Effectiveness of Nurse-led Physical Therapy in Terms of Patient Competency, Patient Engagement and Physical Performance.

Study Overview
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Brief Summary
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Due to Prolonged diseased Condition, Patients are not able to care for themselves and even avoid movement their range of motion is limited which may develop frailty among Liver disease Patients. This Study aims at assessing Engagement, Competency and Physical Performance of Physical Frail Chronic Liver disease Patients before and after Nurse led Physical therapy. Besides these Parameters effect of Intervention on Physical frailty will also be assessed.

Detailed Description
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Research Approach: Quantitative Study Research design: Quasi Experimental Research design ( Pre-test - Post test Control group design) Setting: Study is planned on OPD patients of ILBS, New Delhi. Sampling Technique: Random Allocation in Experiment and Control group after matching for age and gender Sample size: 80 Patients Variables: Independent variable- Nurse-led Physical therapy Dependent Variable- Patient Competency, Patient Engagement, Physical Performance.

Official Title
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A Study to Assess the Effectiveness of Nurse-led Physical Therapy in Terms of Patient Competency, Patient Engagement and Physical Performance Among CLD Patients With Physical Frailty.

Conditions
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Chronic Liver Disease and Cirrhosis

Intervention / Treatment
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* Behavioral: Nurse Led Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Prefrail and Frail CLD Patients (MELD <24) Follow up of Prefrail and Frail CLD Patients (MELD<24) Participants willing for Research Exclusion Criteria: Frail Patients who are bedridden presence of hepatopulmonary disease Presence of neurological defects Previous history of Liver Transplantation Severe COPD, Heart Failure

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 88 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: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Pre-test - Post test Control group design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Prefrail and Frail CLD Patients<br>Nurse- led Physical Therapy include Video based range of Motion Exercises for 10-20 min. | Behavioral: Nurse Led Physical Therapy<br>* Nurse Led Physical Therapy in Form of Range of Motion Exercises<br>|
| No Intervention: Control Group<br>Routine Interventions | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Competency by patient Competency Scale at 1 week | Compare Patient Competency using patient Competency Scale. The total score of this scale ranges from 0-84 with minimum score 28 and maximum score 84. Higher scores mean a highly competent score. | 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Engagement by Patient Engagement Scale at 1 week | Patient Engagement using Patient Engagement Scale. The total score of this scale ranges from 10-40 with minimum score 10 and maximum score 40. Higher scores mean a highly engaged. | 1 week | 
| Physical Performance by six minute walk test at 1 week | Physical Performance using six minute walk test in Physically Frail Chronic Liver disease patients before and after Physical Therapy. The distance covered measures physical performance, where distance more than 300 meter means normal physical performance and less than or equal to 300 meter means low physical performance. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Patient Competency, Patient engagement, Physical Performance, CLD, MELD