Study Results
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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UNKNOWN
NA
90 participants
INTERVENTIONAL
2022-07-25
2023-09-30
Brief Summary
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Detailed Description
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Aim 2: To examine the cost impact of a mobility-focused model of care. The investigators will examine whether the cost of these multicomponent, mobility-focused interventions can be offset from cost savings from early mobilisation benefits, by comparing healthcare utilization costs between-groups. Further to that, a cost effectiveness analysis will be performed should functional effectiveness be observed. For the primary cost impact objective, it is hypothesized that the cost savings arising from reduction in bed days of hospitalization and other medical costs incurred during study period will outweigh the cost of implementing this model of care. In addition, it is also hypothesized that the proposed intervention will be cost-effective through achieving better functional outcomes for patients, with lower costs required.
Aim 3: To evaluate the implementation outcomes of multicomponent, mobility-focused model of care in the process of this intervention. It is hypothesized that this intervention will have good acceptability, feasibility, penetration, implementation costs and sustainability.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Intervention
Intervention group will receive a multicomponent, mobility-focused intervention during the course of inpatient admission.
Multicomponent, mobility-focused intervention
The intervention group will receive early therapist review (within one working day of admission to HOME unit), to be mobilised at least three times a day. They will also receive additional group exercise therapy sessions, as well as nurse screening for geriatric syndromes. Besides that, they will be screened for 4Ms (Mobility, Mentation, Medication, What Matters) by doctor on admission.
Control
The control group will receive usual care as per current ward practice.
No interventions assigned to this group
Interventions
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Multicomponent, mobility-focused intervention
The intervention group will receive early therapist review (within one working day of admission to HOME unit), to be mobilised at least three times a day. They will also receive additional group exercise therapy sessions, as well as nurse screening for geriatric syndromes. Besides that, they will be screened for 4Ms (Mobility, Mentation, Medication, What Matters) by doctor on admission.
Eligibility Criteria
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Inclusion Criteria
* Aged 75 years and above
* Mobile with or without the use of a walking aid
Exclusion Criteria
* Requires droplet or airborne precautions
* Critically ill
* Haemodynamically instability
* Requires more than 4-hourly parameters
* Systolic blood pressure \<90 mmHg
* Heart rate \>100beats/min
* Non-ambulant patients
* With advanced dementia (Functional Assessment Staging Scale \[FAST\] 7 dementia)
* Fulfills direct admission to another subspecialty unit
21 Years
110 Years
ALL
Yes
Sponsors
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Geriatric Education and Research Institute
OTHER_GOV
National Healthcare Group, Singapore
OTHER_GOV
JurongHealth
OTHER_GOV
Responsible Party
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Principal Investigators
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Melanie Tan Dr
Role: PRINCIPAL_INVESTIGATOR
Ng Teng Fong General Hospital
Lau Lay Khoon Dr
Role: PRINCIPAL_INVESTIGATOR
Geriatric Education and Research Institute
Locations
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Ng Teng Fong Hospital
Singapore, , Singapore
Geriatrics Education and Research Institute
Singapore, , Singapore
Countries
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Central Contacts
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Facility Contacts
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References
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Other Identifiers
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GERI1627
Identifier Type: -
Identifier Source: org_study_id
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