ElderlyNCT07775781
Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers
A study testing Reablement intervention in people with Elderly and Long-Term Care, run by National Taiwan University Hospital at 8 sites in Taiwan.
Trial summary
This study will examine whether a reablement approach can help people receiving community-based long-term care maintain or improve their independence, daily functioning, and quality of life. Approximately 300 adults from eight long-term care facilities across Taiwan will participate. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Elderly, Long-Term Care, Reablement
- What is being tested?
- Reablement intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 8 sitesTaiwan
- Study dates
- 1 Jul 2026to Dec 2028
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Aged 18 years or older and assessed as CMS Level 2 or above.
- Regularly receiving adult day care services and attending at least two days per week.
- Able to understand simple instructions and participate in activities with assistance.
Who cannot join
- Severe cognitive impairment or severe visual or hearing impairment that interferes with participation in activities or assessments.
- A major fall within the past three months or acute symptoms that prevent participation in assessments or study procedures.
- Concurrent participation in another intensive rehabilitation program or research intervention.
- Clear unwillingness to participate in the study intervention or inability to complete the three-month intervention period.
Trial locations and contacts
8 sites in 1 country. Contact the study team or a site near you to ask about taking part.
8 sites in 1 country
Taiwan8 sites, 8 recruiting
- Recruiting
Xu-An Daycare Center
Kaohsiung City
Ke, +88676315780, a85526625@gmail.com
- Recruiting
Puli Christian Hospital
Nantou City
Liu, +886492912151 ext. 6612, 3h11@mail.pch.org.tw
- Recruiting
Rong-Guang Daycare Center
Nantou City
Wang, +886492990833 ext. 7127
- Recruiting
Fu-Zhong Daycare Center
New Taipei City
Peng, +886983121003, shaoyu@bigheartot.com.tw
- Recruiting
Da-She Daycare Center
Tainan
Li, +88665890357, dsdc@homefu.org
- Recruiting
Adlers Donghu Elementary School Community-Based Long-Term Care Facility
Taipei
Kao, +886226013638, adlotmatt@gmail.com
- Recruiting
Kang-He Daycare Center
Taipei
Cheng, +8862-7705-6178, khdaycare.service@gmail.com
- Recruiting
Qi-Yan Community-Based Long-Term Care Facility
Taipei
Chiu, +88628930565 ext. 501, sl0239@slsc.org.tw
About this study
This study will examine whether a reablement approach can help people receiving community-based long-term care maintain or improve their independence, daily functioning, and quality of life. Approximately 300 adults from eight long-term care facilities across Taiwan will participate. The 12-week reablement program includes group and individualized activities designed to support mobility, cognitive function, daily activities, and social participation. Participants' physical and cognitive function, daily living abilities, emotional well-being, quality of life, and personal goals will be assessed before and after the program.
The study will also include observations and interviews with care providers, participants, and family members to understand their experiences with the program and identify factors that support successful implementation. The findings are expected to help develop a practical reablement model for community-based long-term care in Taiwan and provide guidance for improving care quality, independence, and healthy aging.
Read the detailed description
This study adopts a mixed-methods design, incorporating both quantitative and qualitative components. The quantitative component employs a quasi-experimental design and is expected to recruit approximately 300 adults aged 18 years or older with long-term care needs from eight community-based long-term care facilities across northern, central, and southern Taiwan. Facilities will be assigned to either an experimental group or a wait-list control group. The experimental group will receive a 12-week reablement intervention, while the control group will initially receive usual care and subsequently receive the same intervention. The reablement intervention consists of group activities (once weekly, 30 minutes per session) and individualized activities (at least twice weekly, 15-30 minutes per session), addressing mobility, cognitive function, activities of daily living, and social participation. Outcomes will be assessed before and after the intervention, including mobility (SPPB), cognitive function (BHT-7), activities of daily living (Barthel Index and IADL), depressive symptoms (GDS-5), neuropsychiatric symptoms (NPI-Q), quality of life (SF-12, EQ-VAS, and Life Satisfaction Scale), and individualized goal attainment, to evaluate the effectiveness of the reablement model.
The qualitative component will employ the extended case method, with the eight day care facilities serving as the research settings. Through field observations, document analysis, and semi-structured interviews with approximately 50 facility staff members, service users, and family caregivers, the study will explore in depth the implementation process, influencing factors, and practical strategies associated with introducing the reablement model into real-world care settings. Qualitative data will be analyzed using thematic analysis to develop a reablement service model and practical implementation principles tailored to the context of community-based long-term care in Taiwan.
