Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities

NCT01474616 | Completed

• 1 other identifier: DPA 108891
• Study Type: interventional
• Target: 113
• Locations: 1 country
• Sites: 4

Brief Summary

Almost 90 percent of residents living in long-term care facilities have some type of mobility limitation, which worsens quickly once they move into a long-term care facility. This means that they cannot easily walk or move around in their day-to-day lives and this can have serious consequences for their general health and well-being. Researchers have shown that exercise can help the mobility of even the oldest of adults but elderly residents in long-term care facilities still commonly sit or lie in bed for long periods of time, in many cases for most of their waking hours. The purpose of this research is to study the effect of a simple physical activity on the mobility and quality of life of residents in long-term care facilities. Researchers will introduce a sit-to-stand activity to health care aides which will become part of their daily routine with residents. The basic sit-to-stand movement is already a part of the daily activities that health care aides do with residents. Specifically, health care aides will ask residents to repeat the sit-to-stand activity at mealtimes, when using the toilet, and on other occasions of daily activity. An important part of this research is to find out how well the activity preserves the ability of residents to stay mobile and also to examine how this will improve their quality of life in the home. The MOVE study will demonstrate whether it is possible to delay the loss of mobility in long-term care residents by incorporating the sit-to-stand activity into the regular practice of health care aides.

Conditions

Mobility Limitation

Keywords

Aging; Health Services; Knowledge Translation; Long-Term Care Facilities; Mobility; Psychosocial And Health Behaviours

Outcome Measures

Primary Outcomes (1)

• Change from Baseline in Mobility at 3 and 6 months

  The sit-to-stand action is a functional activity that has been incorporated into a number of mobility measures. We have chosen to measure mobility using the number of sit-to-stands in 30 seconds because in the frail nursing home population many residents have difficulty transferring (e.g.standing up from a chair). In our pilot study we found many residents were unable to complete more than two or three sit-to-stands. Residents will be instructed to stand up and sit down as many times as possible until they are asked to stop after 30 seconds (Jones, Rikli, \& Beam, 1999).

  Baseline, 3-Months, 6-Months

Secondary Outcomes (3)

• Change from Baseline in Function at 3 and 6 months

  Baseline, 3-Months, 6-Months

• Change from Baseline in Health Related Quality of Life at 3 and 6 months

  Baseline, 3-Months, 6-Months

• Change from Baseline in Dementia Specific Quality of Life at 3 and 6 Months

  Baseline, 3-Months, 6-Months

Study Arms (1)

Sit-to-Stand Activity

OTHER

Other: Sit-to-Stand Activity

Interventions

Sit-to-Stand Activity OTHER

Health care aides will be expected to prompt residents to repeatedly stand up and sit down on four occasions throughout the day (twice on each of the day and evening shifts). The number of repetitions on each occasion will vary according to residents' ability and fatigue. The sit-to-stand activity is to be integrated into usual care routines such as when entering the dining room at mealtimes, while toileting, and on other occasions of regular activity. The timing and location will be at the discretion of the health care aide.

Sit-to-Stand Activity

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• have a diagnosis of Alzheimer disease, vascular dementia, or mixed dementia
• are able to transfer independently or with the assistance of one person

You may not qualify if:

• have a diagnosis of fronto-temporal or Lewy-body dementia
• require the assistance of more than one person to transfer, or a transfer lift

Sponsors & Collaborators

• University of Alberta: lead
• Canadian Institutes of Health Research (CIHR): collaborator
• CapitalCare Continuing Care: collaborator
• Extendicare: collaborator
• Good Samaritan Society: collaborator
• Shepherd's Care Foundation: collaborator

Study Sites (4)

CapitalCare Continuing Care

Edmonton, Alberta, T5J 3M9, Canada

Location

Good Samaritan Society

Edmonton, Alberta, T6C 4G8, Canada

Location

Extendicare

Edmonton, Alberta, T6E 6A8, Canada

Location

Shepherd's Care Foundation

Edmonton, Alberta, T6K 2R1, Canada

Location

Related Publications (2)

• Slaughter SE, Wagg AS, Jones CA, Schopflocher D, Ickert C, Bampton E, Jantz A, Milke D, Schalm C, Lycar C, Estabrooks CA. Mobility of Vulnerable Elders study: effect of the sit-to-stand activity on mobility, function, and quality of life. J Am Med Dir Assoc. 2015 Feb;16(2):138-43. doi: 10.1016/j.jamda.2014.07.020. Epub 2014 Sep 27.

  PMID: 25271194 RESULT

• Slaughter SE, Estabrooks CA, Jones CA, Wagg AS. Mobility of Vulnerable Elders (MOVE): study protocol to evaluate the implementation and outcomes of a mobility intervention in long-term care facilities. BMC Geriatr. 2011 Dec 16;11:84. doi: 10.1186/1471-2318-11-84.

  PMID: 22176583 DERIVED

MeSH Terms

Conditions

Mobility Limitation

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Susan Slaughter, RN, PhD

  University of Alberta

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 10, 2011
• First Posted: November 18, 2011
• Study Start: August 1, 2011
• Primary Completion: February 1, 2013
• Study Completion: June 1, 2013
• Last Updated: January 26, 2017

Record last verified: 2013-07

Locations

CA (4)