Acquired DisabilityR-CJuntesNCT07861256
Community Occupational Therapy for People With Acquired Disabilities in Rural Settings
A study testing Re-Construir Juntes in people with Acquired Disability and Occupational Disengagement, run by University of Vic - Central University of Catalonia at 1 site in Spain.
Trial summary
This pilot study evaluated the effects of Re-Construir Juntes, a rural community-based occupational therapy group intervention, on engagement in meaningful occupations and loneliness among people with acquired disabilities experiencing occupational disengagement and social disconnection. Read more about this study
- Who is it for?
- Ages 25 to 75 years
- Conditions the study is for
- Acquired Disability, Occupational Disengagement, Loneliness
- What is being tested?
- Re-Construir Juntes
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 1 siteSpain
- Study dates
- 14 Nov 2024to 17 Jul 2025
- Phase
- Interventional
- 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 25 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Aged 25 to 75 years.
- Health condition associated with acquired disability.
- Residence in the rural study area.
- Low or moderate engagement in meaningful occupations, defined as an EMAS score ≤29.
- Moderate or high perceived loneliness, defined as a De Jong Gierveld Loneliness Scale score ≥2.
Who cannot join
- Severe behavioural or psychiatric symptoms associated with mental and/or neurological conditions that could interfere with participation in the group intervention.
- Comprehension difficulties associated with neurologically derived cognitive impairment.
- Concurrent participation in another individual or group intervention with a similar occupational purpose.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Understanding Participation Through Group-Based Community Occupational Therapy Intervention in People With Acquired Disabilities in a Rural Setting: A Mixed-Methods Pilot Study
This pilot study evaluated the effects of Re-Construir Juntes, a rural community-based occupational therapy group intervention, on engagement in meaningful occupations and loneliness among people with acquired disabilities experiencing occupational disengagement and social disconnection. Secondary outcomes included occupational balance, emotional wellbeing, perceived social support, health-related quality of life, and self-perceived health. The study used a mixed-methods explanatory sequential design comprising a non-randomised controlled pre-post quantitative component and a post-intervention focus group with intervention participants.
Read the detailed description
Re-Construir Juntes was a community-based occupational therapy intervention designed to promote engagement in meaningful occupations and address social disconnection among adults with acquired disabilities living in a rural area of Catalonia, Spain. The intervention was grounded in the Model of Human Occupation and participatory approaches and aimed to support participants in reconstructing meaningful occupational participation through individual reflection, group processes, and collective occupation.
The study used a mixed-methods explanatory sequential design. The quantitative component consisted of a non-randomized controlled pre-post study with two parallel groups. Participants were allocated to the intervention or control group according to their municipality of residence. Individual randomization was not considered feasible because of the community-based organization of the intervention and the need to maintain consistency in service provision within each local setting. Participants from one municipality received the Re-Construir Juntes intervention, whereas participants from the other municipality continued to receive usual interdisciplinary primary healthcare without occupational therapy.
Eligible participants were adults aged 25 to 75 years with a health condition associated with acquired disability, living in the rural study area, and presenting low or moderate engagement in meaningful occupations and moderate or high perceived loneliness. Potential participants were identified through referrals from primary healthcare and community social services. Eligibility was subsequently verified by the research team, and all participants provided written informed consent before participation.
The Re-Construir Juntes intervention consisted of 19 weekly group sessions delivered over five months, from February to June 2025. Each session lasted approximately 90 minutes and was facilitated by an occupational therapist with more than 10 years of experience in group facilitation and community practice. The intervention was delivered in a municipal civic centre and followed a planned structure while allowing minor adaptations according to group dynamics and participants' needs.
The intervention progressed through four sequential phases: group cohesion, occupational self-analysis, development of a shared purpose, and engagement in collective occupation. Across these phases, participants were encouraged to reflect on their occupational lives, identify meaningful occupations and shared interests, establish supportive relationships within the group, and participate in the development and implementation of a meaningful collective occupation. The intervention sought to create an emotionally safe environment that facilitated individual and collective processes, including self-awareness, empowerment, social support, reciprocity, and occupational participation.
