HIP Fracture REhabilitation Programme

NCT04207788 | Completed DMC

• 1 other identifier: H-19066989
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: To evaluate the effect of a HIP-REP on the quality and independence in ADL ability (performance), measured with the Assessment of Motor and Process Skills (AMPS) and health-related Quality of Life (QoL). Hypothesis: The HIP-REP will increase the quality and independence in ADL performance, measured with AMPS and health-related QoL measure.

Conditions

Hip Fractures

Outcome Measures

Primary Outcomes (1)

• Assessment of Motor and Process Skills

  The assessment measures the quality of a person's activity of daily living task performance. An observational assessment that allows for evaluation of change in motor and process skills and their effect on the ability of an individual to perform complex or instrumental and personal activities of daily living. The instrument consists of 16 motor and 20 process skill abilities that are rated on a 4-point scale. The rating scale is based on the following criteria (Quality of performance); 4 = Competent, 3 = Questionable, 2 = Ineffective or 1 = Severely deficient. In all, 36 discrete ratings of motor and process skills are made during observation.

  Change frombaseline at motor and process skills 3 and 6 months after baseline testing

Secondary Outcomes (3)

• European Quality of Life Questionnaire

  At baseline and 3 and 6 months after baseline testing

• Verbal Rating Scale

  At baseline and 3 and 6 months after baseline testing

• Functional Recovery Score

  at baseline and 3 and 6 months after baseline testing

Study Arms (2)

Intervention

EXPERIMENTAL

HIP-REP programme offers elderly with hip fracture add on activity-focused interventions.

Other: HIP-REP

Usual care

ACTIVE COMPARATOR

The elderly with hip fracture in the control group will receive usual care.

Other: Usual care

Interventions

HIP-REP OTHER

HIP-REP programme is an add on to usual care which includes 5 add on individual activity-focused interventions that will be tailored to the need of elderly with hip fracture in a liaison with the health care professionals. Home visits and follow-up phone call will be a part of programme.

Intervention

Usual care OTHER

The elderly in the control group will receive usual rehabilitation. with a focus on mobilization within 24 hours postoperative as an in-patient. In the municipality physiotherapy is offered twice a week for approximately 12 weeks postoperative focusing on neuromotor control over hip, activation and strengthening of muscles as well as increase mobility. When relevant, the elderly receives a home visit by an occupational therapist who assess ADL behaviours, the use of assistive devices and the environmental hazards, preparing and adapting the home environment to prevent falls.

Usual care

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 years or older
• Recent proximal hip fracture (S 72.0 medial femur fracture, S 72.1, pertrochanteric femur fracture, S 72.2 subtrochanteric femur fracture)
• Living at home prior to hip fracture in Herlev, Gentofte, Furesoe, Rudersdal or Lyngby-Taarbæk municipalities
• Ability to give informed consent

You may not qualify if:

• Not expected to be discharged to home or rehabilitation centers in the municipality
• Not able to speak and/or understand Danish
• Have prior severe physical and /or mental disabilities

Sponsors & Collaborators

• Carsten Bogh Juhl: lead
• Municipality of Herlev: collaborator
• Municipality of Gentofte: collaborator
• Municipality of Lyngby-Taarbaek: collaborator
• Municipality of Furesoe: collaborator
• Municipality of Rudersdal: collaborator
• Herlev and Gentofte Hospital: collaborator
• Jonkoping University: collaborator
• Intersectoral Research Unit: collaborator
• Metropolitan University College: collaborator
• Danish Association of Occupational Therapist: collaborator
• Danish Regions Development and Research: collaborator

Study Sites (1)

Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte

Copenhagen, Herlev, 2730, Denmark

Location

Related Publications (2)

• Fairhall NJ, Dyer SM, Mak JC, Diong J, Kwok WS, Sherrington C. Interventions for improving mobility after hip fracture surgery in adults. Cochrane Database Syst Rev. 2022 Sep 7;9(9):CD001704. doi: 10.1002/14651858.CD001704.pub5.

  PMID: 36070134 DERIVED

• Ropke A, Lund K, Thrane C, Juhl C, Morville AL. Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study. BMJ Open. 2021 Jun 18;11(6):e044539. doi: 10.1136/bmjopen-2020-044539.

  PMID: 34145009 DERIVED

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal investigator

Model Details: Activity-based intervention

Study Record Dates

• First Submitted: December 19, 2019
• First Posted: December 23, 2019
• Study Start: January 28, 2020
• Primary Completion: March 1, 2021
• Study Completion: April 30, 2021
• Last Updated: March 31, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)