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OpenTrials
Completed

NCT Number: NCT07772739

Collaborative Reablement Service Model

The increasing emphasis on reablement reflects a shift in the caring culture of long-term care policies and systems. However, inconsistent findings regarding its effectiveness highlight the need to better understand how reablement interventions work across different care settings, including community-based services. With Taiwan integrating reablement into the National 10-Year Long-Term Care Plan 2.0, identifying effective approaches within Taiwan's long-term care context has become increasingly important.

This study aims to examine a collaborative reablement service model. We use the data from a county-level claims dataset in which collaborative reablement services were implemented in adult day care centers. We investigate whether participation in collaborative reablement services is associated with improvements in physical and psychological health.

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Key information

Conditions

Reablement

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Institute of Health Policy and Management, College of Public Health, National Taiwan University

Taipei, 100025, Taiwan

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Individuals were aged 65 years or older and able to follow instructions

Exclusion criteria

  • Adult day services utilization data were non-registered in local government administrative records

Treatment and study plan

individualized reablement

Behavioral

Reablement was integrated into routine adult day service centers for 3 months. Both groups received usual ADS services and two daily 15-20-minute group-based reablement sessions. The enhanced reablement group additionally received individualized reablement. Physiotherapists or occupational therapists conducted assessments, collaborative goal setting, and tailored activity plans. Care assistants delivered individualized activities for 15-20 minutes daily, with weekly therapist review and adjustment. Staff received standardized training, and intervention delivery was supported by activity logs, Goal Attainment Scaling, supervision, and checklist-based monitoring.

Primary outcomes

  1. Change in Activities of Daily Living (ADL)

    Time frame: Baseline (March 2023) and follow-up (October 2023).

    ADLs was measured using the Barthel Index (0-100).

  2. Change in Instrumental Activities of Daily Living (IADLs)

    Time frame: Baseline (March 2023) and follow-up (October 2023).

    IADLs were assessed using an 8-item scale (0-24).

  3. Change in physical performance

    Time frame: Baseline (March 2023) and follow-up (October 2023).

    Physical performance was evaluated using the Short Physical Performance Battery (SPPB; 0-12).

  4. Change in cognitive function

    Time frame: Baseline (March 2023) and follow-up (October 2023).

    Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ; 0-10), with higher scores indicating greater cognitive impairment.

Sponsors and collaborators

Lead sponsor

National Taiwan University

Other

Registry information

Official study title

Collaborative Reablement Service Model Implementation in Community-Based Settings

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Aug 19, 2026
Registry last updated
Aug 19, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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