Quantitative assessments were conducted before and after the intervention. Outcomes included engagement in meaningful activities, loneliness, occupational balance, emotional wellbeing, perceived social support, health-related quality of life, and self-perceived health. The control group underwent the same assessment schedule while continuing to receive usual interdisciplinary primary healthcare.
Following completion of the quantitative phase, a focus group was conducted with participants from the intervention group to explore their experiences of the intervention and the processes underlying perceived changes in occupational participation and social relationships. Quantitative and qualitative findings were subsequently integrated during the interpretation phase through narrative integration.
- Conditions
- Acquired Disability, Occupational Disengagement, Loneliness
- Being tested
- Re-Construir Juntes
- Keywords
- Occupational Therapy, Community-Based Rehabilitation, Meaningful Occupations, Occupational Participation, Occupational Balance, Social Participation, Loneliness, Rural Health, Acquired Disability
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Re-Construir JuntesBehavioural
Re-Construir Juntes was a community-based occupational therapy group intervention grounded in the Model of Human Occupation and participatory practice. It consisted of 19 weekly 90-minute sessions delivered over five months in a municipal community setting. The intervention progressed through four sequential phases: group cohesion and creation of a supportive group environment; occupational self-analysis focused on daily routines, meaningful occupations, occupational identity, and barriers to participation; development of a shared purpose and co-creation of a meaningful collective occupation based on participants' interests and needs; and implementation of the collective occupation. The occupational therapist facilitated group dynamics, reflection, participation, and collective decision-making. The intervention followed a planned programme and session structure, with minor adaptations according to group dynamics and participants' needs.
| Study group | Role | What they receive |
|---|---|---|
| Re-Construir Juntes | Experimental | Participants assigned to the intervention arm received the Re-Construir Juntes community occupational therapy group intervention in addition to usual interdisciplinary primary healthcare. The intervention was delivered in a municipal community setting and consisted of 19 weekly 90-minute group sessions over five months (February-June 2025). Sessions were facilitated by an occupational therapist with more than 10 years of experience in group facilitation and community-based practice. The programme followed a planned structure grounded in the Model of Human Occupation and participatory practice, progressing from group cohesion and occupational self-analysis to the development and implementation of a meaningful collective occupation. Minor adaptations were made during implementation according to group dynamics and participants' needs. Receives: Behavioral: Re-Construir Juntes |
| Usual Care Control | No intervention | Participants continued receiving usual interdisciplinary care provided by their primary healthcare centre, including care from physicians, nurses and psychology professionals, without occupational therapy involvement. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Engagement in Meaningful Activities Assessed by the Engagement in Meaningful Activities Survey (EMAS)
Engagement in meaningful activities was assessed using the 12-item Engagement in Meaningful Activities Survey (EMAS), which evaluates the extent to which everyday activities are perceived as meaningful and congruent with personal values, interests, competence, identity, and sense of purpose. Each item is scored from 1 to 4, yielding a total score ranging from 12 to 48. Higher scores indicate greater engagement in meaningful activities. Scores below 29 indicate low meaningful activity engagement, scores from 29 to 41 indicate moderate engagement, and scores above 41 indicate high engagement.
Measured: Baseline and immediately after the 5-month intervention
Loneliness Assessed by the 6-item De Jong Gierveld Loneliness Scale (DJGLS)
Loneliness was assessed using the 6-item De Jong Gierveld Loneliness Scale (DJGLS), which measures overall loneliness and distinguishes between emotional and social loneliness. The scale comprises three items assessing emotional loneliness and three assessing social loneliness. Item responses are dichotomized according to the standard scoring procedure. The total loneliness score ranges from 0 to 6, with higher scores indicating greater loneliness. Emotional and social loneliness subscale scores each range from 0 to 3, with higher scores indicating greater emotional or social loneliness, respectively.
Measured: Baseline and immediately after the 5-month intervention
Secondary outcomes (6)
Occupational Balance Assessed by the Occupational Balance Questionnaire (OBQ)
Occupational balance was assessed using the 13-item Occupational Balance Questionnaire (OBQ), which evaluates perceived balance in everyday occupations, including the amount and variation of occupations, their meaningfulness, time use, and satisfaction with occupational patterns. Each item is rated on a 6-point scale from 0 (completely disagree) to 5 (completely agree), yielding a total score ranging from 0 to 65. Higher scores indicate greater perceived occupational balance.
