Evidence map›Paper›PMID 33602338›Full record

ArticlePilot and feasibility studies2021

Feasibility of ABLE 1.0-a program aiming at enhancing the ability to perform activities of daily living in persons with chronic conditions.

Kristina Tomra Nielsen, Susanne Guidetti, Cecilie von Bülow, Louise Klokker, Eva Ejlersen Wæhrens

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03335709 (Evaluation of the Occupational Therapy Intervention Program "A Better Everyday Life 1.0" - a Protocol for a Feasibility Study), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03335709 nacompletednot on this map

Evaluation of the Occupational Therapy Intervention Program "A Better Everyday Life 1.0" - a Protocol for a Feasibility Study

TypeinterventionalSponsorParker Research InstituteRan2017 to 2018Enrolled30ConditionsActivities of Daily LivingArmsADL intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kristina Tomra NielsenDepartment of Occupational Therapy, University College of Northern Denmark (UCN), Selma Lagerløfs vej 2, DK-9220, Aalborg Ø, Denmark. ktn@ucn.dk.ORCID http://orcid.org/0000-0002-4944-9453
Susanne GuidettiDepartment of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Alfred Nobels Allé 23, SE-141 83, Huddinge, Sweden.
Cecilie von BülowThe ADL Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark.
Louise KlokkerThe Musculoskeletal Statistics Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark.
Eva Ejlersen WæhrensThe ADL Unit, the Parker Institute, Copenhagen University Hospital Bispebjerg - Frederiksberg, Nordre Fasanvej 57, Road 8, entrance 19, DK-2000, Frederiksberg, Denmark.

Funding

Aase og Ejnar Danielsens Fond 40-000887Danish Association of Occupational Therapists FF 1 15-5 and FF 2 15-07Oak Foundation OCAY-13-309
6 · The paper itself

Abstract

backgroundThe "A Better everyday LifE" (ABLE) intervention was developed to accommodate the need of a program addressing ability to perform activities of daily living (ADL) in persons with chronic conditions living at home. During intervention development, it is necessary to evaluate relevant aspects of the feasibility of a program. Thus, the aim was to evaluate the feasibility of content and delivery of ABLE version 1.0.

methodsA one group pre- and post-test design was applied. Thirty persons with chronic conditions, two occupational therapists (OTs), and five occupational therapy students (OTSs) participated. ABLE 1.0 is an 8-week program consisting of ADL evaluation (session 1); goal setting and reasons for ADL problems (session 2); intervention (sessions 3-7); and re-evaluation (final session), conducted in the clients' home-setting and local area. Sessions 1-4 and the final session was mandatory. To evaluate the feasibility of content and delivery, the OTs, after each session, reported on applied intervention component(s), time-use, needed equipment, adjustments, meaningfulness, confidence, progress toward goal attainment, and side effects using registration forms. The clients reported on progress toward goal attainment, meaningfulness, and satisfaction. Clinically relevant improvements in ADL ability were identified using the ADL-Interview (ADL-I) and the Assessment of Motor and Process Skills (AMPS). Goal attainment was evaluated using the Goal Attainment Scaling (GAS).

resultsTwenty clients (67%) completed ABLE 1.0 and received four sessions (median = 4, range 4-7) each lasting between 30 and 94 min. Most frequently applied component was "Changing habits related to task performance". Generally, OTs reported having the needed equipment. Deviations from the manual were made by omission of GAS and AMPS and less than mandatory number of sessions per client. The OTs reported confidence in delivering the program and the clients perceived the program as meaningful and satisfying, and experienced progress toward goal attainment. Goal attainment was found in 52% of the goals. Sixteen (80%) clients obtained clinically relevant improvements in self-reported or observed ADL ability.

conclusionsThe content and delivery of ABLE 1.0 was feasible. However, the study revealed a need to adjust the recruitment procedure and make minor changes in the intervention manual. A pilot randomized controlled trial (RCT) study is recommended.

trial registrationThe study was registered at ClinicalTrials.gov with registration no. NCT03335709 on November 8, 2017.

Indexed as

DisabilityEveryday lifeHealth care qualityRehabilitation

Identifiers

PMID33602338
PMCPMC7891027

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.