This study is expected to establish a locally applicable reablement service model for community-based long-term care and provide empirical evidence to support policy development and improvements in service quality. The findings may also serve as a practical reference for long-term care facilities seeking to implement reablement-oriented care, thereby promoting the maintenance of functional abilities, improving quality of life, and supporting healthy aging among older adults.
- Conditions
- Elderly, Long-Term Care, Reablement, Activities of Daily Living
- Being tested
- Reablement intervention
- Keywords
- reablement, activities of daily living, long-term care, daycare center
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Reablement interventionBehavioural
Reablement intervention consists group activities and individualized activities. Group activities will be conducted once a week for 30 minutes per session. The activities will focus on mobility, cognition and emotional well-being, independence in activities of daily living, and social participation. Healthcare professionals will design practical and engaging activities based on everyday life situations. Individualized activities will be conducted for 15-30 minutes per session, at least twice a week. Healthcare professionals will develop individualized activities that can be incorporated into participants' daily routines based on their functional abilities, personal interests, and available facility resources.
| Study group | Role | What they receive |
|---|---|---|
| Reablement Group | Experimental | The experimental group will first receive a 12-week reablement intervention, consisting of both group and individualized activities. Receives: Behavioral: Reablement intervention |
| Waiting List Control Group | No intervention | The control group (wait-list control group) will first receive 12 weeks of usual care, followed by the same reablement intervention provided to the experimental group. Usual care will consist of routine activities provided by the adult day care centers, including stretching and muscle-strengthening exercises, group-based cognitive and craft activities, individualized activities, lunch, and scheduled rest periods. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mobility - Short Physical Performance Battery (SPPB)
The SPPB assesses lower-extremity physical performance in older adults and comprises three major components: static balance, gait speed, and lower-extremity strength. Total scores range from 0 to 12, with higher scores indicating better physical function.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Cognition - Brain Health Test-7 (BHT-7)
The BHT-7 was developed from the cognitive assessment component of the original BHT-cog. It includes assessments of time orientation, five-item immediate and delayed recall, categorical verbal fluency, cube copying, clock drawing, and the three-step Luria test, with a total score of 23 points. The BHT-7 can be used to identify individuals with mild cognitive impairment and dementia, with cutoff scores of 17/18 and 14/15, respectively. The BHT-7 also maintains good screening performance among individuals with higher levels of education.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Basic Activities of Daily Living - Barthel Index (BI)
The Barthel Index measures functional independence in performing basic activities of daily living. It comprises 10 items covering feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, transfers, mobility, and stair climbing. Items are scored according to the participant's level of independence, typically as 0, 5, 10, or 15 points. Total scores range from 0 to 100, with higher scores indicating greater functional independence.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Instrumental Activities of Daily Living - Lawton Instrumental Activities of Daily Living Scale (Lawton IADL Scale)
The Lawton IADL Scale assesses independence in instrumental activities of daily living (IADL) among older adults. The scale includes eight activities: telephone use, shopping, food preparation, housekeeping, laundry, transportation, medication management, and financial management. The traditional version uses dichotomous scoring (0-8 points); however, modified versions employ three- or four-level scoring systems according to the degree of independence, with each item scored from 0 to 4 and total scores ranging from 0 to 24. Higher scores indicate better functional performance. The present study will use the 24-point version to provide greater sensitivity in detecting intervention effects.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
BPSD - Neuropsychiatric Inventory-Questionnaire (NPI-Q)
The NPI-Q is used to assess the severity of neuropsychiatric symptoms experienced by individuals with dementia during the previous month, as well as the level of distress these symptoms cause their caregivers. It covers 12 neuropsychiatric symptoms, including delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, aberrant motor behavior, nighttime behavioral disturbances, and appetite/eating disturbances. Each symptom is rated for severity on a 0-3 scale, with higher scores indicating greater symptom severity, and for caregiver distress on a 0-5 scale, with higher scores indicating greater caregiver distress.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Depression - Geriatric Depression Scale 5 (GDS-5)
The GDS-5 is used to assess the severity of depressive symptoms in participants. It consists of five items, with a total score ranging from 0 to 5. Higher scores indicate greater severity of depressive symptoms.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Quality of Life - World Health Organization-Five Well-Being Index (WHO-5)
The WHO-5 is a self-report instrument measuring mental well-being. It consists of five statements relating to the past two weeks. Each statement is rated on a 6-point scale, with higher scores indicating better mental well-being.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Quality of Life - EurolQoL (VAS)
The EQ-VAS is used to assess participants' self-rated health status. It consists of a vertical scale with endpoints labeled "the best health you can imagine" and "the worst health you can imagine." Participants are asked to mark an "X" on the scale to indicate their health status on the day of assessment. Higher scores indicate better perceived health status.
