ReablementNCT07772739
Collaborative Reablement Service Model
An observational study of Reablement, run by National Taiwan University at 1 site in Taiwan.
Trial summary
The increasing emphasis on reablement reflects a shift in the caring culture of long-term care policies and systems. However, inconsistent findings regarding its effectiveness highlight the need to better understand how reablement interventions work across different care settings, including community-based services. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Reablement
- What is being tested?
- individualized reablement
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 160 participants
- Where
- 1 siteTaiwan
- Study dates
- 16 Mar 2023to 2 Oct 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
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
- No healthy volunteers
- Older adult
Study population: The study population was derived from a previously conducted cluster-randomized controlled trial of reablement in adult day service (ADS) centers in a county in central Taiwan. Nine centers participated in the source study, including four centers assigned to an enhanced reablement condition and five centers serving as the comparison condition. Individuals were eligible if they were aged 65 years or older and able to follow instructions; those with unstable physical conditions that prevented regular participation in ADS activities were excluded. The analysis used existing claim data from the source study. Among 249 ADS users represented in the study dataset, 160 were included in the final analytic sample, comprising 77 participants from the enhanced reablement group and 83 participants from the comparison group.
Who may be able to join
- Individuals were aged 65 years or older and able to follow instructions
Who cannot join
- Adult day services utilization data were non-registered in local government administrative records
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
Institute of Health Policy and Management, College of Public Health, National Taiwan University
Taipei, 100025
About this study
Official title: Collaborative Reablement Service Model Implementation in Community-Based Settings
The increasing emphasis on reablement reflects a shift in the caring culture of long-term care policies and systems. However, inconsistent findings regarding its effectiveness highlight the need to better understand how reablement interventions work across different care settings, including community-based services. With Taiwan integrating reablement into the National 10-Year Long-Term Care Plan 2.0, identifying effective approaches within Taiwan's long-term care context has become increasingly important.
This study aims to examine a collaborative reablement service model. investigators use the data from a county-level claims dataset in which collaborative reablement services were implemented in adult day care centers. Investigators investigate whether participation in collaborative reablement services is associated with improvements in physical and psychological health.
- Conditions
- Reablement
- Being tested
- individualized reablement
- Keywords
- Reablement, Interprofessional Collaboration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
individualized reablementBehavioural
Reablement was integrated into routine adult day service centers for 3 months. Both groups received usual ADS services and two daily 15-20-minute group-based reablement sessions. The enhanced reablement group additionally received individualized reablement. Physiotherapists or occupational therapists conducted assessments, collaborative goal setting, and tailored activity plans. Care assistants delivered individualized activities for 15-20 minutes daily, with weekly therapist review and adjustment. Staff received standardized training, and intervention delivery was supported by activity logs, Goal Attainment Scaling, supervision, and checklist-based monitoring.
| Study group | Role | What they receive |
|---|---|---|
| Intervention | The intervention group receive individualized and group-based reablement Receives: Behavioral: individualized reablement | |
| Control | The control group only receive group-based reablement. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Activities of Daily Living (ADL)
ADLs was measured using the Barthel Index (0-100).
Measured: Baseline (March 2023) and follow-up (October 2023).
Change in Instrumental Activities of Daily Living (IADLs)
IADLs were assessed using an 8-item scale (0-24).
Measured: Baseline (March 2023) and follow-up (October 2023).
Change in physical performance
Physical performance was evaluated using the Short Physical Performance Battery (SPPB; 0-12).
Measured: Baseline (March 2023) and follow-up (October 2023).
Change in cognitive function
Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ; 0-10), with higher scores indicating greater cognitive impairment.
Measured: Baseline (March 2023) and follow-up (October 2023).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Aug 2026
- Study start16 Mar 2023
- Primary completion2 Oct 2023
- Study completion2 Oct 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (13)Papers the sponsor has linked to this study.
- Other trials for ReablementStudies of the same condition, open and under way.
- 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
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 160 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Taiwan University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hsiao-Wei Yu, National Taiwan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07772739
- Sponsor's protocol ID
- 202411HS029
- Status last verified
- Aug 2026
- First submitted
- 14 Aug 2026
- Last updated
- 21 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The study uses non-public secondary database, the data were collected by local governments, no plan to share IPD.
Publications
Yu HW, Chiu TY. Development and Validation of a Reablement Competency Scale for Home Health Therapists in Taiwan. J Eval Clin Pract. 2025 Aug;31(5):e70227. doi: 10.1111/jep.70227.
