ReablementNCT07560098
Reablement Intervention for Older Adults in Day Care Centers
A study testing Reablement and Exercise in people with Reablement and Elderly, run by National Taiwan University Hospital at 1 site in Taiwan.
Trial summary
This study explores the effectiveness of reablement interventions for older adults with declining mobility in adult day care centers and compares them with traditional exercise interventions. In recent years, reablement has gained increasing attention. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Reablement, Elderly, Activities of Daily Living
- What is being tested?
- Reablement and Exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 1 siteTaiwan
- Study dates
- 4 Dec 2025to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Aged 65 years or older and assessed as Long-Term Care (LTC) need level 2 or above.
- Regularly attending adult day care services at least two days per week, with no anticipated termination of services during the study period (approximately three months).
- Short Portable Mental Status Questionnaire (SPMSQ) results indicating intact, mild, or moderate cognitive impairment, with the ability to understand simple instructions and participate in activities with assistance.
- Able to ambulate independently (assistive devices permitted), with a Short Physical Performance Battery (SPPB) score < 9, indicating functional decline and high risk of falls.
- A score ≥ 9 on the Short Falls Efficacy Scale International (Short FES-I), indicating at least moderate fear of falling.
- Willing to participate in the study and able to provide written informed consent.
Who cannot join
- History of fracture, major fall, or need for acute medical treatment within the past three months, or deemed by a physician to be unsuitable for moderate or higher levels of physical activity.
- Presence of acute psychiatric symptoms that prevent participation in assessments or study procedures.
- Severe visual or hearing impairments that interfere with activity participation or assessment.
- Currently receiving other intensive rehabilitation or participating in another research intervention.
- Demonstrates a clear lack of willingness to participate in the intervention or is unable to complete the three-month observation period.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Reablement Intervention for Older Adults With Functional Decline in Day Care Centers: An Exploratory Quasi-Experimental Study Comparing Exercise Intervention
This study explores the effectiveness of reablement interventions for older adults with declining mobility in adult day care centers and compares them with traditional exercise interventions. In recent years, reablement has gained increasing attention. It is a person-centered approach that emphasizes goal-oriented training through activities of daily living, combined with interdisciplinary collaboration, to enhance individuals' self-care abilities and participation in daily life. In contrast, exercise interventions are typically structured programs focusing on improving muscle strength, balance, and endurance. While both approaches aim to enhance physical function, they differ in philosophy, implementation context, and motivational mechanisms. Reablement emphasizes meaningful, individualized, and context-based activities, which may enhance motivation and adherence, whereas exercise interventions are more standardized and efficient but may lack relevance to daily life, potentially affecting long-term engagement.
This study adopts a quasi-experimental design to compare the effects of reablement and exercise interventions on mobility, fear of falling, activities of daily living, and subjective well-being among older adults. It also evaluates the feasibility of implementing reablement in day care centers. Additionally, participants' preferences, attendance, and engagement in different intervention approaches are examined to address the current gap in comparative research.
Overall, the findings suggest that incorporating reablement into day care services-through individualized goal setting and interdisciplinary collaboration-can enhance functional performance, quality of life, and independence among older adults. The results also provide important evidence for future long-term care policy and practice, supporting a shift from a care-oriented model to a function-oriented approach, and ultimately promoting aging in place and independent living.
- Conditions
- Reablement, Elderly, Activities of Daily Living
- Being tested
- Reablement, Exercise
- Keywords
- reablement, day care center, elderly, activities of daily living
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ReablementBehavioural
Based on the principles of reablement care and incorporating the Person-Environment-Occupation (PEO) model, the intervention is designed according to older adults' individual preferences, life experiences, and functional needs. It consists of context-based, function-oriented activities embedded in daily life situations.
The intervention is delivered in small groups (5-10 participants per group), where individualized reablement activities are implemented alongside shared tasks tailored to real-life contexts (e.g., community shopping, cooking, or environmental organization). A designated care staff member is responsible for facilitation, assistance, and documentation.
The intervention is conducted 2 to 3 days per week, with multiple short activity sessions per day, each lasting approximately 5 to 60 minutes, over a period of 12 weeks, with a total intervention time of approximately 1,000 minutes.
ExerciseBehavioural
The Vivifrail exercise program was adopted, an evidence-based intervention model for older adults developed based on international research (Izquierdo, 2019). Through graded, structured exercise training, the program aims to improve lower-limb muscle strength, balance, and gait function. In this study, it was used as a standardized exercise intervention for comparison with the reablement intervention.