Measured: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Aug 2026
- Study start1 Jul 2026
- Primary completion1 Jul 2026
- Study completionDec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ElderlyStudies 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
- Crossover
- Masking
- None (open label)
- Enrolment
- 300 participants (estimated)
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
- NCT07775781
- Sponsor's protocol ID
- 202606103RINE
- Status last verified
- Jul 2026
- First submitted
- 16 Aug 2026
- Last updated
- 20 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Implementing a Reablement Model in Community-Based Long-Term Care Centers
- ClinicalTrials.gov ID
- NCT07775781
- Acronym / sponsor ID
- 202606103RINE
- Conditions
- Elderly, Long-Term Care, Reablement, Activities of Daily Living
- Keywords
- reablement, activities of daily living, long-term care, daycare center
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- National Taiwan University HospitalUniversity, hospital or other
- Study start
- 1 Jul 2026 (actual)
- Primary completion
- 1 Jul 2026 (actual)
- Study completion
- Dec 2028 (estimated)
- First posted
- 20 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.
This study will examine whether a reablement approach can help people receiving community-based long-term care maintain or improve their independence, daily functioning, and quality of life. Approximately 300 adults from eight long-term care facilities across Taiwan will participate. The 12-week reablement program includes group and individualized activities designed to support mobility, cognitive function, daily activities, and social participation. Participants' physical and cognitive function, daily living abilities, emotional well-being, quality of life, and personal goals will be assessed before and after the program.
The study will also include observations and interviews with care providers, participants, and family members to understand their experiences with the program and identify factors that support successful implementation. The findings are expected to help develop a practical reablement model for community-based long-term care in Taiwan and provide guidance for improving care quality, independence, and healthy aging.
Detailed description
This study adopts a mixed-methods design, incorporating both quantitative and qualitative components. The quantitative component employs a quasi-experimental design and is expected to recruit approximately 300 adults aged 18 years or older with long-term care needs from eight community-based long-term care facilities across northern, central, and southern Taiwan. Facilities will be assigned to either an experimental group or a wait-list control group. The experimental group will receive a 12-week reablement intervention, while the control group will initially receive usual care and subsequently receive the same intervention. The reablement intervention consists of group activities (once weekly, 30 minutes per session) and individualized activities (at least twice weekly, 15-30 minutes per session), addressing mobility, cognitive function, activities of daily living, and social participation. Outcomes will be assessed before and after the intervention, including mobility (SPPB), cognitive function (BHT-7), activities of daily living (Barthel Index and IADL), depressive symptoms (GDS-5), neuropsychiatric symptoms (NPI-Q), quality of life (SF-12, EQ-VAS, and Life Satisfaction Scale), and individualized goal attainment, to evaluate the effectiveness of the reablement model.
The qualitative component will employ the extended case method, with the eight day care facilities serving as the research settings. Through field observations, document analysis, and semi-structured interviews with approximately 50 facility staff members, service users, and family caregivers, the study will explore in depth the implementation process, influencing factors, and practical strategies associated with introducing the reablement model into real-world care settings. Qualitative data will be analyzed using thematic analysis to develop a reablement service model and practical implementation principles tailored to the context of community-based long-term care in Taiwan.
This study is expected to establish a locally applicable reablement service model for community-based long-term care and provide empirical evidence to support policy development and improvements in service quality. The findings may also serve as a practical reference for long-term care facilities seeking to implement reablement-oriented care, thereby promoting the maintenance of functional abilities, improving quality of life, and supporting healthy aging among older adults.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Reablement Group | Experimental | Behavioral: Reablement interventionThe experimental group will first receive a 12-week reablement intervention, consisting of both group and individualized activities. |
| Waiting List Control Group | No intervention | –The control group (wait-list control group) will first receive 12 weeks of usual care, followed by the same reablement intervention provided to the experimental group. Usual care will consist of routine activities provided by the adult day care centers, including stretching and muscle-strengthening exercises, group-based cognitive and craft activities, individualized activities, lunch, and scheduled rest periods. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Aged 18 years or older and assessed as CMS Level 2 or above.
- Regularly receiving adult day care services and attending at least two days per week.
- Able to understand simple instructions and participate in activities with assistance.
Key exclusion criteria (4 listed)
- Severe cognitive impairment or severe visual or hearing impairment that interferes with participation in activities or assessments.
