Outcome of Rehabilitation of Older People in Primary Health Care

NCT01457300 | Completed DMC

• 1 other identifier: PHC rehab older people
• Study Type: observational
• Target: 302
• Locations: 1 country
• Sites: 2

Brief Summary

The Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in a District Inpatient Rehabilitation Centre is better than in a Standard Primary Health Care Rehabilitation Programme in Short Term Beds in Nursing Homes.

Conditions

Stroke; Hip Fractures; Osteoarthritis; Chronic Disease

Keywords

Rehabilitation outcome; Aged; Aged, 80 and over; Activities of daily living

Outcome Measures

Primary Outcomes (1)

• Change in Sunnaas ADL Index

  Sunnaas ADL Index measures 12 Activities of Daily Life. Each Activity has a Score from 0-3, where 0=totally dependent and 3=independent. The Total Max Score of 36 means Totally Independent.

  Change from Baseline in Sunnaas ADL Index at End of Rehabilitation. Change from End of Rehabilitation in Sunnaas ADL Index at 3 months. Change from End of Rehabilitation in Sunnaas ADL Index at 18 Months

Secondary Outcomes (5)

• Change in Umea Life Satisfaction Checklist

  Change from End of Rehabilitation in Umea Life Satisfaction Checklist at 3 Months after Rehabilitation.

• Mini Mental Status Evaluation=MMSE

  MMSE Recorded Two Weeks into Rehabilitation

• Symptom Check List 10=SCL10

  SCL10 recorded at two Weeks into Rehabilitation

• Home Care Services

  Change from End of Rehabilitation in Home Care Services at Three Months after Rehabilitation

• Informal Care from Relatives

  Change in Informal Care from relatives from End of Rehabilitation at Three Months after Rehabilitation

Study Arms (2)

District Rehabilitation Centre (Model 1)

Patients admitted to Primary Health Care Rehabilitation, either Post-Acute from the Same District General Hospital or Directly from their Homes. They were recruited continuously at Entrance to the Rehabilitation Centre.

Other: Rehabilitation

Standard PHC Rehabilitation (Model 2)

Patients admitted to Standard Primary Health Care (PHC) Rehabilitation, either Post-Acute from the Same District General Hospital or Directly from their Homes. They were recruited Continuously at Entrance to the Short Term Rehabilitation Beds in Nursing Homes or at the Beginning of Rehabilitation in their Own Homes.

Interventions

Rehabilitation OTHER

Model 1: Regular Assessment of Rehabilitation Goal, Rehabilitation Plan, Weekly Multi-Disciplinary Evaluation and Adjustment of Plan, Regular use of Measurement Scales, Regular Dialog between Personnel, Patient and Relatives. Model 2: More Occasional use of the Listed Activities. Model 1 and Model 2: Physical Training and Functional ADL Training, in Groups, One by One or Self-Training.

District Rehabilitation Centre (Model 1)

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The Study Populations were Disabled Older People (=\>65years), with a need for Rehabilitation either Post-Acute after Hospitalisation or admitted Directly from their Own Homes and living within the Geographically small County of Vestfold, Norway.

You may qualify if:

• Both Genders
• Age=\>65 Years
• Diagnoses: Stroke, Hip Fractures, Osteoarthritis, Chronic, slowly progressing Diseases, Functional Decline due to Old Age, Functional Decline due to Long Hospital Stay
• Assessed to have a Rehabilitation Potential

You may not qualify if:

• Age\<65 Years
• Patietns with Highly Progressive Diseases
• Sunnaas ADL Index\<10
• MMSE\<18
• Deeply Depressed Patients with no Initiative
• Patients with Speech Dyspnoea
• Patients with unstable Angina Pectoris
• Patients with not diagnosed Cardiac Arrythmias

Sponsors & Collaborators

• University of Oslo: lead
• Norwegian Medical Association: collaborator

Study Sites (2)

Department of General Practice/General Practice Research Unit, Institute of Health and Society, University of Oslo

Oslo, Oslo County, NO-0318, Norway

Location

Prestelokka Rehabilitation Centre

Stavern, Vestfold, 3290, Norway

Location

Related Publications (2)

• Johansen I, Lindbaek M, Stanghelle JK, Brekke M. Effective rehabilitation of older people in a district rehabilitation centre. J Rehabil Med. 2011 Apr;43(5):461-4. doi: 10.2340/16501977-0792.

  PMID: 21390482 RESULT

• Johansen I, Lindbak M, Stanghelle JK, Brekke M. Independence, institutionalization, death and treatment costs 18 months after rehabilitation of older people in two different primary health care settings. BMC Health Serv Res. 2012 Nov 14;12:400. doi: 10.1186/1472-6963-12-400.

  PMID: 23150906 DERIVED

MeSH Terms

Conditions

Stroke; Hip Fractures; Osteoarthritis; Chronic Disease

Interventions

Rehabilitation

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries; Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Inger Johansen, MD

  University of Oslo

  PRINCIPAL INVESTIGATOR

• Mette Brekke, MD, PhD

  University of Oslo

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD-student

Study Record Dates

• First Submitted: October 12, 2011
• First Posted: October 21, 2011
• Study Start: June 1, 2006
• Primary Completion: April 1, 2009
• Study Completion: October 1, 2010
• Last Updated: October 25, 2011

Record last verified: 2011-10

Locations

NO (2)