The program was delivered in small groups (5-10 participants per group), led by designated care staff. Each participant received exercise training corresponding to their functional level. The intervention was conducted 2 to 3 days per week, with each session lasting 30 to 40 minutes, over a period of 12 weeks, with a total intervention time of approximately 1,000 minutes.
| Study group | Role | What they receive |
|---|---|---|
| Reablement intervention | Experimental | Not described Receives: Behavioral: Reablement |
| Exercise intervention | Active comparator | Not described Receives: Behavioral: Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mobility
Short Physical Performance Battery. It comprises three tests-balance, 4-meter walk, and chair stands-with scores ranging from 0-12, where lower scores indicate higher disability and frailty.
Measured: From enrollment to the end of treatment at 12 weeks
Fear of fall
Short Falls Efficacy Scale International. It is a 7-item questionnaire where individuals are instructed to score their concern of falling during an activity on a 4-point Likert scale. Scores range from 7-28, where higher scores indicate higher level of fear of falling.
Measured: From enrollment to the end of treatment at 12 weeks
Number and severity of falls
The Fall Record Form is used to document the frequency, location, and severity of the fall incident, and to provide additional details in the remarks section, including any injuries sustained and subsequent management or interventions.
Measured: From enrollment to the end of treatment at 12 weeks, every week.
Secondary outcomes (4)
Activities of daily living
Barthel Index It is one of the most commonly used clinical tools for evaluating activities of daily living (ADL). It has a total score of 100, with lower scores indicating poorer self-care ability and a higher level of dependence on others.
Measured: From enrollment to the end of treatment at 12 weeks
Activities of Daily Living
Lawton IADL Scale. It is an 8-item assessment tool to measure an older adult's ability to perform complex daily tasks necessary for community living. It rates independence in areas like finances, transportation, and medication management, with higher scores (0-8) indicating greater autonomy.
Measured: From enrollment to the end of treatment at 12 weeks
Activities of Daily Living
Individualized Activity Goal Performance Scale. It is a simplified adaptation grounded in Canadian Occupational Performance Measure (COPM). Participants engage in a structured interview to select meaningful activities from common day care center tasks and may also add other personally relevant goals. For each selected activity, participants rate their perceived performance on a scale from 1 to 10 (1 = unable to perform at all; 10 = performs very well). The overall score is then calculated by averaging the ratings across all selected activities.
Measured: From enrollment to the end of treatment at 12 weeks
Well-being
Chinese Happiness Inventory. It is based on the Oxford Happiness Inventory, developed by Lu Luo incorporated culturally specific sources of well-being relevant to Chinese populations. It adopts a 4-point Likert scale scoring system, with response options ranging from 0 to 3 and a total score range of 0 to 30. Higher scores indicate a greater level of subjective well-being. Considering older adults' language comprehension and life context, items originally categorized under the "work achievement" dimension were modified to reflect a broader "sense of accomplishment in daily life," thereby enhancing applicability and interpretability for the target population.
Measured: From enrollment to the end of treatment at 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2026
- Study start4 Dec 2025
- Primary completion25 Mar 2026
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ReablementStudies of the same condition, open and under way.
- More trials run by National Taiwan University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- quasi-experimental design
- Masking
- None (open label)
- Enrolment
- 80 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Taiwan University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07560098
- Sponsor's protocol ID
- 202510081RINE
- Status last verified
- Nov 2025
- First submitted
- 16 Apr 2026
- Last updated
- 30 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Reablement Intervention for Older Adults With Functional Decline in Day Care Centers: An Exploratory Quasi-Experimental Study Comparing Exercise Intervention
- ClinicalTrials.gov ID
- NCT07560098
- Acronym / sponsor ID
- 202510081RINE
- Conditions
- Reablement, Elderly, Activities of Daily Living
- Keywords
- reablement, day care center, elderly, activities of daily living
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 80 participants (actual)
- Lead sponsor
- National Taiwan University HospitalUniversity, hospital or other
- Study start
- 4 Dec 2025 (actual)
- Primary completion
- 25 Mar 2026 (actual)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 30 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study explores the effectiveness of reablement interventions for older adults with declining mobility in adult day care centers and compares them with traditional exercise interventions. In recent years, reablement has gained increasing attention. It is a person-centered approach that emphasizes goal-oriented training through activities of daily living, combined with interdisciplinary collaboration, to enhance individuals' self-care abilities and participation in daily life. In contrast, exercise interventions are typically structured programs focusing on improving muscle strength, balance, and endurance. While both approaches aim to enhance physical function, they differ in philosophy, implementation context, and motivational mechanisms. Reablement emphasizes meaningful, individualized, and context-based activities, which may enhance motivation and adherence, whereas exercise interventions are more standardized and efficient but may lack relevance to daily life, potentially affecting long-term engagement.