PubMed 40705918Watanabe R, Saito M, Ide K, Kondo K. Difference in long-term care cost obtained with the short-term intensive prevention service (day service type C): A 3-year follow-up study of Japanese older adults. Geriatr Gerontol Int. 2025 Aug;25(8):1058-1064. doi: 10.1111/ggi.70102. Epub 2025 Jun 19.
PubMed 40538113Tuntland H, Moe CF, Mjosund HL. Mapping of Reablement Research - A Scoping Review of Reviews. J Multidiscip Healthc. 2026 Feb 18;19:564086. doi: 10.2147/JMDH.S564086. eCollection 2026.
PubMed 41737367Steinbeisser K, Schwarzkopf L, Graessel E, Seidl H. Cost-effectiveness of a non-pharmacological treatment vs. "care as usual" in day care centers for community-dwelling older people with cognitive impairment: results from the German randomized controlled DeTaMAKS-trial. Eur J Health Econ. 2020 Aug;21(6):825-844. doi: 10.1007/s10198-020-01175-y. Epub 2020 Mar 26.
PubMed 32219623Rooijackers TH, Kempen GIJM, Zijlstra GAR, van Rossum E, Koster A, Lima Passos V, Metzelthin SF. Effectiveness of a reablement training program for homecare staff on older adults' sedentary behavior: A cluster randomized controlled trial. J Am Geriatr Soc. 2021 Sep;69(9):2566-2578. doi: 10.1111/jgs.17286. Epub 2021 Jun 7.
PubMed 34097301Parsons JG, Sheridan N, Rouse P, Robinson E, Connolly M. A randomized controlled trial to determine the effect of a model of restorative home care on physical function and social support among older people. Arch Phys Med Rehabil. 2013 Jun;94(6):1015-22. doi: 10.1016/j.apmr.2013.02.003. Epub 2013 Feb 12.
PubMed 23416219Metzelthin SF, Thuesen J, Tuntland H, Zingmark M, Jeon YH, Kristensen HK, Low LF, Poulos CJ, Pool J, Rahja M, Rosendahl E, de Vugt ME, Giebel C, Graff MJL, Clare L. Embracing Reablement as an Essential Support Approach for Dementia Care in the 21st Century: A Position Paper. J Multidiscip Healthc. 2024 Nov 25;17:5583-5591. doi: 10.2147/JMDH.S484069. eCollection 2024.
PubMed 39628606Lewis LK, Henwood T, Boylan J, Hunter S, Lange B, Lawless M, Milte R, Petersen J. Re-thinking reablement strategies for older adults in residential aged care: a scoping review. BMC Geriatr. 2021 Nov 30;21(1):667. doi: 10.1186/s12877-021-02627-7.
PubMed 34847860Houlden SA, Culph J, Day S, Clemson L, Poulos CJ, Jeon YH, Anstey KJ, Kurrle S, Scanlan JN, Spargo C, Laver K, O'Connor CMC. Implementing Reablement Programs for People Living With Dementia: A Scoping Review of Barriers, Facilitators and Strategies. Dementia (London). 2026 Apr 4:14713012261436963. doi: 10.1177/14713012261436963. Online ahead of print.
PubMed 41934376Guadana J, Oyeneyin B, Moe CF, Tuntland H. Publication Trends in Reablement - A Scoping Review. J Multidiscip Healthc. 2023 Jun 13;16:1641-1660. doi: 10.2147/JMDH.S407802. eCollection 2023.
PubMed 37333025Buma LE, Vluggen S, Zwakhalen S, Kempen GIJM, Metzelthin SF. Effects on clients' daily functioning and common features of reablement interventions: a systematic literature review. Eur J Ageing. 2022 May 3;19(4):903-929. doi: 10.1007/s10433-022-00693-3. eCollection 2022 Dec.
PubMed 36506663Buma LE, Mouchaers I, Zwakhalen SMG, Vluggen S, Satink T, Metzelthin SF. Defining Reablement in the Dutch Context: A Modified Delphi Study. J Multidiscip Healthc. 2025 May 23;18:2859-2873. doi: 10.2147/JMDH.S522161. eCollection 2025.
PubMed 40438566Bennett C, Allen F, Hodge S, Logan P. An investigation of Reablement or restorative homecare interventions and outcome effects: A systematic review of randomised control trials. Health Soc Care Community. 2022 Nov;30(6):e6586-e6600. doi: 10.1111/hsc.14108. Epub 2022 Dec 2.
