active at Home' aims to change the behaviour of community nurses and domestic support workers by offering them an intensive training programme. Subsequently, professionals are expected to deliver goal-oriented, holistic and person-centred services focusing on supporting older adults to maintain, gain or restore their competences to engage in physical and daily activities so that they can manage their everyday life as independently as possible.
OTHERUsual care
Homecare professionals will get no training and their clients will receive usual homecare.
Sponsors
Maastricht University Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ≥65 years * Community-dwelling * Indication for homecare * ≥10 hours sedentary behaviour/day (measured with LASA vragenlijst questionnaire) * Written informed consent
Exclusion criteria
* Terminal * Serious cognitive or psychological problems * Not able to speak Dutch
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Short Physical Performance Battery (older adults) | after 6 months |
| Groningen Activity Restriction Scale (older adults) | after 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Healthcare utilisation questionnaire (older adults) | baseline, after 6 and 9 months |
| Self-efficacy and outcome expectation questionnaire (older adults and professionals) | baseline, after 6 and 9 months |
| Satisfaction with care, 1 item CQ index (older adults) | baseline, after 6 and 9 months |
| Patient Health Questionnaire-9 (older adults) | baseline, after 6 and 9 months |
| LASA sedentary behaviour questionnaire (older adults) | baseline, after 6 and 9 months |
| Physical activity (actigraph, counts/minute, subsample older adults) | baseline, after 6 and 9 months |
| Falls, 1 item 'How often did you fall during the ... months?' (older adults) | baseline, after 6 and 9 months |
| EQ-5D-5L (older adults) | baseline, after 6 and 9 months |
Countries
Netherlands
Outcome results
None listed