Autonomous At Home with Occupational Therapy Support and Assistive Devices
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: BCM2.0.
- Кому может быть актуально
- Состояния в реестре: Frailty, Aging, Home Care Services. Базовые параметры: от 65 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Бельгия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Autonome À Domicile Grâce À Un Appareil Connecté Et À Un Suivi Ergo
Обзор
The aim of the AUDACE study is to evaluate the 'Bien chez Moi 2.0' programme, to assess how, for whom and why do assistive devices, integrated with occupational therapy support, enable older people to remain at home, and under what conditions? The study assesses the impact on areas such as the degree of autonomy, the extent to which life goals are taken into account, the feeling of security at home, the use of hospital emergency services and the postponement of definitive institutionalisation in a nursing home. The expected results of this study are to be able to robustly describe the impact of the 'Bien chez moi 2.0' programme in the areas listed above.
Подробное описание
Background The BCM2.0 programme provides occupational therapy sessions and assistive devices to support older people who want to age in place. The investigators designed the AUDACE evaluation to improve understanding of the programme and its effectiveness, and to promote a favourable context for the professional empowerment of occupational therapists as primary care providers.
Methods The investigators involved home care occupational therapists at every stage of the protocol design to ensure that the tools, training, and organisational structures put in place for the evaluation could also form the basis of their routine practice, harmonising their practices, ethos and processes.
The investigators designed a realist mixed methods evaluation to answer the following question: "How, for whom and why do assistive devices, integrated with occupational therapy support, enable older people to remain at home, and under what conditions?" Interrelated components addressed different research sub-questions: (1a) To describe the evaluation population, interventions, and contexts: a descriptive quantitative study using baseline data from all BCM2.0 beneficiaries. (1b) To describe the frailty process in older people receiving the programme: a qualitative study using semi-structured individual interviews with a biographical dimension. (2) To explore the enrolment process: focus groups with occupational therapists, following a realist approach. (3) To assess effectiveness: a prospective cohort study with up to 12 months follow-up of all BCM2.0 beneficiaries. (4) To identify barriers and facilitators to implementation: multiple nested case study in five areas, using a realist approach. (5) To build a learning community to clarify ethical considerations: communities of practice meetings.
Вмешательства
- Другое BCM2.0
The BCM2.0 programme provides occupational therapy sessions and assistive devices to support older people who want to age in place.
Первичные конечные точки
- COPM [Срок оценки: At enrolment and six months follow up.]
Вторичные конечные точки (7)
- Short FES-I [Срок оценки: At enrolment and six months follow up.]
- Health-related QoL [Срок оценки: At enrolment and six months follow up.]
- Hospitalisation [Срок оценки: At enrolment and six months follow up.]
- Use of assistive devices [Срок оценки: At enrolment and six months follow up.]
- Sense of security [Срок оценки: At enrolment and six months follow up.]
- Entry in nursing home [Срок оценки: Any time within the first six months after enrolment.]
- (I)ADL [Срок оценки: At enrolment and at six month follow up.]
Критерии участия
Критерии включения
- people aged 65 and over
- living at home in the Walloon and Brussels regions
- who are considered frail or at risk of frailty. The risk of frailty is defined as having at least one loss of intrinsic capacity measured by a trained occupational therapist using the ICOPE screening tool
Критерии исключения
- People benefiting from other AViQ autonomy programmes of this project are excluded
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Организация здравоохранения
Центры проведения
Бельгия · 1 центр
- Ergo2.0 — Yvoir
Публикации
- Filipovic-Pierucci A, Alvarez Irusta L, de la Croix T, Ledoux A, Van Durme T. AUDACE: a study protocol for the realist mixed methods evaluation of the BCM2.0 occupational therapy and assistive device programme for older people aging in place. BMC Prim Care. 2026 Apr 11;27(1):201. doi: 10.1186/s12875-026-03306-5. PMID 41965516
Идентификаторы
NCT: NCT06819982 · AUDACE