Trial reportJournal of the American Geriatrics Society2021
Effectiveness of a reablement training program for homecare staff on older adults' sedentary behavior: A cluster randomized controlled trial.
Trial report in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07772739 (Collaborative Reablement Service Model Implementation in Community-Based Settings), which is not on this map. Cited by 14 papers, 4 of them syntheses that pooled 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.
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.
Collaborative Reablement Service Model Implementation in Community-Based Settings
Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- Interventions to reduce sedentary behaviour in community-dwelling older adults: a mixed-method review.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2024Pooled it
- Trial
- Effectiveness of a reablement training program for homecare staff on older adults' sedentary behavior: A cluster randomized controlled trial.Journal of the American Geriatrics Society · 2021Trial
- Economic Evaluation of a Reablement Training Program for Homecare Staff Targeting Sedentary Behavior in Community-Dwelling Older Adults Compared to Usual Care: A Cluster Randomized Controlled Trial.Clinical interventions in aging · 2021Trial
- Effects of reablement on home-dwelling older adults' physical functioning: a quasi-experimental study in primary healthcare.Aging clinical and experimental research · 2025Article
- Understanding for whom, under which circumstances and how sedentary behaviour interventions for older adults work: a realist review.BMJ open · 2025Review
- Twenty-five years of aging research and innovation in the Living Lab.Nature aging · 2023Article
- Publication Trends in Reablement - A Scoping Review.Journal of multidisciplinary healthcare · 2023Article
- Factors Impacting User Engagement in Reablement: A Qualitative Study of User, Family Member and Practitioners' Views.Journal of multidisciplinary healthcare · 2023Article
- Effects on clients' daily functioning and common features of reablement interventions: a systematic literature review.European journal of ageing · 2022Review
- Effect, economic and process-evaluation of a generic function focused care program for long-term care; study protocol of a multicenter cluster-randomized trial.BMC nursing · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesHomecare staff often take over activities instead of "doing activities with" clients, thereby hampering clients from remaining active in daily life. Training and supporting staff to integrate reablement into their working practices may reduce clients' sedentary behavior and improve their independence. This study evaluated the effectiveness of the "Stay Active at Home" (SAaH) reablement training program for homecare staff on older homecare clients' sedentary behavior.
designCluster randomized controlled trial (c-RCT).
settingDutch homecare (10 nursing teams comprising a total of 313 staff members).
participants264 clients (aged ≥65 years).
interventionSAaH seeks to equip staff with knowledge, attitude, and skills on reablement, and to provide social and organizational support to implement reablement in homecare practice. SAaH consists of program meetings, practical assignments, and weekly newsletters over a 9-month period. The control group received no additional training and delivered care as usual. MEASUREMENTS: Sedentary behavior (primary outcome) was measured using tri-axial wrist-worn accelerometers. Secondary outcomes included daily functioning (GARS), physical functioning (SPPB), psychological functioning (PHQ-9), and falls. Data were collected at baseline and at 12 months; data on falls were also collected at 6 months. Intention-to-treat analyses using mixed-effects linear and logistic regression were performed.
resultsWe found no statistically significant differences between the study groups for sedentary time expressed as daily minutes (adjusted mean difference: β 18.5 (95% confidence interval [CI] -22.4, 59.3), p = 0.374) and as proportion of wake/wear time (β 0.6 [95% CI -1.5, 2.6], p = 0.589) or for most secondary outcomes.
conclusionOur c-RCT showed no evidence for the effectiveness of SAaH for all client outcomes. Refining SAaH, by adding components that intervene directly on homecare clients, may optimize the program and require further research. Additional research should explore the effectiveness of SAaH on behavioral determinants of clients and staff and cost-effectiveness.
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