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Multiple Chronic Diseases: the RITH Trial

NCT ID: NCT02715245

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

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-08

Study Completion Date

2016-09-30

Brief Summary

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In this research, investigators pretent to evaluate the effectiveness of clinical, functional, psychological and social impact of an intervention model based on shared care between the Mobile Rehabilitation and Physical therapy team (MRPTT) and nurse case managers of Primary Care in a sample of patients with multiple chronic diseases (comorbidities) and their caregivers. A non-randomised controlled trial.

Detailed Description

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The Experimental group consisted of patients with multiple chronic diseases referred to services in the province of Almería that comply the inclusion criteria and their caregivers. Outcome measures: sex, age, location, primary caregiver, disabling process, number and type of categories including by multiple pathologies, personal history, assessment (physical and functional), Barthel Index, Lawton and Brody index, risk of falls, Scale Pfeiffer, social support, caregiver burden, hospital readmissions and length, technical aids. Quality of Life (SF-12) and degree of user satisfaction. Regarding the intervention: date of application, date of assessment, objectives, treatment / intervention techniques, number of sessions, staff time spent.

Control Group: Patients with multiple diseases and their caregivers, belonging to health centers or areas where there is no figure nurse case manager or MRPTT. Registration information will consist of the same assessments, questionnaires and scales that are comparable to the experimental and control groups for analysis.

Conditions

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Multiple Chronic Diseases

Keywords

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home rehabilitation Primary Health Care Physiotherapy chronic disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Experimental Group

Patients with multiple chronic disease referred to Mobile Rehabilitation and Physical therapy team (MRPTT) and Nurse-led case Management in the province of Almeria that comply the inclusion criteria; as well as their caregivers.

Group Type EXPERIMENTAL

Home-based rehabilitation

Intervention Type PROCEDURE

Procedure/Surgery: Home-based rehabilitation In the patient's home, the primarily applied treatment has been physical therapy, seeking to achieve the highest possible functionality and gait training. In more than 25% of cases, health education is conducted for families and caregivers. Thus, consistent with the patient's condition and their tolerance to activity and to exercise their self-care independently, rehabilitation interventions are activated that prevent sequelae derived from functional limitations.

Control Group

Patients with multiple chronic disease and their caregivers belonging to health centers or areas where there is no figure MRPTT or Nurse-led case Management to reach this population

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Home-based rehabilitation

Procedure/Surgery: Home-based rehabilitation In the patient's home, the primarily applied treatment has been physical therapy, seeking to achieve the highest possible functionality and gait training. In more than 25% of cases, health education is conducted for families and caregivers. Thus, consistent with the patient's condition and their tolerance to activity and to exercise their self-care independently, rehabilitation interventions are activated that prevent sequelae derived from functional limitations.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with multiple chronic diseases that are referred to the nurse case managers and home rehabilitation.
* Detected in Hospital or Primary Care.
* To provide informed consent to participate in research.

Exclusion Criteria

* clinical situation of agony;
* No acceptance of treatment by the patient or family
* Refuse to participate in the study
* Lack of cooperation of the patient or caregiver.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Torrecárdenas Hospital

UNKNOWN

Sponsor Role collaborator

Almería Health District

UNKNOWN

Sponsor Role collaborator

Universidad de Almeria

OTHER

Sponsor Role lead

Responsible Party

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Remedios López Liria

PhD.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Torrecárdenas Hospital Complex (Almería) and Almería Health District

Almería, Almería, Spain

Site Status

Countries

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Spain

References

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Vega-Ramirez FA, Lopez-Liria R, Granados-Gamez G, Aguilar-Parra JM, Padilla-Gongora D. Analysis of home-based rehabilitation in patients with motor impairment in primary care: a prospective observational study. BMC Geriatr. 2017 Jul 14;17(1):145. doi: 10.1186/s12877-017-0526-0.

Reference Type DERIVED
PMID: 28705187 (View on PubMed)

Other Identifiers

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CEIC-AL 39/2012

Identifier Type: -

Identifier Source: org_study_id