Trial reportJournal of the American Medical Directors Association2026
Functional Activities to Optimize Patient Outcomes in Home Health: A Pilot Randomized Controlled Trial.
Trial report in Journal of the American Medical Directors Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesReducing task demands early in the rehabilitation process to promote activity participation, followed by increasing those demands as functional exercise, may enhance the outcome of activities of daily living (ADL) for patients receiving home health therapy. This study examined the feasibility and preliminary effects of the Home-based Activity Reactivation Program (HARP), which combines compensatory and restorative approaches to calibrate task demands as an adjuvant to usual home health therapy, on ADL performance and physical functioning.
designA single-blind, pilot randomized controlled trial with repeated measures. SETTING AND
participantsForty-seven patients who receive home health care (mean age = 82.3 ± 7.5 years) were randomized to receive either HARP and usual therapy (treatment group) or usual therapy alone (control group).
methodsHARP was delivered in 6 weekly home visits, separate from usual therapy sessions. The primary outcome was the Motor Skills domain of the Assessment of Motor and Process Skills. Secondary outcomes included the Activity Measure for Post-Acute Care Home Health Short Form, Box and Block Test, Jebsen Hand Function Test, Timed-Up-and-Go Test, and Short Physical Performance Battery.
resultsHARP showed strong feasibility, achieving an 88% completion rate and 95% satisfaction among completers. No program-related severe adverse events were reported. However, the 2 groups did not differ in change scores for Motor Skills at the postintervention (estimate = -0.31 logits, P = .07) or at 1-month follow-up (estimate = 0.20 logits, P = .37). No significant between-group differences were observed over time for secondary outcomes. CONCLUSIONS AND IMPLICATIONS: Although feasible and safe, adding HARP to usual therapy did not yield superior functional outcomes compared with usual therapy alone. Factors such as insufficient usual therapy visits, delays in HARP initiation, and potential practitioner bias may have influenced these results. These factors highlight inherent challenges of integrating and evaluating adjuvant interventions within real-world home health care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.