Back to the Future: Bridging the Hospital to Home Continuum After Hip Fracture

Study Overview
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Brief Summary
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The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.

Detailed Description
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The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.

Official Title
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A Feasibility Study Investigating Telephone Supported Discharge From Acute Care to the Community After Hip Fracture

Conditions
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Hip Fracture

Intervention / Treatment
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* Behavioral: Telephone Support and Coaching
* Behavioral: Education Only


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults (men and women) over 60 years of age Fall related hip fracture Community dwelling English speaking Exclusion Criteria: Dementia Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.) Profound hearing loss

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Education Only<br>A 1 hour education session in the acute setting A toolkit with education, exercise and self management instructions for after hip fracture | Behavioral: Education Only<br>* An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture<br>|
| Experimental: Education + Telephone Follow-up<br>A 1 hour education session in the acute setting A telephone delivered self management program , including a toolkit (education, exercise and self management instructions for after hip fracture), support to take an active role in recovery, including setting and monitoring goals, problem solving mobility barriers, and guidance on the recovery process following a hip fracture. | Behavioral: Telephone Support and Coaching<br>* The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements: Health Status Medication Management Activity/Exercise Prescription and Goal-Setting Falls Prevention Clarification of Appointments Coordination of Post-Discharge Home Services What To Do If a Problem Arises<br>Behavioral: Education Only<br>* An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of study recruitment and retention | Feasibility will be measured by recruitment rate (30%), and retention rate (<10% attrition) | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life EQ5D-5L | The EQ5D-5L Quality of Life outcome measure is a self reported questionnaire measure, and has been extensively investigated in the hip fracture population, with well established sensitivity, reliability and validity properties. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Femoral Fractures, Hip Fractures, Frail older adults, Quality of Life, Feasibility Studies