I Am Able: Population Based Rehabilitation in a Family Health Team

NCT ID: NCT00859638

Last Updated: 2010-06-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 124 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-05-31
• Study Completion Date: 2009-04-30

Brief Summary

People who have long-term conditions such as heart disease, diabetes, arthritis etc. face challenges in staying active and able to participate in activities that are important to them. There is some research that suggests that a care model that focuses on physical functioning and helping patients to manage their own conditions will assist them to stay active and healthy longer. In this project, the investigators are testing whether physiotherapy and occupational therapy offered to groups of patients and information about rehabilitation offered to other members of the health care team can help people with chronic conditions to maintain their physical abilities.

Detailed Description

Participants older than 44, with at least one chronic disease, (n=60) will participate in a before-and-after study integrating a population based, rehabilitation-focused program targeting physical function into a Family Health Team. The program, delivered by a Physiotherapist and Occupational Therapist, will consist of comprehensive functional assessments and individualized self-management care plans; a rehabilitation based chronic disease self-management program; and on-line self-monitoring of physical function. Process and outcome measures will be administered at baseline and 4 months follow-up.

Conditions

Chronic Conditions; Arthritis; Diabetes; Hypertension; Chronic Pain

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Intervention Group

Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building.

Group Type: EXPERIMENTAL

Physiotherapy

Intervention Type: BEHAVIORAL

group self-management classes

Occupational Therapy

Intervention Type: BEHAVIORAL

group self-management classes

Capacity Building

Intervention Type: BEHAVIORAL

workshops and case reviews with primary health care team members

Case matched controls

Usual care in primary health care.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Physiotherapy

group self-management classes

Intervention Type: BEHAVIORAL

Occupational Therapy

group self-management classes

Intervention Type: BEHAVIORAL

Capacity Building

workshops and case reviews with primary health care team members

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• 44 years and older
• 1 or more chronic conditions
• 3 visits to physician in the past year
• access or willingness to access email

Exclusion Criteria

• none

• Minimum Eligible Age: 44 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ontario Neurotrauma Foundation

OTHER

Sponsor Role: collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role: lead

Responsible Party

McMaster University

Principal Investigators

Julie Richardson, PhD

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Locations

McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)

Hamilton, Ontario, Canada

Countries

Canada

References

Richardson J, Letts L, Chan D, Officer A, Wojkowski S, Oliver D, Moore A, McCarthy L, Price D, Kinzie S. Monitoring physical functioning as the sixth vital sign: evaluating patient and practice engagement in chronic illness care in a primary care setting--a quasi-experimental design. BMC Fam Pract. 2012 Apr 3;13:29. doi: 10.1186/1471-2296-13-29.

Reference Type: DERIVED

PMID: 22471378 (View on PubMed)

Other Identifiers

2007-ORRAN-IIA-568

Identifier Type: -

Identifier Source: secondary_id

08-177

Identifier Type: -

Identifier Source: org_study_id