Detecting and Addressing Preclinical Disability

NCT ID: NCT01979081

Last Updated: 2018-04-09

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 148 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2013-01-31
• Study Completion Date: 2017-12-31

Brief Summary

The Physical Functioning Inventory (PFI) is a standardized patient reported outcome measure that assesses preclinical disability. Preclinical disability is a functional state in which people are still able to complete daily living tasks (e.g., walking, bathing) but are changing the frequency or modifying the way that they complete the tasks. The investigators have done some preliminary research using the PFI as an online monitoring tool (Richardson 2012), but further study is required to examine its psychometric properties and its suitability for use as a primary outcome measure. This measurement study has been designed to identify the optimal number of items on the PFI and to determine the reliability, validity, and responsiveness of the PFI when administered to a sample of adults and older adults both with and without chronic conditions. This project will also allow us to evaluate the use of self-monitoring of physical function and the added value of rehabilitation professionals to support self-monitoring. Using the results of the PFI, the investigators aim to develop a "tailored" population-based rehabilitation self-management intervention delivered through a secure messaging system in the patient's electronic personal health record (myOSCAR) that focuses on the early detection and prevention of preclinical disability.

Conditions

Back Pain; Coronary Artery Disease; Chronic Obstructive Pulmonary Disease; Diabetes; Hypertension; Multiple Sclerosis; Osteoporosis; Osteoarthritis; Rheumatoid Arthritis; Stroke

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

People with chronic disease

Participants greater than or equal to 44 years of age with a chronic disease (diabetes, heart disease, stroke, hypertension, osteoporosis, osteoarthritis, rheumatoid arthritis, chronic obstructive pulmonary disease, back pain, Multiple Sclerosis, Parkinson's Disease).

Tailored advice from a physiotherapist and/or an occupational therapist through the myOSCAR patient portal

Intervention Type: OTHER

People without chronic disease

Participants greater than or equal to 65 years of age without a chronic disease.

Tailored advice from a physiotherapist and/or an occupational therapist through the myOSCAR patient portal

Intervention Type: OTHER

Interventions

Tailored advice from a physiotherapist and/or an occupational therapist through the myOSCAR patient portal

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Greater than or equal to 44 years of age
• Able to communicate in English
• Have had at least 3 physician visits in the last year
• Are able to access an email address independently
• Have a chronic disease

Exclusion Criteria

• Any evidence of cognitive impairment
• Unable to travel to the clinic
• Awaiting long-term care
• Planning to relocate
• Experiencing an acute illness
• Are receiving palliative care

• Minimum Eligible Age: 44 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

McMaster University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Julie Richardson, PhD

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Lori Letts, PhD

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Locations

Stonechurch Family Health Centre

Hamilton, Ontario, Canada

Countries

Canada

Other Identifiers

Labarge 2013-02

Identifier Type: -

Identifier Source: org_study_id