With regard to clinical significance, we conclude that the change scores found in our study (mean difference LSP at 12 months: 6,1 for CAT and 1,5 for TAU; group difference LSP at 12 months: 3,8 based on the multilevel model) are consistent with previous studies on rehabilitative interventions in this population (4 points in 12 months 45 and 6 points in 18 months 46 ). The follow-up effect for the LSP is consistent with our hypothesis that with CAT as a nursing intervention, we would be able to maintain functional improvements when the intervention is continued. That is, we expected that nurses would internalize the CAT method and continue to provide CAT to the people in their caseload. Indeed, our results suggest that by implementing CAT as a nursing intervention we achieved continued delivery of the intervention, and, thereby, maintenance of the improvement. Nevertheless, due to a lack of follow-up **data** in the control group, we cannot draw definitive conclusions with regard to sustained improvements in the control condition.