Mobility Enhancing Nursing Intervention
MFP
Effects of Mobility-Enhancing Nursing Intervention in Patients With MS and Stroke: Randomised Controlled Trial
2 other identifiers
interventional
140
1 country
1
Brief Summary
Objectives: This parallel RCT investigated the effect of a new nursing intervention (Mobility Enhancing Nursing Intervention - MFP) designed to improve the rehabilitation programs' outcomes and patients' quality of life. Intervention: The IG combined standard care with the 30-day mobility-enhancing-nursing intervention (MFP). MFP placed patients on a mattress on the floor and used constant tactile-kinaesthetic stimulation in everyday tasks to increase spatial orientation, to teach patients to get up safely and to move independently. Primary and secondary outcome measures: Outcomes were defined as functionality (Extended Barthel Index, EBI), quality of life (WHOQoL), and fall-related self-efficacy (FES-I).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable stroke
Started Mar 2011
Typical duration for not_applicable stroke
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
June 26, 2014
CompletedFirst Posted
Study publicly available on registry
July 23, 2014
CompletedJuly 24, 2014
July 1, 2014
2.1 years
June 26, 2014
July 23, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Extended Barthel Index (EBI) between admission and discharge
The Extended Barthel Index (EBI) is a validated and common instrument in rehabilitation settings to measure functionality. The EBI includes 16 items that are rated on a 4 and 5-point Likert scale (not possible, with support of a person, with low support, with facilities, independent). A score of 64 points indicates maximum independence.
Data were collected before randomisation (T0), after 15 days (T1) and at discharge / 30 days (T2)
Secondary Outcomes (2)
Change in Quality of life between admission and discharge
Data were collected before randomisation (T0), after 15 days (T1) and at discharge (T2).
Change in Fall Efficacy Scale between admission and discharge
Data were collected before randomisation (T0), after 15 days (T1) and at discharge (T2).
Study Arms (2)
Mobility-enhancing-nursing intervention
EXPERIMENTALA 30 day mobility enhancing-nursing intervention for patients with Multiple Scerosis and stroke to expand kinaesthetic competence in order to increase compensation of limitations, improve functionality, and quality of life
Standard usual rehabilitation care
NO INTERVENTIONParticipants in the control group will receive usual care, which is based on the principles of rehabilitation nursing. Based on patients functional ability (EBI data) the nursing process is used to determine objectives and interventions. The main focus is on providing a therapeutic environment and supporting and advancing abilities to perform the Activities of Daily Living, support mobility and kinesthetic perception.
Interventions
Patients' mattresses are placed on the floor, which enables the patients to explore their environment safely without the risk of falling. Additionally, the patients' environment is arranged in accordance with a nursing assessment pertaining to the patients' impairment and abilities, their goals in terms of improved mobility, and the mobility they would require in order to live at home as independently as possible. Initially, most patients favour a specific side to get up. The goal of the intervention is to teach the patients to get up step by step and to move independently over both sides.
Eligibility Criteria
You may qualify if:
- Diagnosed with multiple sclerosis, stroke, or brain injuries;
- German-speaking;
- Age 18 and older;
- Cognitively able to give written consent.
You may not qualify if:
- Patients who are agitated and cannot consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Zurich University of Applied Sciences
Winterthur, Canton of Zurich, 8401, Switzerland
Related Publications (1)
Imhof L, Suter-Riederer S, Kesselring J. Effects of Mobility-Enhancing Nursing Intervention in Patients with MS and Stroke: Randomised Controlled Trial. Int Sch Res Notices. 2015 Feb 17;2015:785497. doi: 10.1155/2015/785497. eCollection 2015.
PMID: 27347547DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lorenz Imhof, Prof
Zurich University of Applied Sciences, Insitute of Nursing
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr.
Study Record Dates
First Submitted
June 26, 2014
First Posted
July 23, 2014
Study Start
March 1, 2011
Primary Completion
April 1, 2013
Study Completion
April 1, 2013
Last Updated
July 24, 2014
Record last verified: 2014-07