Measured: Baseline and immediately after the 5-month intervention
Emotional Wellbeing Assessed by the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS)
Emotional wellbeing was assessed using the 7-item Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). The scale assesses positive aspects of mental wellbeing, including positive feelings and psychological functioning. Each item is rated from 1 (none of the time) to 5 (all of the time), yielding a raw total score ranging from 7 to 35. Higher scores indicate greater mental wellbeing.
Measured: Baseline and immediately after the 5-month intervention
Perceived Social Support Assessed by the Oslo Social Support Scale (OSSS-3)
Perceived social support was assessed using the 3-item Oslo Social Support Scale (OSSS-3), which assesses the availability and perceived adequacy of social support, including the number of close confidants, perceived interest and concern from others, and availability of practical help. The total score ranges from 3 to 14, with higher scores indicating stronger perceived social support. Scores from 3 to 8 indicate poor social support, 9 to 11 moderate social support, and 12 to 14 strong social support.
Measured: Baseline and immediately after the 5-month intervention
Physical Health-Related Quality of Life Assessed by the 12-item Short Form Health Survey (SF-12) Physical Component Summary (PCS)
Physical health-related quality of life was assessed using the Physical Component Summary (PCS) of the 12-item Short Form Health Survey (SF-12). The SF-12 assesses health-related quality of life across physical and mental health domains. The PCS summarizes the physical health component of the instrument and was expressed on a 0-to-100 scale, with higher scores indicating better physical health-related quality of life.
Measured: Baseline and immediately after the 5-month intervention
Mental Health-Related Quality of Life Assessed by the 12-item Short Form Health Survey (SF-12) Mental Component Summary (MCS)
Mental health-related quality of life was assessed using the Mental Component Summary (MCS) of the 12-item Short Form Health Survey (SF-12). The SF-12 assesses health-related quality of life across physical and mental health domains. The MCS summarizes the mental health component of the instrument and was expressed on a 0-to-100 scale, with higher scores indicating better mental health-related quality of life.
Measured: Baseline and immediately after the 5-month intervention
Self-Perceived Health Assessed by the EuroQol Visual Analogue Scale (EQ-VAS)
Self-perceived health was assessed using the EuroQol Visual Analogue Scale (EQ-VAS), which records the participant's self-rated overall health on the day of assessment. Participants rate their health on a vertical visual analogue scale ranging from 0 to 100, where 0 represents the worst health they can imagine and 100 represents the best health they can imagine. Higher scores therefore indicate better self-perceived health.
Measured: Baseline and immediately after the 5-month intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2026
- Study start14 Nov 2024
- Primary completion9 Jul 2025
- Study completion17 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acquired DisabilityStudies 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Vic - Central University of Catalonia
- Sponsor type
- University, hospital or other
- Collaborators
- EAP Osona Sud-Alt Congost, S.L.P., Miceli Rural Coop SCCL
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07861256
- Sponsor's protocol ID
- RCJ-2025
- Acronym
- R-CJuntes
- Status last verified
- Sep 2026
- First submitted
- 30 Sep 2026
- Last updated
- 6 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Understanding Participation Through Group-Based Community Occupational Therapy Intervention in People With Acquired Disabilities in a Rural Setting: A Mixed-Methods Pilot Study
- ClinicalTrials.gov ID
- NCT07861256
- Acronym / sponsor ID
- R-CJuntes / RCJ-2025
- Conditions
- Acquired Disability, Occupational Disengagement, Loneliness
- Keywords
- Occupational Therapy, Community-Based Rehabilitation, Meaningful Occupations, Occupational Participation, Occupational Balance, Social Participation, Loneliness, Rural Health
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- University of Vic - Central University of CataloniaUniversity, hospital or other
- Collaborators
- EAP Osona Sud-Alt Congost, S.L.P., Miceli Rural Coop SCCL
- Study start
- 14 Nov 2024 (actual)
- Primary completion
- 9 Jul 2025 (actual)
- Study completion
- 17 Jul 2025 (actual)
- First posted
- 6 Oct 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 pilot study evaluated the effects of Re-Construir Juntes, a rural community-based occupational therapy group intervention, on engagement in meaningful occupations and loneliness among people with acquired disabilities experiencing occupational disengagement and social disconnection. Secondary outcomes included occupational balance, emotional wellbeing, perceived social support, health-related quality of life, and self-perceived health. The study used a mixed-methods explanatory sequential design comprising a non-randomised controlled pre-post quantitative component and a post-intervention focus group with intervention participants.