This study adopts a quasi-experimental design to compare the effects of reablement and exercise interventions on mobility, fear of falling, activities of daily living, and subjective well-being among older adults. It also evaluates the feasibility of implementing reablement in day care centers. Additionally, participants' preferences, attendance, and engagement in different intervention approaches are examined to address the current gap in comparative research.
Overall, the findings suggest that incorporating reablement into day care services-through individualized goal setting and interdisciplinary collaboration-can enhance functional performance, quality of life, and independence among older adults. The results also provide important evidence for future long-term care policy and practice, supporting a shift from a care-oriented model to a function-oriented approach, and ultimately promoting aging in place and independent living.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- quasi-experimental design
| Arm | Type | Receives |
|---|---|---|
| Reablement intervention | Experimental | Behavioral: Reablement |
| Exercise intervention | Active comparator | Behavioral: Exercise |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (6 listed)
- Aged 65 years or older and assessed as Long-Term Care (LTC) need level 2 or above.
- Regularly attending adult day care services at least two days per week, with no anticipated termination of services during the study period (approximately three months).
- Short Portable Mental Status Questionnaire (SPMSQ) results indicating intact, mild, or moderate cognitive impairment, with the ability to understand simple instructions and participate in activities with assistance.
- Able to ambulate independently (assistive devices permitted), with a Short Physical Performance Battery (SPPB) score < 9, indicating functional decline and high risk of falls.
- A score ≥ 9 on the Short Falls Efficacy Scale International (Short FES-I), indicating at least moderate fear of falling.
Key exclusion criteria (5 listed)
- History of fracture, major fall, or need for acute medical treatment within the past three months, or deemed by a physician to be unsuitable for moderate or higher levels of physical activity.
- Presence of acute psychiatric symptoms that prevent participation in assessments or study procedures.
- Severe visual or hearing impairments that interfere with activity participation or assessment.
- Currently receiving other intensive rehabilitation or participating in another research intervention.
- Demonstrates a clear lack of willingness to participate in the intervention or is unable to complete the three-month observation period.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ReablementBased on the principles of reablement care and incorporating the Person-Environment-Occupation (PEO) model, the intervention is designed according to older adults' individual preferences, life experiences, and functional needs. It consists of context-based, function-oriented activities embedded in daily life situations. The intervention is delivered in small groups (5-10 participants per group), where individualized reablement activities are implemented alongside shared tasks tailored to real-life contexts (e.g., community shopping, cooking, or environmental organization). A designated care staff member is responsible for facilitation, assistance, and documentation. The intervention is conducted 2 to 3 days per week, with multiple short activity sessions per day, each lasting approximately 5 to 60 minutes, over a period of 12 weeks, with a total intervention time of approximately 1,000 minutes. | Behavioural | Reablement intervention |
| ExerciseThe Vivifrail exercise program was adopted, an evidence-based intervention model for older adults developed based on international research (Izquierdo, 2019). Through graded, structured exercise training, the program aims to improve lower-limb muscle strength, balance, and gait function. In this study, it was used as a standardized exercise intervention for comparison with the reablement intervention. The program was delivered in small groups (5-10 participants per group), led by designated care staff. Each participant received exercise training corresponding to their functional level. The intervention was conducted 2 to 3 days per week, with each session lasting 30 to 40 minutes, over a period of 12 weeks, with a total intervention time of approximately 1,000 minutes. | Behavioural | Exercise intervention |
Primary outcome
Mobility
Time frame: From enrollment to the end of treatment at 12 weeks
Short Physical Performance Battery. It comprises three tests-balance, 4-meter walk, and chair stands-with scores ranging from 0-12, where lower scores indicate higher disability and frailty.
Fear of fall
Time frame: From enrollment to the end of treatment at 12 weeks
Short Falls Efficacy Scale International. It is a 7-item questionnaire where individuals are instructed to score their concern of falling during an activity on a 4-point Likert scale. Scores range from 7-28, where higher scores indicate higher level of fear of falling.
Number and severity of falls
Time frame: From enrollment to the end of treatment at 12 weeks, every week.
The Fall Record Form is used to document the frequency, location, and severity of the fall incident, and to provide additional details in the remarks section, including any injuries sustained and subsequent management or interventions.
4 secondary outcomes
Activities of daily living
Time frame: From enrollment to the end of treatment at 12 weeks
Activities of Daily Living
Time frame: From enrollment to the end of treatment at 12 weeks
Activities of Daily Living
Time frame: From enrollment to the end of treatment at 12 weeks
Well-being
Time frame: From enrollment to the end of treatment at 12 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Apr 2026.
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ASSIST 2.0: a Reablement Program for Healthy Ageing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Reablement and Exercise in people with Reablement and Elderly, run by National Taiwan University Hospital at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 30 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mobility (time frame: From enrollment to the end of treatment at 12 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2026.