I Am Able: Population Based Rehabilitation in a Family Health Team

NCT00859638 | Completed Results

• 2 other identifiers: 08-1772007-ORRAN-IIA-568
• Study Type: interventional
• Target: 124
• Locations: 1 country
• Sites: 1

Brief Summary

People who have long-term conditions such as heart disease, diabetes, arthritis etc. face challenges in staying active and able to participate in activities that are important to them. There is some research that suggests that a care model that focuses on physical functioning and helping patients to manage their own conditions will assist them to stay active and healthy longer. In this project, the investigators are testing whether physiotherapy and occupational therapy offered to groups of patients and information about rehabilitation offered to other members of the health care team can help people with chronic conditions to maintain their physical abilities.

Conditions

Chronic Conditions; Arthritis; Diabetes; Hypertension; Chronic Pain

Outcome Measures

Primary Outcomes (1)

• Physical Functioning Inventory (PFI)

  The PFI is used to assess physical functioning in older adults. It contains 21 tasks from 4 subscales: activities of daily living, instrumental activities of daily living, mobility, moderate activities. A series of questions is used to determine whether the person experiences difficulty in completing a task, the level of difficulty they experience, and any changes to the method and/or frequency of task performance. The PFI is sensitive to steps in the natural history of functional decline that are often not assessed clinically. Range of scores: 0 (most difficulty); 100 (least difficulty).

  4 months

Secondary Outcomes (10)

• Self-rated Health

  4 months

• Health Care Utilization

  4 months

• Self-efficacy for Chronic Disease Scale

  4 months

• Rapid Assessment of Physical Activity

  4 months

• Grip Strength

  4 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building.

Behavioral: Physiotherapy; Behavioral: Occupational Therapy; Behavioral: Capacity Building

Case matched controls

NO INTERVENTION

Usual care in primary health care.

Interventions

Physiotherapy BEHAVIORAL

group self-management classes

Intervention Group

Occupational Therapy BEHAVIORAL

group self-management classes

Intervention Group

Capacity Building BEHAVIORAL

workshops and case reviews with primary health care team members

Intervention Group

Eligibility Criteria

• Age: 44 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years and older
• or more chronic conditions
• visits to physician in the past year
• access or willingness to access email

You may not qualify if:

• none

Sponsors & Collaborators

• Hamilton Health Sciences Corporation: lead
• Ontario Neurotrauma Foundation: collaborator

Study Sites (1)

McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)

Hamilton, Ontario, L8W 3J6, Canada

Location

Related Publications (1)

• Richardson J, Letts L, Chan D, Officer A, Wojkowski S, Oliver D, Moore A, McCarthy L, Price D, Kinzie S. Monitoring physical functioning as the sixth vital sign: evaluating patient and practice engagement in chronic illness care in a primary care setting--a quasi-experimental design. BMC Fam Pract. 2012 Apr 3;13:29. doi: 10.1186/1471-2296-13-29.

  PMID: 22471378 DERIVED

MeSH Terms

Conditions

Chronic Disease; Arthritis; Diabetes Mellitus; Hypertension; Chronic Pain

Interventions

Physical Therapy Modalities; Occupational Therapy; Capacity Building

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Joint Diseases; Musculoskeletal Diseases; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Vascular Diseases; Cardiovascular Diseases; Pain; Neurologic Manifestations; Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Health Care Facilities Workforce and Services; Organization and Administration; Health Services Administration; Pandemic Preparedness; Disaster Planning; Disasters; Environment; Environment and Public Health; Communicable Disease Control; Public Health Practice; Public Health

Limitations and Caveats

The limited duration of the study period may not allow sufficient time to show the difference in outcome measures such as self-rated health and health care utilization.

Results Point of Contact

• Title: Dr. Julie Richardson
• Organization: McMaster University

jrichard@mcmaster.ca

(905) 525-9140

Study Officials

• Julie Richardson, PhD

  McMaster University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: March 10, 2009
• First Posted: March 11, 2009
• Study Start: May 1, 2008
• Primary Completion: March 1, 2009
• Study Completion: April 1, 2009
• Last Updated: June 22, 2010
• Results First Posted: June 17, 2010

Record last verified: 2009-09

Locations

CA (1)