Detailed description
Re-Construir Juntes was a community-based occupational therapy intervention designed to promote engagement in meaningful occupations and address social disconnection among adults with acquired disabilities living in a rural area of Catalonia, Spain. The intervention was grounded in the Model of Human Occupation and participatory approaches and aimed to support participants in reconstructing meaningful occupational participation through individual reflection, group processes, and collective occupation.
The study used a mixed-methods explanatory sequential design. The quantitative component consisted of a non-randomized controlled pre-post study with two parallel groups. Participants were allocated to the intervention or control group according to their municipality of residence. Individual randomization was not considered feasible because of the community-based organization of the intervention and the need to maintain consistency in service provision within each local setting. Participants from one municipality received the Re-Construir Juntes intervention, whereas participants from the other municipality continued to receive usual interdisciplinary primary healthcare without occupational therapy.
Eligible participants were adults aged 25 to 75 years with a health condition associated with acquired disability, living in the rural study area, and presenting low or moderate engagement in meaningful occupations and moderate or high perceived loneliness. Potential participants were identified through referrals from primary healthcare and community social services. Eligibility was subsequently verified by the research team, and all participants provided written informed consent before participation.
The Re-Construir Juntes intervention consisted of 19 weekly group sessions delivered over five months, from February to June 2025. Each session lasted approximately 90 minutes and was facilitated by an occupational therapist with more than 10 years of experience in group facilitation and community practice. The intervention was delivered in a municipal civic centre and followed a planned structure while allowing minor adaptations according to group dynamics and participants' needs.
The intervention progressed through four sequential phases: group cohesion, occupational self-analysis, development of a shared purpose, and engagement in collective occupation. Across these phases, participants were encouraged to reflect on their occupational lives, identify meaningful occupations and shared interests, establish supportive relationships within the group, and participate in the development and implementation of a meaningful collective occupation. The intervention sought to create an emotionally safe environment that facilitated individual and collective processes, including self-awareness, empowerment, social support, reciprocity, and occupational participation.
Quantitative assessments were conducted before and after the intervention. Outcomes included engagement in meaningful activities, loneliness, occupational balance, emotional wellbeing, perceived social support, health-related quality of life, and self-perceived health. The control group underwent the same assessment schedule while continuing to receive usual interdisciplinary primary healthcare.
Following completion of the quantitative phase, a focus group was conducted with participants from the intervention group to explore their experiences of the intervention and the processes underlying perceived changes in occupational participation and social relationships. Quantitative and qualitative findings were subsequently integrated during the interpretation phase through narrative integration.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Re-Construir Juntes | Experimental | Behavioral: Re-Construir JuntesParticipants assigned to the intervention arm received the Re-Construir Juntes community occupational therapy group intervention in addition to usual interdisciplinary primary healthcare. The intervention was delivered in a municipal community setting and consisted of 19 weekly 90-minute group sessions over five months (February-June 2025). Sessions were facilitated by an occupational therapist with more than 10 years of experience in group facilitation and community-based practice. The programme followed a planned structure grounded in the Model of Human Occupation and participatory practice, progressing from group cohesion and occupational self-analysis to the development and implementation of a meaningful collective occupation. Minor adaptations were made during implementation according to group dynamics and participants' needs. |
| Usual Care Control | No intervention | –Participants continued receiving usual interdisciplinary care provided by their primary healthcare centre, including care from physicians, nurses and psychology professionals, without occupational therapy involvement. |
Who may qualify
- Ages
- 25 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Aged 25 to 75 years.