PubMed 36461163
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Collaborative Reablement Service Model Implementation in Community-Based Settings
- ClinicalTrials.gov ID
- NCT07772739
- Acronym / sponsor ID
- 202411HS029
- Conditions
- Reablement
- Keywords
- Reablement, Interprofessional Collaboration
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 160 participants (actual)
- Lead sponsor
- National Taiwan UniversityUniversity, hospital or other
- Study start
- 16 Mar 2023 (actual)
- Primary completion
- 2 Oct 2023 (actual)
- Study completion
- 2 Oct 2023 (actual)
- First posted
- 19 Aug 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.
The increasing emphasis on reablement reflects a shift in the caring culture of long-term care policies and systems. However, inconsistent findings regarding its effectiveness highlight the need to better understand how reablement interventions work across different care settings, including community-based services. With Taiwan integrating reablement into the National 10-Year Long-Term Care Plan 2.0, identifying effective approaches within Taiwan's long-term care context has become increasingly important.
This study aims to examine a collaborative reablement service model. investigators use the data from a county-level claims dataset in which collaborative reablement services were implemented in adult day care centers. Investigators investigate whether participation in collaborative reablement services is associated with improvements in physical and psychological health.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention | – | Behavioral: individualized reablementThe intervention group receive individualized and group-based reablement |
| Control | – | –The control group only receive group-based reablement. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
- Study population
- The study population was derived from a previously conducted cluster-randomized controlled trial of reablement in adult day service (ADS) centers in a county in central Taiwan. Nine centers participated in the source study, including four centers assigned to an enhanced reablement condition and five centers serving as the comparison condition. Individuals were eligible if they were aged 65 years or older and able to follow instructions; those with unstable physical conditions that prevented regular participation in ADS activities were excluded. The analysis used existing claim data from the source study. Among 249 ADS users represented in the study dataset, 160 were included in the final analytic sample, comprising 77 participants from the enhanced reablement group and 83 participants from the comparison group.
Key inclusion criteria (1 listed)
- Individuals were aged 65 years or older and able to follow instructions
Key exclusion criteria (1 listed)
- Adult day services utilization data were non-registered in local government administrative records
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 |
|---|---|---|
| individualized reablementReablement was integrated into routine adult day service centers for 3 months. Both groups received usual ADS services and two daily 15-20-minute group-based reablement sessions. The enhanced reablement group additionally received individualized reablement. Physiotherapists or occupational therapists conducted assessments, collaborative goal setting, and tailored activity plans. Care assistants delivered individualized activities for 15-20 minutes daily, with weekly therapist review and adjustment. Staff received standardized training, and intervention delivery was supported by activity logs, Goal Attainment Scaling, supervision, and checklist-based monitoring. | Behavioural | Intervention |
Primary outcome
Change in Activities of Daily Living (ADL)
Time frame: Baseline (March 2023) and follow-up (October 2023).
ADLs was measured using the Barthel Index (0-100).
Change in Instrumental Activities of Daily Living (IADLs)
Time frame: Baseline (March 2023) and follow-up (October 2023).
IADLs were assessed using an 8-item scale (0-24).
Change in physical performance
Time frame: Baseline (March 2023) and follow-up (October 2023).
Physical performance was evaluated using the Short Physical Performance Battery (SPPB; 0-12).
Change in cognitive function
Time frame: Baseline (March 2023) and follow-up (October 2023).
Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ; 0-10), with higher scores indicating greater cognitive impairment.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2026.
- Background: PubMed 40705918Yu HW, Chiu TY. Development and Validation of a Reablement Competency Scale for Home Health Therapists in Taiwan. J Eval Clin Pract. 2025 Aug;31(5):e70227. doi: 10.1111/jep.70227.
- Background: PubMed 40538113Watanabe R, Saito M, Ide K, Kondo K. Difference in long-term care cost obtained with the short-term intensive prevention service (day service type C): A 3-year follow-up study of Japanese older adults. Geriatr Gerontol Int. 2025 Aug;25(8):1058-1064. doi: 10.1111/ggi.70102. Epub 2025 Jun 19.
- Background: PubMed 41737367Tuntland H, Moe CF, Mjosund HL. Mapping of Reablement Research - A Scoping Review of Reviews. J Multidiscip Healthc. 2026 Feb 18;19:564086. doi: 10.2147/JMDH.S564086. eCollection 2026.
