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Completed

NCT Number: NCT01960582

Evaluation of Housing Adaptations and Mobility Devices

The rationale underlying this project is the fact that HA is a very common compensatory interven¬tion within municipality health care, undertaken to support an independent living in the own home. In addition, MD are frequently prescribed and used among HA clients in order to compensate for declined body functions. In spite of this, knowledge of their effects for the individual and the society is still scarce. In particular, systematic, evidence-based strategies based on clear-cut conceptual definitions and descriptions of procedures are lacking. Such strategies are crucial in order to evaluate the effects of HA and MD. In addition, longterm cost-effectiveness evaluations are crucial for policy implementation.

The overarching aim is to investigate outcomes of HA on aspects of home and health for sub-groups of persons with disabilities.

The specific aims are to:

* Investigate the effects of HA on home and health related outcomes, i.e. usability, fear of falling, activity/participation and health-related quality of life for different subgroups of persons, e.g. MD users and non MD-users * Investigate the use of a new practice strategy for HA on home and health related outcomes for subgroups of persons with disabilities in terms of differences between municipalities * Investigate societal level outcomes of HA and MD, i.e. costs and quality adjusted life years * Gain a deeper understanding of the processes behind changes in outcomes We hypothesise that using a structure strategy for housing adaptation and mobility devices case management in ordinary practice in Swedish municipalities increase activity, participation, the usability of the home, and reduces societal costs.

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Key information

Conditions

Activities of Daily Living Cost Effectiveness Housing

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Health Sciences, Lund University

Lund, 221 00, Sweden

About this study

The ultimate goal of the project is to improve the housing situation of older people and people with disabilities, by determining the long term effects of housing adaptations (HA) for clients and society, and transferring this knowledge into guidelines for practitioners in the housing and building planning sector.

Specific research questions are:

RQ1. What are the long-term effects of HA for clients (individual goals achievement, activity, participation, health-related quality of life, usability, falls, functional capacity and use of mobility devices (MD), mortality, health care and social services consumption, and relocation)? RQ2. What are the long-term effects of HA for society (costs and cost- effectiveness)? RQ3. What are the barriers and facilitators to knowledge transfer in the area of HA? RQ4. How can evidence based knowledge be transferred into practical guidelines for housing and building planning in Sweden?

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Persons receiving housing adaptation
  • Above 20 years

Exclusion criteria

  • Persons with language deficits and/or cognitive decline

Treatment and study plan

New Practice Strategy

Behavioral

Application of a structured case management strategy on housing adaptation cases

Primary outcomes

  1. ADL Staircase

    Time frame: Differences in changes between intervention and control sites at baseline and 3, 6,12, 24 and 36 months after

    The ADL Staircase measures dependence on other persons in daily activities. Combined interview and observation

Secondary outcomes

  1. Falls Efficacy Scale- FES-I

    Time frame: Differences in changes between intervention and control sites at baseline and 3, 6, 12, 24 and 36 months after

    FES-I measures perceived fear of falling

Other outcomes

  1. Usability of the home, UIMH

    Time frame: Differences in changes between intervention and control sites between baseline and 3, 6,12,24 and 36 months after

    Self-rated assessment measuring the extent to which the person can perform Daily activities in the housing

  2. Costs of housing adaptations

    Time frame: 3,6, 12, 24 and 36 months after, for the whole sample

    The actual costs for the housing adaptation, including costs for travel, work hours, and material will be calculated based on invoices benefit

  3. Cost-benefit for client and society

    Time frame: At 24 and 36 months after the housing adaptation, for the whole sample

    The cost-benefit of the housing adaptation will be calculated based on health economic models utilising data from EQ-5D instrument

Sponsors and collaborators

Lead sponsor

Lund University

Other

Registry information

Official study title

Housing Adaptations and Mobility Devices - Evaluation of a New Practice Strategy

Acronym: FORMASEvid

Important dates

Study start
2013
Primary completion
2020
Study completion
2020
First posted
Oct 10, 2013
Registry last updated
Oct 9, 2020

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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