- Health condition associated with acquired disability.
- Residence in the rural study area.
- Low or moderate engagement in meaningful occupations, defined as an EMAS score ≤29.
- Moderate or high perceived loneliness, defined as a De Jong Gierveld Loneliness Scale score ≥2.
Key exclusion criteria (3 listed)
- Severe behavioural or psychiatric symptoms associated with mental and/or neurological conditions that could interfere with participation in the group intervention.
- Comprehension difficulties associated with neurologically derived cognitive impairment.
- Concurrent participation in another individual or group intervention with a similar occupational purpose.
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 |
|---|---|---|
| Re-Construir JuntesRe-Construir Juntes was a community-based occupational therapy group intervention grounded in the Model of Human Occupation and participatory practice. It consisted of 19 weekly 90-minute sessions delivered over five months in a municipal community setting. The intervention progressed through four sequential phases: group cohesion and creation of a supportive group environment; occupational self-analysis focused on daily routines, meaningful occupations, occupational identity, and barriers to participation; development of a shared purpose and co-creation of a meaningful collective occupation based on participants' interests and needs; and implementation of the collective occupation. The occupational therapist facilitated group dynamics, reflection, participation, and collective decision-making. The intervention followed a planned programme and session structure, with minor adaptations according to group dynamics and participants' needs. | Behavioural | Re-Construir Juntes |
Primary outcome
Engagement in Meaningful Activities Assessed by the Engagement in Meaningful Activities Survey (EMAS)
Time frame: Baseline and immediately after the 5-month intervention
Engagement in meaningful activities was assessed using the 12-item Engagement in Meaningful Activities Survey (EMAS), which evaluates the extent to which everyday activities are perceived as meaningful and congruent with personal values, interests, competence, identity, and sense of purpose. Each item is scored from 1 to 4, yielding a total score ranging from 12 to 48. Higher scores indicate greater engagement in meaningful activities. Scores below 29 indicate low meaningful activity engagement, scores from 29 to 41 indicate moderate engagement, and scores above 41 indicate high engagement.
Loneliness Assessed by the 6-item De Jong Gierveld Loneliness Scale (DJGLS)
Time frame: Baseline and immediately after the 5-month intervention
Loneliness was assessed using the 6-item De Jong Gierveld Loneliness Scale (DJGLS), which measures overall loneliness and distinguishes between emotional and social loneliness. The scale comprises three items assessing emotional loneliness and three assessing social loneliness. Item responses are dichotomized according to the standard scoring procedure. The total loneliness score ranges from 0 to 6, with higher scores indicating greater loneliness. Emotional and social loneliness subscale scores each range from 0 to 3, with higher scores indicating greater emotional or social loneliness, respectively.
6 secondary outcomes
Occupational Balance Assessed by the Occupational Balance Questionnaire (OBQ)
Time frame: Baseline and immediately after the 5-month intervention
Emotional Wellbeing Assessed by the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS)
Time frame: Baseline and immediately after the 5-month intervention
Perceived Social Support Assessed by the Oslo Social Support Scale (OSSS-3)
Time frame: Baseline and immediately after the 5-month intervention
Physical Health-Related Quality of Life Assessed by the 12-item Short Form Health Survey (SF-12) Physical Component Summary (PCS)
Time frame: Baseline and immediately after the 5-month intervention
Mental Health-Related Quality of Life Assessed by the 12-item Short Form Health Survey (SF-12) Mental Component Summary (MCS)
Time frame: Baseline and immediately after the 5-month intervention
Self-Perceived Health Assessed by the EuroQol Visual Analogue Scale (EQ-VAS)
Time frame: Baseline and immediately after the 5-month intervention
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 6 Oct 2026.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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 Re-Construir Juntes in people with Acquired Disability and Occupational Disengagement, run by University of Vic - Central University of Catalonia at 1 site in Spain.
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 5 inclusion and 3 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 6 Oct 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 Spain. 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?
Engagement in Meaningful Activities Assessed by the Engagement in Meaningful Activities Survey (EMAS) (time frame: Baseline and immediately after the 5-month intervention). The study lists 2 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 6 Oct 2026.