Tele-rehabilitation Intervention for People Post Hip Fracture - Randomized Controlled Trial (RCT)

NCT ID: NCT03376750

Last Updated: 2017-12-18

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2019-03-31

Brief Summary

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Most surviving hip-fracture patients experience reduced mobility and lose their functional ability, which increases the risk of complications and rehospitalization. Post-discharge transitional programs to reduce readmissions have shown some success. Telerehabilitation refers to the use of technologies to provide rehabilitation services to people in their homes. Considering the need for long-term follow-up care for people with hip fracture, in-home telerehabilitation could increase independence, decrease hospital stays and reduce the burden for caregivers.

The purpose of this three armed randomized controlled trial is to investigate the effectiveness of an intervention program based on telerehabilitation on ADL, QOL, depression and burden on caregivers compared to face-to-face home visits and usual care of community-dwelling older adults after hip fracture.

90 older people with hip fractures will be randomly assigned to a telerehabilitation group (N=30), face-to-face visits (N=30) and a control group.

The aim of the intervention is to improve the transition from rehabilitation units to community dwelling. It will include 10 videoconferencing/ face-to-face sessions from an occupational therapist in the presence of the primary caregiver. Each session will be utilized to guide the participants to achieve their self-identified goals, focusing on problem-solving for daily life situations and on the ability to implement the discussed strategies for a variety of activities

Detailed Description

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Conditions

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Hip Fractures

Keywords

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telerehabilitation occupational therapy RCT participation quality of life intervention older adults

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

three-arm randomized control trail (RCT) including pre/post intervention and follow-up
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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CO - OP via telerehabilitation + standard care

10 CO-OP videoconferencing sessions from an occupational therapist . Each session will be utilized to guide the participants to achieve their self-identified goals, focusing on problem-solving for daily life situations and on the ability to implement the discussed strategies for a variety of activities.

Group Type EXPERIMENTAL

CO - OP

Intervention Type BEHAVIORAL

CO-OP is a top-down, task-oriented, client-centered approach that uses an iterative process of dynamic performance analysis and guided discovery to enable individuals to identify strategies that will improve performance

CO - OP via face to face + standard care

10 CO - OP face to face sessions from an occupational therapist. Each session will be utilized to guide the participants to achieve their self-identified goals, focusing on problem-solving for daily life situations and on the ability to implement the discussed strategies for a variety of activities.

Group Type EXPERIMENTAL

CO - OP

Intervention Type BEHAVIORAL

CO-OP is a top-down, task-oriented, client-centered approach that uses an iterative process of dynamic performance analysis and guided discovery to enable individuals to identify strategies that will improve performance

control group - standard care

standard care as given from public health service

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CO - OP

CO-OP is a top-down, task-oriented, client-centered approach that uses an iterative process of dynamic performance analysis and guided discovery to enable individuals to identify strategies that will improve performance

Intervention Type BEHAVIORAL

Other Intervention Names

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Cognitive Orientation to Occupational Performance

Eligibility Criteria

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Inclusion Criteria

Older adults (age ≥60 years) post hip fracture - discharged from the inpatient rehabilitation unit of Herzog Hospital, Jerusalem, between January 2017 and December 2017.

Discharge from rehabilitation to a non-institutionalized setting. broadband or Wi-Fi in their home and must be able to operate an iPad independently.

FIM\>90 at discharge. Has a designated caregiver (a close friend, family member, or support worker) aged over 18, and a Hebrew, English or Arabic speaker, who will agree to cooperate in the research

Exclusion Criteria

Aphasia. cognitive impairment (Montreal Cognitive Assessment scores : MOCA\<19 or MMSE\<21).

degenerative neurological diagnoses. current major depressive or psychotic disorder. other acute or chronic health condition that will influence their ability to participate in the study.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hebrew University of Jerusalem

OTHER

Sponsor Role collaborator

Israel National Institute for Health Policy and Health Services Research

OTHER_GOV

Sponsor Role collaborator

Herzog Hospital

OTHER

Sponsor Role lead

Responsible Party

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Yakir Kaufman

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yafit Gilboa, OTphD

Role: STUDY_DIRECTOR

School of Occupational Therapy, Faculty of Medicine Hadassah and the Hebrew University of Jerusalem

Locations

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Herzog Hospital

Jerusalem, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Yafit Gilboa, OTphD

Role: CONTACT

Phone: +972523362230

Email: [email protected]

Talia Maeir, BOT

Role: CONTACT

Phone: +972547866338

Email: [email protected]

Facility Contacts

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Yakir Kaufmam, MD

Role: primary

References

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Gilboa Y, Maeir T, Karni S, Eisenberg ME, Liebergall M, Schwartz I, Kaufman Y. Effectiveness of a tele-rehabilitation intervention to improve performance and reduce morbidity for people post hip fracture - study protocol for a randomized controlled trial. BMC Geriatr. 2019 May 20;19(1):135. doi: 10.1186/s12877-019-1141-z.

Reference Type DERIVED
PMID: 31109289 (View on PubMed)

Other Identifiers

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HerzogH RCT

Identifier Type: -

Identifier Source: org_study_id