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  • Evaluation of an intervention addressing a reablement programme for older, community-dwelling persons in Sweden (ASSIST 1.0): a protocol for a feasibility study

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Rehabilitation medicine
Protocol
Evaluation of an intervention addressing a reablement programme for older, community-dwelling persons in Sweden (ASSIST 1.0): a protocol for a feasibility study
  1. Aileen Bergström1,
  2. Lena Borell1,
  3. Sebastiaan Meijer2,
  4. Susanne Guidetti1
  1. 1 Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
  2. 2 School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Health Informatics and Logistics, Royal Institute of Technology, Stockholm, Sweden
  1. Correspondence to Susanne Guidetti; susanne.guidetti{at}ki.se

Abstract

Introduction Older persons with functional limitations often need assistance from home care staff to thrive and continue to live in their home environments. Reablement, a proactive, preventative approach administered by home care staff, stimulating active engagement of the older person, is often recommended. Even though reablement has a potential to become a new rehabilitation model and has been implemented in different countries in various degrees, there is a lack of knowledge regarding the process of establishing reablement, the theoretical underpinnings and the conditionality and outcomes in different contexts. This knowledge is needed before full-scale recommendations can be made for implementation in specific contexts.

Aim This study protocol aims to present a feasibility study of the intervention, ASSIST 1.0, a theory-based reablement programme, which includes coaching of home care staff and digitally based smart products, in a Swedish context.

Methods and analysis This feasibility study will evaluate the perceived value and acceptability of ASSIST 1.0 intervention programme regarding fidelity, reach and dose, and potential outcomes by using a pretest and post-test design involving an intervention group and a control group (n=30) of older persons living at home, needing home care services. Qualitative interviews with home care staff delivering ASSIST and the older adults receiving the intervention as well as their significant others will be conducted to explore aspects affecting the intervention.

Ethics and dissemination This study has been approved by the regional ethics board. The results of the feasibility study will form the base for refinement of the ASSIST programme and for the subsequent planning of a full-scale randomised controlled trial investigating the effect of the programme on a larger scale. Dissemination will include peer-reviewed publications and presentations at national and international conferences as well as information to involved stakeholders.

Trial registration number NCT03505619

  • occupational therapy
  • COPM
  • ICT
  • Canadian Occupational Performance Measure
  • digitalisation
  • telemedicine

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2018-025870

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    Footnotes

    • Contributors SG and AB conceived the original idea and outline of the study. SG and AB contributed to designing the study. SG has been responsible for developing the intervention in collaboration with AB and LB. SM is responsible for the technical development and smart products used in the study in the intervention ASSIST. SG and AB will further be responsible for collaboration with the municipality, and for training and supervising the home care staff together with a research assistant. SG and AB wrote the study protocol. All authors (AB, SM, LB and SG) discussed and commented on draft versions and approved the final version. Authorship for future studies stemming from the main trial will be discussed between the present authors and consequent decisions will be based on the prospective author’s contributions.

    • Funding This work was funded by grants from Forte dnr. 2016-07089 Future Care with LB as principal investigator.

    • Disclaimer FORTE or any other potential funding source has not and will not have any role in the design of this study, execution, analyses, interpretation of the findings or decisions to disseminate the results.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Ethics approval This study has been approved by the Regional Ethical Review Board in Stockholm, Sweden 2017/1439-31/1 and 2017/2172-32.

    • Provenance and peer review Not commissioned; externally peer reviewed.