- A major fall within the past three months or acute symptoms that prevent participation in assessments or study procedures.
- Concurrent participation in another intensive rehabilitation program or research intervention.
- Clear unwillingness to participate in the study intervention or inability to complete the three-month intervention 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 |
|---|---|---|
| Reablement interventionReablement intervention consists group activities and individualized activities. Group activities will be conducted once a week for 30 minutes per session. The activities will focus on mobility, cognition and emotional well-being, independence in activities of daily living, and social participation. Healthcare professionals will design practical and engaging activities based on everyday life situations. Individualized activities will be conducted for 15-30 minutes per session, at least twice a week. Healthcare professionals will develop individualized activities that can be incorporated into participants' daily routines based on their functional abilities, personal interests, and available facility resources. | Behavioural | Reablement Group |
Primary outcome
Mobility - Short Physical Performance Battery (SPPB)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The SPPB assesses lower-extremity physical performance in older adults and comprises three major components: static balance, gait speed, and lower-extremity strength. Total scores range from 0 to 12, with higher scores indicating better physical function.
Cognition - Brain Health Test-7 (BHT-7)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The BHT-7 was developed from the cognitive assessment component of the original BHT-cog. It includes assessments of time orientation, five-item immediate and delayed recall, categorical verbal fluency, cube copying, clock drawing, and the three-step Luria test, with a total score of 23 points. The BHT-7 can be used to identify individuals with mild cognitive impairment and dementia, with cutoff scores of 17/18 and 14/15, respectively. The BHT-7 also maintains good screening performance among individuals with higher levels of education.
Basic Activities of Daily Living - Barthel Index (BI)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The Barthel Index measures functional independence in performing basic activities of daily living. It comprises 10 items covering feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, transfers, mobility, and stair climbing. Items are scored according to the participant's level of independence, typically as 0, 5, 10, or 15 points. Total scores range from 0 to 100, with higher scores indicating greater functional independence.
Instrumental Activities of Daily Living - Lawton Instrumental Activities of Daily Living Scale (Lawton IADL Scale)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The Lawton IADL Scale assesses independence in instrumental activities of daily living (IADL) among older adults. The scale includes eight activities: telephone use, shopping, food preparation, housekeeping, laundry, transportation, medication management, and financial management. The traditional version uses dichotomous scoring (0-8 points); however, modified versions employ three- or four-level scoring systems according to the degree of independence, with each item scored from 0 to 4 and total scores ranging from 0 to 24. Higher scores indicate better functional performance. The present study will use the 24-point version to provide greater sensitivity in detecting intervention effects.
BPSD - Neuropsychiatric Inventory-Questionnaire (NPI-Q)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The NPI-Q is used to assess the severity of neuropsychiatric symptoms experienced by individuals with dementia during the previous month, as well as the level of distress these symptoms cause their caregivers. It covers 12 neuropsychiatric symptoms, including delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, aberrant motor behavior, nighttime behavioral disturbances, and appetite/eating disturbances. Each symptom is rated for severity on a 0-3 scale, with higher scores indicating greater symptom severity, and for caregiver distress on a 0-5 scale, with higher scores indicating greater caregiver distress.
Depression - Geriatric Depression Scale 5 (GDS-5)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The GDS-5 is used to assess the severity of depressive symptoms in participants. It consists of five items, with a total score ranging from 0 to 5. Higher scores indicate greater severity of depressive symptoms.
Quality of Life - World Health Organization-Five Well-Being Index (WHO-5)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The WHO-5 is a self-report instrument measuring mental well-being. It consists of five statements relating to the past two weeks. Each statement is rated on a 6-point scale, with higher scores indicating better mental well-being.
Quality of Life - EurolQoL (VAS)
Time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks
The EQ-VAS is used to assess participants' self-rated health status. It consists of a vertical scale with endpoints labeled "the best health you can imagine" and "the worst health you can imagine." Participants are asked to mark an "X" on the scale to indicate their health status on the day of assessment. Higher scores indicate better perceived health status.
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 20 Aug 2026.
- Individual participant dataSharing planned: Undecided
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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.
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Reablement intervention in people with Elderly and Long-Term Care, run by National Taiwan University Hospital at 8 sites 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 3 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 20 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 8 sites 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?
Contact Hui-fun Mao, Professor (+886233668178, huifen@ntu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mobility - Short Physical Performance Battery (SPPB) (time frame: For intervention group: from enrollment to the end of treatment at 12 weeks For control group: from enrollment to the end of treatment at 24 weeks). The study lists 8 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 20 Aug 2026.