Shifting Rehabilitation Paradigms in Skilled Nursing Facilities
2 other identifiers
interventional
104
1 country
3
Brief Summary
This study seeks to improve rehabilitation methods for restoring physical function with skilled nursing facility care. More specifically, this study is designed to evaluate the effectiveness of an intensive therapeutic rehabilitation program for older adult skilled nursing home residents compared to usual care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2016
Typical duration for not_applicable
3 active sites
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
February 28, 2016
CompletedFirst Submitted
Initial submission to the registry
September 26, 2016
CompletedFirst Posted
Study publicly available on registry
October 6, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2019
CompletedResults Posted
Study results publicly available
April 3, 2020
CompletedApril 3, 2020
March 1, 2020
2.7 years
September 26, 2016
March 20, 2020
March 20, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Short Physical Performance Battery (SPPB)
Global measure of lower extremity function, which consists of walking speed, chair stands, and balance tests. Minimum scores are 0 and maximum scores are 12. Higher scores indicate better function.
Change from SNF Admission to SNF Discharge (Expected average length of stay: 21 days)
Secondary Outcomes (1)
Gait Speed
Change from SNF Admission to SNF Discharge (Expected average length of stay: 21 days)
Other Outcomes (1)
Patient Satisfaction Survey
Quantification at SNF Discharge (Expected average length of stay: 21 days)
Study Arms (2)
Usual Care
NO INTERVENTIONSkilled nursing facility rehabilitation therapists provide all patients with usual standard of care.
I-STRONGER
EXPERIMENTALIntenSive Therapeutic Rehabilitation for Older Skilled NursinG HomE Residents (I-STRONGER) Progressive, high-intensity strengthening and functional interventions to facilitate independence with functional activities. Skilled nursing facility rehabilitation therapists will be trained in I-STRONGER intervention and will implement to all eligible patients as new standard of care.
Interventions
Progressive, high-intensity strengthening and functional interventions to facilitate independence with functional activities.
Eligibility Criteria
You may qualify if:
- Adults \> 18 years of age who are admitted to a skilled nursing facility following hospitalization
- Qualify to receive at least physical therapy services
You may not qualify if:
- Patients with primary diagnoses related to neurological disorders will be excluded as patient needs require more of a motor control approach rather than the proposed high-intensity approach. Such patient populations include:
- Parkinson's Disease
- Traumatic Brain Injury
- Recent Cerebral Vascular Accident
- Alzheimer's Disease
- Patients on hospice care will be excluded as the approach is based on palliative principles.
- Other patients to be excluded will include those with conditions where strength training is contraindicated (as indicated by the American College of
- Sports Medicine Guidelines for Exercise Testing and Prescription):
- Recent unstable fracture
- Advanced congestive heart failure
- Bone metastasis sites
- Tumors in strengthening target areas
- Acute Illness
- Recent myocardial infarction (within 3-6 weeks)
- Weight bearing restrictions on graft or fracture sites
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Rocky Mountain Regional VA Medical Center, Aurora, CO
Aurora, Colorado, 80045, United States
VA Community Living Center
Aurora, Colorado, 80045, United States
Brookdale Senior Living
Denver, Colorado, 80247, United States
Related Publications (2)
Mallinson T, Deutsch A, Bateman J, Tseng HY, Manheim L, Almagor O, Heinemann AW. Comparison of discharge functional status after rehabilitation in skilled nursing, home health, and medical rehabilitation settings for patients after hip fracture repair. Arch Phys Med Rehabil. 2014 Feb;95(2):209-17. doi: 10.1016/j.apmr.2013.05.031. Epub 2013 Jul 10.
PMID: 23850612RESULTPeterson MJ, Crowley GM, Sullivan RJ, Morey MC. Physical function in sedentary and exercising older veterans as compared to national norms. J Rehabil Res Dev. 2004 Sep;41(5):653-8. doi: 10.1682/jrrd.2003.09.0141.
PMID: 15558394RESULT
Results Point of Contact
- Title
- Dr. Jennifer Stevens-Lapsley
- Organization
- University of Colorado Denver
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer E. Stevens-Lapsley, PhD
Rocky Mountain Regional VA Medical Center, Aurora, CO
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 26, 2016
First Posted
October 6, 2016
Study Start
February 28, 2016
Primary Completion
October 30, 2018
Study Completion
January 1, 2019
Last Updated
April 3, 2020
Results First Posted
April 3, 2020
Record last verified: 2020-03
Data Sharing
- IPD Sharing
- Will not share