Comparison of Community Reintegration Interventions When Using a Simulated Environment

NCT06646939 | Terminated

• 1 other identifier: 22-07025042
• Study Type: interventional
• Target: 13
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators believe that rehabilitation specialists will use community reintegration treatments more if a simulated environment is available.

Conditions

Simulated Environments for Community Reintegration

Keywords

Inpatient Rehabilitation Unit; Community Reintegration; Simulated Environment

Outcome Measures

Primary Outcomes (1)

• Utilization of community reintegration, as measured by number of 15-minute units billed

  Current Procedural Terminology (CPT) code 9753, is a billing code where one unit of the code is used for each 15 minutes the provider spends with the patient teaching them return to work and the community. For this measure, the therapist will document the amount of time spent performing each study activity when utilizing the simulated environment, as measured by number of 15-minute units billed.. This will be compared to units billed in 2015 - 2019 prior to the implementation of the simulated environment for this study.

  Duration of IRU stay, an average of 11 days

Secondary Outcomes (9)

• Quality Indicators

  Duration of IRU stay, an average of 11 days

• Quality Indicators

  Duration of IRU stay, an average of 11 days

• Quality Indicators

  Duration of IRU stay, an average of 11 days

• Quality Indicators

  Duration of IRU stay, an average of 11 days

• Gait Speed

  Duration of IRU stay, an average of 11 days

Study Arms (1)

Community Reintegration in Simulated Environment

EXPERIMENTAL

Behavioral: PT and OT with a simulated environment

Interventions

PT and OT with a simulated environment BEHAVIORAL

Upon admission to the inpatient rehabilitation unit, participants will undergo a physical and occupational therapy evaluation. The evaluations will include the outcome measures chosen to track for this study (10-meter walk test and Quality Indicators). If a patient meets inclusion/exclusion criteria, informed written consent will be obtained. Throughout the patient's stay, therapists will have the opportunity to perform community integration treatments using the simulated environment. This could include activities such as negotiating a curb, crossing a street, or shopping at a marketplace. The therapist will document the amount of time (units billed) spent performing these interventions. The research investigators will not act as a patient's therapist throughout their admission.

Community Reintegration in Simulated Environment

Eligibility Criteria

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

You may qualify if:

• Medical records of patients admitted to the IRU from January 1, 2015 through December 31, 2019 will be queried for number of minutes billed for Community Integration.
• Medical records of patients admitted to the IRU from April 2
• Patients admitted to the Inpatient Rehabilitation Unit (IRU) of at least 18 years of age and older
• Patients who can read and provide informed consent in English.
• Patients who will be discharged to home after inpatient rehabilitation.
• Patients who are ambulatory with a minimal QI score of 3 on "Walk 10 feet".
• Patients who utilized the simulated environment during their inpatient stay.
• Patients who score 8 or greater on the BIMS on initial evaluation.

You may not qualify if:

• The investigators will exclude medical records of patients admitted to the IRU from January 1, 2020 through December 31, 2021 because of the COVID restrictions that were in place.
• Patients who are less than 18 years of age.
• Patients who are not ambulatory due to medical reasons.
• Patients who cannot read and provide informed consent in English.
• Patients who were discharged to acute care, skilled nursing facility or long-term care facility after their inpatient rehabilitation stay.
• Patients who did not use the simulated environment during their inpatient stay.
• Patients who score 7 or lower on the BIMS on initial evaluation.

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• Hunter College of The City University of New York: collaborator

Study Sites (1)

NewYork Presbyterian Hospital Baker Pavilion

New York, New York, 10065, United States

Location

Related Publications (8)

• Bohannon RW. Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age Ageing. 1997 Jan;26(1):15-9. doi: 10.1093/ageing/26.1.15.

  PMID: 9143432 BACKGROUND

• Saliba D, Buchanan J, Edelen MO, Streim J, Ouslander J, Berlowitz D, Chodosh J. MDS 3.0: brief interview for mental status. J Am Med Dir Assoc. 2012 Sep;13(7):611-7. doi: 10.1016/j.jamda.2012.06.004. Epub 2012 Jul 15.

  PMID: 22796362 BACKGROUND

• Richardson J, Law M, Wishart L, Guyatt G. The use of a simulated environment (easy street) to retrain independent living skills in elderly persons: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2000 Oct;55(10):M578-84. doi: 10.1093/gerona/55.10.m578.

  PMID: 11034230 BACKGROUND

• Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 Jan;50A(1):M28-34. doi: 10.1093/gerona/50a.1.m28.

  PMID: 7814786 BACKGROUND

• Peel NM, Kuys SS, Klein K. Gait speed as a measure in geriatric assessment in clinical settings: a systematic review. J Gerontol A Biol Sci Med Sci. 2013 Jan;68(1):39-46. doi: 10.1093/gerona/gls174. Epub 2012 Aug 24.

  PMID: 22923430 BACKGROUND

• Middleton A, Fritz SL, Lusardi M. Walking speed: the functional vital sign. J Aging Phys Act. 2015 Apr;23(2):314-22. doi: 10.1123/japa.2013-0236. Epub 2014 May 2.

  PMID: 24812254 BACKGROUND

• Karssemeijer EGA, Aaronson JA, Bossers WJ, Smits T, Olde Rikkert MGM, Kessels RPC. Positive effects of combined cognitive and physical exercise training on cognitive function in older adults with mild cognitive impairment or dementia: A meta-analysis. Ageing Res Rev. 2017 Nov;40:75-83. doi: 10.1016/j.arr.2017.09.003. Epub 2017 Sep 12.

  PMID: 28912076 BACKGROUND

• Eyssen IC, Beelen A, Dedding C, Cardol M, Dekker J. The reproducibility of the Canadian Occupational Performance Measure. Clin Rehabil. 2005 Dec;19(8):888-94. doi: 10.1191/0269215505cr883oa.

  PMID: 16323388 BACKGROUND

Related Links

• Braden H. Self-selected gait speed: A Critical clinical outcome. Lower Extremity Review Magazine. November, 2012.

Study Officials

• Nasim Chowdhury, MD

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 2, 2024
• First Posted: October 17, 2024
• Study Start: July 5, 2023
• Primary Completion: December 9, 2025
• Study Completion: December 9, 2025
• Last Updated: February 25, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)