ANZCTR - Registration

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Trial registered on ANZCTR

Registration number

ACTRN12623000915651

Ethics application status

Approved

Date submitted

2/08/2023

Date registered

25/08/2023

Date last updated

1/06/2024

Date data sharing statement initially provided

25/08/2023

Type of registration

Prospectively registered

Titles & IDs

Public title

Implementing an allied health reablement program in the community and in residential aged care:

Scientific title

Implementing an allied health reablement program in the community and in residential aged care: investigating the impact on frailty.

Secondary ID [1]

Nil

Universal Trial Number (UTN)

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Frailty

Falls

Condition category

Condition code

Physical Medicine / Rehabilitation

Physiotherapy

Physical Medicine / Rehabilitation

Occupational therapy

Physical Medicine / Rehabilitation

Speech therapy

Physical Medicine / Rehabilitation

Other physical medicine / rehabilitation

Public Health

Other public health

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

The intervention will involve multiple allied health intervention with a client focussed approach. The client focussed approach means that the duration and dose will vary depending on the needs of the participant, guided by Discipline specific assessments. Participants could receive occupational therapy and/or physiotherapy and/or exercise physiology and/or speech pathology. A brief description of each Discipline's assessment and interventions are:
Occupational Therapy:
1. Assessments: Canadian Occupational Performance Measure.
2. Interventions: The COPM allows each participant to choose areas of everyday living that are important to them and they would like to perform better at. Some expected interventions for occupational therapy will include:
a. Self-care training: Some participants may have decreased ability to do activities of daily
living such as dressing or showering. The occupational therapist will address this.
b. Leisure: We expect many participants will have leisure interests that can't be met for a number of reasons (access, resources, transport) that could be addressed by an occupational therapist. If participants identify a leisure based goal through the COPM the occupational therapist and/or the allied health assistant will address this.
c. Productivity: Older people want to continue to be productive members of their community such as through volunteering and informal care of friends and family members.
3. Format and duration of intervention: We will offer each participant occupational therapy
for 1-2 hours, 3 times/per week for 6 weeks either individually or in groups. The maximum group size is 6 for occupational therapy.

Speech Pathology
In addition to the usual assessments and interventions dealing with swallowing, eating and
drinking, the Speech Pathologist will target communication and social engagement.
1. Assessment: RISE
2. Interventions: This will include changing the environment to promote communication
and use of alternative communication methods such as memory books and graphic cues. In
many cases, the Speech Pathologist will work with the Occupational Therapist in group or individual sessions.
3. Format and duration of intervention: We will offer each participant speech pathology for
1-2 hours, 2 times/per week for 6 weeks either individually or in groups. The maximum group size is 6 for speech pathology.

Physiotherapy and Exercise Physiology
A falls and balance intervention will target leg strength, standing balance exercises (reaching in standing, stepping)
Everyday living interventions include practice of everyday activities such as squats to reach downwards, stairs, negotiating obstacles and turning.
Format and Dose: Physiotherapy or exercise physiology sessions weekly for 6 weeks. Participants will receive a combination of 1-1 and group sessions based on their individual needs. 1-1 sessions will be twice weekly for 30 minutes.
Sessions to include exercises that are tailored to the resident’s mobility and physical ability.
Group intervention: Classes led by a physiotherapist or exercise physiologist and stratified by participants’ mobility level (grouping people of similar abilities wherever possible)
2 x 50 min classes per week for 6 weeks
Group size: 6-8 people per class

Intervention code [1]

Treatment: Other

Comparator / control treatment

No control group.

Control group

Uncontrolled

Outcomes

Primary outcome [1]

Frailty.
Change in physical function as measured by the Short Physical Performance Battery

Timepoint [1]