A Twice-Daily Individual Targeted Exercise Program in Frail Hospitalised Older Medical In-patients (RCT)
APEP
A Randomised Controlled Trial to Measure the Effects of Twice-Daily Individual, Targeted, Strengthening, Balance and Endurance Exercise Sessions on Mobility, Quality of Life and Healthcare Utilisation for Frail Older Medical In-patients
1 other identifier
interventional
190
1 country
1
Brief Summary
This study will help to determine whether frail older medical inpatients will benefit from targeted exercise sessions performed twice daily while in hospital. Half of the patients will complete targeted strengthening, balance and endurance exercises and the other half, stretching and relaxation exercises. The exercise sessions will be assisted and supported by a senior physiotherapist.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2015
Typical duration for not_applicable
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, 2015
CompletedFirst Submitted
Initial submission to the registry
May 26, 2015
CompletedFirst Posted
Study publicly available on registry
June 4, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2017
CompletedNovember 17, 2017
November 1, 2017
1.9 years
May 26, 2015
November 14, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Length of Stay
Patients length of hospital stay is recorded at the time of discharge from electronic admissions data
At time of discharge from hospital (an expected average of 8 days post admission)
Secondary Outcomes (3)
Physical Performance
At time of discharge from hospital (an expected average of 8 days post admission); and again at 3 months post discharge
Quality of Life
At time of discharge from hospital (an expected average of 8 days post admission); and again at 3 months post discharge
Re-admission Rate
From the time of hospital discharge to 3 months post discharge
Study Arms (2)
Intervention exercise
EXPERIMENTALTwice daily, individual, targeted, strengthening, balance and endurance exercise sessions
Sham exercise
SHAM COMPARATORTwice daily, individual, stretching and relaxation exercise sessions
Interventions
Twice daily, individual, targeted, strengthening, balance and endurance exercises for the duration of the hospital stay, prescribed and delivered by a senior physiotherapist.
Twice daily stretching and relaxation exercises for the duration of the hospital stay, by a senior physiotherapist.
Eligibility Criteria
You may qualify if:
- medical patients
- anticipated length of stay greater than 2 days
- planned for discharge home
- mobility aid and /or assistance required on admission
You may not qualify if:
- contraindications to exercise
- unable to follow commands in the English language
- unable to exercise with the assistance of one person only
- when active palliative care is required
- when full isolation for containment of a contagious infection is required
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mercy University Hospital
Cork, 00, Ireland
Related Publications (2)
McCullagh R, O'Connell E, O'Meara S, Dahly D, O'Reilly E, O'Connor K, Horgan NF, Timmons S. Augmented exercise in hospital improves physical performance and reduces negative post hospitalization events: a randomized controlled trial. BMC Geriatr. 2020 Feb 7;20(1):46. doi: 10.1186/s12877-020-1436-0.
PMID: 32033532DERIVEDMcCullagh R, O'Connell E, O'Meara S, Perry I, Fitzgerald A, O'Connor K, Horgan NF, Timmons S. A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting. BMC Geriatr. 2016 Apr 8;16:79. doi: 10.1186/s12877-016-0252-z.
PMID: 27059306DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Suzanne Timmons
University College Cork
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Lecturer in Gerontology and Rehabilitation
Study Record Dates
First Submitted
May 26, 2015
First Posted
June 4, 2015
Study Start
March 1, 2015
Primary Completion
February 1, 2017
Study Completion
May 1, 2017
Last Updated
November 17, 2017
Record last verified: 2017-11