- Background: PubMed 32219623Steinbeisser K, Schwarzkopf L, Graessel E, Seidl H. Cost-effectiveness of a non-pharmacological treatment vs. "care as usual" in day care centers for community-dwelling older people with cognitive impairment: results from the German randomized controlled DeTaMAKS-trial. Eur J Health Econ. 2020 Aug;21(6):825-844. doi: 10.1007/s10198-020-01175-y. Epub 2020 Mar 26.
- Background: PubMed 34097301Rooijackers TH, Kempen GIJM, Zijlstra GAR, van Rossum E, Koster A, Lima Passos V, Metzelthin SF. Effectiveness of a reablement training program for homecare staff on older adults' sedentary behavior: A cluster randomized controlled trial. J Am Geriatr Soc. 2021 Sep;69(9):2566-2578. doi: 10.1111/jgs.17286. Epub 2021 Jun 7.
- Background: PubMed 23416219Parsons JG, Sheridan N, Rouse P, Robinson E, Connolly M. A randomized controlled trial to determine the effect of a model of restorative home care on physical function and social support among older people. Arch Phys Med Rehabil. 2013 Jun;94(6):1015-22. doi: 10.1016/j.apmr.2013.02.003. Epub 2013 Feb 12.
- Background: PubMed 39628606Metzelthin SF, Thuesen J, Tuntland H, Zingmark M, Jeon YH, Kristensen HK, Low LF, Poulos CJ, Pool J, Rahja M, Rosendahl E, de Vugt ME, Giebel C, Graff MJL, Clare L. Embracing Reablement as an Essential Support Approach for Dementia Care in the 21st Century: A Position Paper. J Multidiscip Healthc. 2024 Nov 25;17:5583-5591. doi: 10.2147/JMDH.S484069. eCollection 2024.
- Background: PubMed 34847860Lewis LK, Henwood T, Boylan J, Hunter S, Lange B, Lawless M, Milte R, Petersen J. Re-thinking reablement strategies for older adults in residential aged care: a scoping review. BMC Geriatr. 2021 Nov 30;21(1):667. doi: 10.1186/s12877-021-02627-7.
- Background: PubMed 41934376Houlden SA, Culph J, Day S, Clemson L, Poulos CJ, Jeon YH, Anstey KJ, Kurrle S, Scanlan JN, Spargo C, Laver K, O'Connor CMC. Implementing Reablement Programs for People Living With Dementia: A Scoping Review of Barriers, Facilitators and Strategies. Dementia (London). 2026 Apr 4:14713012261436963. doi: 10.1177/14713012261436963. Online ahead of print.
- Background: PubMed 37333025Guadana J, Oyeneyin B, Moe CF, Tuntland H. Publication Trends in Reablement - A Scoping Review. J Multidiscip Healthc. 2023 Jun 13;16:1641-1660. doi: 10.2147/JMDH.S407802. eCollection 2023.
- Background: PubMed 36506663Buma LE, Vluggen S, Zwakhalen S, Kempen GIJM, Metzelthin SF. Effects on clients' daily functioning and common features of reablement interventions: a systematic literature review. Eur J Ageing. 2022 May 3;19(4):903-929. doi: 10.1007/s10433-022-00693-3. eCollection 2022 Dec.
- Background: PubMed 40438566Buma LE, Mouchaers I, Zwakhalen SMG, Vluggen S, Satink T, Metzelthin SF. Defining Reablement in the Dutch Context: A Modified Delphi Study. J Multidiscip Healthc. 2025 May 23;18:2859-2873. doi: 10.2147/JMDH.S522161. eCollection 2025.
- Individual participant dataSharing planned: No. The study uses non-public secondary database, the data were collected by local governments, no plan to share IPD.
Related trials for Reablement
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Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers
Elderly, Long-Term Care
Active, not recruiting
Reablement Intervention for Older Adults in Day Care Centers
Reablement, Elderly
Recruiting
ASSIST 2.0: a Reablement Program for Healthy Ageing
Reablement, Frailty
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?
An observational study of Reablement, run by National Taiwan University 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 1 inclusion and 1 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: finished, as of the sponsor's last update on 21 Aug 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Change in Activities of Daily Living (ADL) (time frame: Baseline (March 2023) and follow-up (October 2023).). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07772739, which also lists 13 linked publications.
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 21 Aug 2026; AzTrials last refreshed its copy on 28 Oct 2026.