Back to the Future: Bridging the Hospital to Home Continuum After Hip Fracture

NCT01930409 | Completed DMC

• 1 other identifier: H13-01810
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.

Conditions

Hip Fracture

Keywords

Femoral Fractures; Hip Fractures; Frail older adults; Quality of Life; Feasibility Studies

Outcome Measures

Primary Outcomes (1)

• Feasibility of study recruitment and retention

  Feasibility will be measured by recruitment rate (30%), and retention rate (\<10% attrition)

  1 year

Secondary Outcomes (1)

• Quality of Life EQ5D-5L

  4 months

Other Outcomes (7)

• Quality of Life ICECAP-O

  4 months

• de Morton Mobility Index (DEMMI)

  4 months

• Gait (Walking) speed

  4 months

Study Arms (2)

Education Only

ACTIVE COMPARATOR

* A 1 hour education session in the acute setting * A toolkit with education, exercise and self management instructions for after hip fracture

Behavioral: Education Only

Education + Telephone Follow-up

EXPERIMENTAL

* A 1 hour education session in the acute setting * A telephone delivered self management program , including a toolkit (education, exercise and self management instructions for after hip fracture), support to take an active role in recovery, including setting and monitoring goals, problem solving mobility barriers, and guidance on the recovery process following a hip fracture.

Behavioral: Telephone Support and Coaching; Behavioral: Education Only

Interventions

Telephone Support and Coaching BEHAVIORAL

The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements: * Health Status * Medication Management * Activity/Exercise Prescription and Goal-Setting * Falls Prevention * Clarification of Appointments * Coordination of Post-Discharge Home Services * What To Do If a Problem Arises

Education + Telephone Follow-up

Education Only BEHAVIORAL

An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture

Education + Telephone Follow-up; Education Only

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults (men and women) over 60 years of age
• Fall related hip fracture
• Community dwelling
• English speaking

You may not qualify if:

• Dementia
• Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.)
• Profound hearing loss

Sponsors & Collaborators

• University of British Columbia: lead

Study Sites (1)

Lions Gate Hospital

North Vancouver, British Columbia, V7L 2L7, Canada

Location

MeSH Terms

Conditions

Hip Fractures; Femoral Fractures

Condition Hierarchy (Ancestors)

Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Dolores P Langford, Msc.

  Vancouver Coastal Health

  PRINCIPAL INVESTIGATOR

• Maureen C Ashe, PhD

  Centre for Hip Health and Mobility

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 31, 2013
• First Posted: August 28, 2013
• Study Start: November 1, 2013
• Primary Completion: September 1, 2014
• Study Completion: January 1, 2015
• Last Updated: October 27, 2017

Record last verified: 2017-10

Locations

CA (1)