N/A N=31 Randomized Other

CAPABLE Transitions: A Home Health-Based Intervention for the Hospital or Post-Acute Care Facility-to-Home Transition

Care Transitions · Dementia

Bottom Line

View on ClinicalTrials.gov: NCT04460742 ↗

Enrolled (actual)

Serious AEs

19.4%

Results posted

Aug 2023

Primary outcome: Primary: Percentage of Participants Screened as Eligible — 180 Participants

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: CAPABLE Transitions (Behavioral); Home Health Agency Care (Behavioral)
Age: Older Adult · 65+ yrs
Sex: All
Sponsor: University of Rochester
Primary completion: May 2023

Outcome Measures

Outcome	Result	p-value
PRIMARY Percentage of Participants Screened as Eligible	180	—
PRIMARY Percentage of Screened Participants That Enroll	31	—
PRIMARY Percentage of Enrolled Participants That Are Retained	14; 14	—
PRIMARY Percentage of Participants Who Perceive a Benefit From the Intervention	12	—
PRIMARY Percentage of Participants Who Perceive a Benefit From the Intervention	12	—
PRIMARY Proportion of Critical Tasks Completed	0.89	—
PRIMARY Data Completeness on Clinical Outcomes	14; 13	—
PRIMARY Data Completeness on Clinical Outcomes	14; 13	—
SECONDARY Home Time in Days (From the Baseline to 3 Month Period)	87.94; 88.67	—
SECONDARY Home Time in Days (From the 3 to 6 Month Period)	89.38; 89.86	—
SECONDARY Mean Change in Quality of Life Using EQ-5D-5L (Unabbreviated Title)	0.57; 0.71; 0.50; 0.36; 1.21; 0.93	—
SECONDARY Mean Change in Quality of Life Using EQ-5D-5L (Unabbreviated Title)	0.57; 0.71; 0.50; 0.36; 1.21; 0.93	—
SECONDARY Health Services Use, Percentage	3; 2; 2; 0; 0; 0	—
SECONDARY Health Services Use, Percentage	3; 2; 2; 0; 0; 0	—
SECONDARY Health Services Use, Mean	0.19; 0.14; 0.13; 0; 0; 0	—
SECONDARY Health Services Use, Mean	0.19; 0.14; 0.13; 0; 0; 0	—

Summary

This clinical study is designed to test the feasibility of a new intervention, CAPABLE Transitions. CAPABLE Transitions is based on the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) intervention designed by Dr. Sarah Szanton at Johns Hopkins University. Similar to CAPABLE, CAPABLE Transitions consists of an occupational therapy (OT)-led intervention in which the study OT, nurse, and handyman deliver an in-home intervention over 3-4 months. This intervention is designed to help with the transition of care from a hospital or post-acute care facility discharge as well as to optimize functioning and home safety. This clinical study plans to recruit a total of 60 older adults with and without dementia admitted to a home health agency following discharge from a hospital or post-acute care facility. Given that this is a feasibility study, it is not designed or powered to test hypotheses.

Eligibility Criteria

Inclusion Criteria

admitted to Medicare-certified home health agency following discharge from a hospital, inpatient rehabilitation facility, or skilled nursing facility
live in Rochester, NY region
aged 65 years or older
English-speaking

Exclusion Criteria

plan to move within one year
has a terminal diagnosis (e.g., < 1-year life expectancy, in hospice)
receiving active cancer treatment (active treatment includes surgery or a course of radiation or chemotherapy; it does not include long-term maintenance treatment such as daily hormonal treatment of prostate cancer)
inability or unwillingness of individual or legal guardian/representative to give written informed consent or assent
has been discharged from a hospital or post-acute care facility for more than 28 days
are COVID-19 positive, have suspected COVID-19 infection, or resides with a person who is COVID-19 positive or has suspected COVID-19

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04460742). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.