TY - JOUR
T1 - Feasibility trial of tailored home modifications
T2 - Process outcomes
AU - Stark, Susan
AU - Somerville, Emily
AU - Conte, Jane
AU - Keglovits, Marian
AU - Hu, Yi Ling
AU - Carpenter, Christopher
AU - Hollingsworth, Holly
AU - Yan, Yan
N1 - Funding Information:
We gratefully acknowledge the generous contributions of the research participants, the occupational therapy students in the Stark laboratory, and the occupational therapy interventionists. This study was funded by the Department of Housing and Urban Development (Grant MOLHH0196-09) and the Barnes Hospital Foundation. Resources from the Washington University Emergency Care Research Core, which also receives funding from the Barnes-Jewish Hospital Foundation, supported the emergency department components of this project. This study has been registered at ClinicalTrials.gov (NCT01833182).
Publisher Copyright:
© 2018 American Occupational Therapy Association Inc. All rights reserved.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - OBJECTIVE. The aim of this study was to conduct a process evaluation to examine the implementation of a randomized controlled trial of home modifications designed to reduce the risk of falls and improve daily activity performance among community-dwelling older adults. METHOD. A process evaluation was conducted alongside a blinded, randomized sham-controlled trial (n = 92). Participants were followed for 1 yr after intervention. The process evaluation was framed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. RESULTS. The treatment group improved daily activity performance over 12 mo compared with the sham control group (F = 4.13; p = .024). The intervention elements and dose were delivered with greater than 90% accuracy. Participants reported a 91% adherence rate at 12 mo. CONCLUSION. The complex intervention of home modifications examined in this study is acceptable to older adults, is feasible, and can be delivered with high fidelity for frail, community-dwelling older adults.
AB - OBJECTIVE. The aim of this study was to conduct a process evaluation to examine the implementation of a randomized controlled trial of home modifications designed to reduce the risk of falls and improve daily activity performance among community-dwelling older adults. METHOD. A process evaluation was conducted alongside a blinded, randomized sham-controlled trial (n = 92). Participants were followed for 1 yr after intervention. The process evaluation was framed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. RESULTS. The treatment group improved daily activity performance over 12 mo compared with the sham control group (F = 4.13; p = .024). The intervention elements and dose were delivered with greater than 90% accuracy. Participants reported a 91% adherence rate at 12 mo. CONCLUSION. The complex intervention of home modifications examined in this study is acceptable to older adults, is feasible, and can be delivered with high fidelity for frail, community-dwelling older adults.
UR - http://www.scopus.com/inward/record.url?scp=85044160824&partnerID=8YFLogxK
U2 - 10.5014/ajot.2018.021774
DO - 10.5014/ajot.2018.021774
M3 - Article
C2 - 29280722
AN - SCOPUS:85044160824
SN - 0272-9490
VL - 72
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 1
M1 - 7201205020
ER -