Independence in Self Care - A Program Focused on Nursing Care

NCT03106064 | Unknown

• 1 other identifier: 2016.037(032-DEFI/032-CES)
• Study Type: interventional
• Target: 158
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized clinical trial conducted in a medical ward of an acute 580-bedded teaching hospital. One hundred fifty-eight older acute medical patients will be blindly randomly allocated to the control group or intervention group. The intervention will consist of a twice daily walking training, plus privileging trips to the toilet by walking and all daytime meals seated. Differences between groups will be measured at baseline (admission) and discharge. As primary outcomes, we defined the length of stay and the independence level. The independence level will be assessed at baseline (admission) and discharge by two distinct methods: through the Barthel Index and the Patient Classification Systems(PCS).

Conditions

Activities of Daily Living; Hospitalization; Nursing Care; Functional Impairment

Outcome Measures

Primary Outcomes (1)

• Independence level in self-care

  Barthel Index: The sum-score ranges from 0 (totally dependent) to 100 (totally independent)

  The level of independence in self-care will be assessed at baseline (admission) and discharge through the Barthel Index

Study Arms (2)

Usual Care Group

PLACEBO COMPARATOR

Intervention: Usual care

Other: Usual Care

Intervention Group

EXPERIMENTAL

Intervention:Promoting independence in self-care

Behavioral: Promoting independence in self-care

Interventions

Promoting independence in self-care BEHAVIORAL

The intervention will consist of an twice daily walking training, plus privileging trips to the toilet by walking (with support devices or with support from people) and all daytime meals seated (not in bed). Attending of the particular and unexplored characteristics of the proposed intervention, namely the use of the toilet and meals, the proposed intervention extends throughout the 24 hours of the day, seven days a week.

Intervention Group

Usual Care OTHER

Usual hospital care

Usual Care Group

Eligibility Criteria

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

You may qualify if:

• Age: 65 years or older.
• Able to ambulate, with or without personal/ technical assistance.
• Able to communicate.

You may not qualify if:

• Expected length of stay \<72 hours
• Patients permanently bedridden prior to admission
• Any factor precluding performance of the physical training program. These factors include, but are not limited to the following:
• Terminal illness.
• Unstable cardiovascular disease or other medical condition.
• Severe dementia.

Sponsors & Collaborators

• Centro Hospitalar do Porto: lead

Study Sites (1)

Centro Hospitalar do Porto - Departamento Qualidade

Porto, 4099-001, Portugal

RECRUITING

Related Publications (1)

• Rodrigues C, Mendonca D, Martins MM. Effects of a nursing care program on functional outcomes in older acute medical in-patients: protocol for a randomized controlled trial. Porto Biomed J. 2018 Aug 1;4(2):e24. doi: 10.1016/j.pbj.0000000000000024. eCollection 2019 Mar-Apr.

  PMID: 31595258 DERIVED

MeSH Terms

Interventions

Self Care

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nurse

Study Record Dates

• First Submitted: March 27, 2017
• First Posted: April 10, 2017
• Study Start: May 1, 2017
• Primary Completion: May 31, 2018
• Study Completion: May 31, 2019
• Last Updated: February 1, 2019

Record last verified: 2019-01

Locations

PT (1)