Back to the Future: Bridging the Hospital to Home Continuum After Hip Fracture

NCT ID: NCT01930409

Last Updated: 2017-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2015-01-31

Brief Summary

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The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.

Detailed Description

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The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.

Conditions

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Hip Fracture

Keywords

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Femoral Fractures Hip Fractures Frail older adults Quality of Life Feasibility Studies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Education Only

* A 1 hour education session in the acute setting
* A toolkit with education, exercise and self management instructions for after hip fracture

Group Type ACTIVE_COMPARATOR

Education Only

Intervention Type BEHAVIORAL

An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture

Education + Telephone Follow-up

* A 1 hour education session in the acute setting
* A telephone delivered self management program , including a toolkit (education, exercise and self management instructions for after hip fracture), support to take an active role in recovery, including setting and monitoring goals, problem solving mobility barriers, and guidance on the recovery process following a hip fracture.

Group Type EXPERIMENTAL

Telephone Support and Coaching

Intervention Type BEHAVIORAL

The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements:

* Health Status
* Medication Management
* Activity/Exercise Prescription and Goal-Setting
* Falls Prevention
* Clarification of Appointments
* Coordination of Post-Discharge Home Services
* What To Do If a Problem Arises

Education Only

Intervention Type BEHAVIORAL

An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture

Interventions

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Telephone Support and Coaching

The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements:

* Health Status
* Medication Management
* Activity/Exercise Prescription and Goal-Setting
* Falls Prevention
* Clarification of Appointments
* Coordination of Post-Discharge Home Services
* What To Do If a Problem Arises

Intervention Type BEHAVIORAL

Education Only

An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adults (men and women) over 60 years of age
* Fall related hip fracture
* Community dwelling
* English speaking

Exclusion Criteria

* Dementia
* Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.)
* Profound hearing loss
Minimum Eligible Age

60 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Dolores Langford

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dolores P Langford, Msc.

Role: PRINCIPAL_INVESTIGATOR

Vancouver Coastal Health

Maureen C Ashe, PhD

Role: STUDY_DIRECTOR

Centre for Hip Health and Mobility

Locations

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Lions Gate Hospital

North Vancouver, British Columbia, Canada

Site Status

Countries

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Canada

Other Identifiers

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H13-01810

Identifier Type: -

Identifier Source: org_study_id