protocolSection identificationModule nctId: NCT06286722, orgStudyIdInfo id: LollandCD, briefTitle: Optimized Rehabilitation of Older Adults With Hip Fracture and Signs of Cognitive Impairment - Feasibility Study, acronym: ENHANCE, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-02-08, primaryCompletionDateStruct date: 2025-06-30, completionDateStruct date: 2025-06-30, studyFirstPostDateStruct date: 2024-02-29, lastUpdatePostDateStruct date: 2024-02-29, sponsorCollaboratorsModule leadSponsor name: Lolland Community, Denmark, class: OTHER, collaborators name: Vordingborg Municipality, collaborators name: Stevns Municipality, collaborators name: Guldborgsund Municipality, descriptionModule briefSummary: Older adults suffering from a hip fracture are a significant concern, with higher incidence rates among women. Mortality rates post-hip fracture are alarming, with up to 8-fold increased risk within 3 months and significant percentages within 30 days and 12 months. Older adults with hip fracture face challenges in regaining pre-fracture level of function, especially those with cognitive impairment, which affects 25% to 40% of cases and increases mortality risk. While interventions exist, such as progressive strength training and structured exercise programs, patients with hip fracture don't consistently restore pre-fracture function, particularly in cognitively impaired patients, who are often excluded from studies. Limited evidence exists on effective management for this subgroup, with a lack of clarity on community-based rehabilitation. Although guidelines suggest exercise interventions for patients with mild to moderate cognitive impairment, the specifics remain uncertain due to insufficient research focused solely on this population.This feasibility study aims to assess the practicality and safety of implementing a 12-week individualized, progressive exercise program for older adults with hip fracture and cognitive impairment in an outpatient setting. Additionally, the investigators seek to gather qualitative insights through observations and interviews regarding participants' experiences and the perceived value of rehabilitation post-hip fracture, particularly focusing on the exercise intervention provided., conditionsModule conditions: Hip Fractures, conditions: Cognitive Impairment, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NA, interventionModel: SINGLE_GROUP, interventionModelDescription: Feasibility study, primaryPurpose: TREATMENT, maskingInfo masking: NONE, enrollmentInfo count: 20, type: ESTIMATED, armsInterventionsModule interventions name: Progressive, individualized and structured exercise program, outcomesModule primaryOutcomes measure: The New Mobility Score, secondaryOutcomes measure: Mini Mental State Examination, secondaryOutcomes measure: Height, secondaryOutcomes measure: Weight, secondaryOutcomes measure: Tandem balance test, secondaryOutcomes measure: The Barthel-20, secondaryOutcomes measure: 30 sec chair raise test, secondaryOutcomes measure: Brief Assessment of Impaired Cognition Questionaire, secondaryOutcomes measure: Handgrip strength measurement, secondaryOutcomes measure: The Cumulated Ambulation Score, secondaryOutcomes measure: Four meter walk test, secondaryOutcomes measure: Euroqol 5 dimensions, secondaryOutcomes measure: Clinical Frailty Scale, secondaryOutcomes measure: The Verbal Rating Scale, secondaryOutcomes measure: Activity accelerometers, eligibilityModule sex: ALL, minimumAge: 65 Years, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Stevns Healthcare Center, Stevns Municipality, status: NOT_YET_RECRUITING, city: Hårlev, zip: 4652, country: Denmark, contacts name: Lotte Bylov, role: CONTACT, email: jover@lolland.dk, geoPoint lat: 55.34936, lon: 12.23382, locations facility: Maribo Health Center, Lolland Municipality, status: RECRUITING, city: Maribo, zip: 4930, country: Denmark, contacts name: Jan Arnholtz Overgaard, MSc., role: CONTACT, phone: +4554677700, email: jover@lolland.dk, contacts name: Gwen Tremmel, role: CONTACT, phone: +4554677700, email: gptr@lolland.dk, contacts name: Jan A Overgaard, MSc., role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 54.77662, lon: 11.50017, locations facility: Guldborgsund Healthcare Center, Guldborgsund Municipality, status: RECRUITING, city: Nykøbing Falster, zip: 4800, country: Denmark, contacts name: Cecilie Kristensen, role: CONTACT, email: jover@lolland.dk, geoPoint lat: 54.76906, lon: 11.87425, locations facility: Vordingborg Healthcare Center, Vordingborg Municipality, status: RECRUITING, city: Vordingborg, zip: 4760, country: Denmark, contacts name: Line Flemmer, Bachelor, role: CONTACT, email: jover@lolland.dk, geoPoint lat: 55.00801, lon: 11.91057, hasResults: False