Clinical trial NCT04259294: The Effects of a Home-based Occupational Therapy Tele-rehabilitation for Outpatients After Hip Fracture Surgery
Official title: The Effects of a Home-based Occupational Therapy Tele-rehabilitation Via Smartphones for Outpatients After Hip Fracture Surgery in Hong Kong: A Feasibility Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Telerehabilitation
Lead sponsor: The Hong Kong Polytechnic University
Sponsor class: OTHER
First posted: 2020-02-06
Enrollment: 31
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The investigators will investigate the effects of a home-based occupational therapy telerehabilitation (TR) via smartphones in enhancing functional and motor performances, and fall efficacy, for outpatients receiving day hospital rehabilitation after hip fracture surgery.

This is a feasibility randomized controlled trial with two groups - experimental and comparison groups, involving older adults after hip fracture surgery within 12 weeks attending the Geriatric Day Hospital. Patients will be assessed at baseline, immediately post 3-weeks intervention, and follow-up after 3-weeks for motor performances, daily activities functioning and fall efficacy. The experimental group will receive home program using the use of Caspar Health e-system and a mobile app in smartphones, while the comparison group will receive paper-and-pencil instructions for the home program on weekly basis, for 3 weeks.


Eligibility criteria: Inclusion Criteria:

* Primary diagnosis of hip fracture
* Post-hip surgery within 12 weeks
* Aged 60 years old or above
* Medically stable
* With Abbreviated Mental Test scored 6 or above
* Having at least one functional limitation in the basic activities of daily living assessments

Exclusion Criteria:

* The hip fracture is the result of malignancy
* There is risk of falls due to postural hypotension
* Either patients or caregiver do not understand Cantonese, English or Mandarin instructions
* They do not use a smartphone
* They are unable to read the instructions on the screen of the smartphone because of visual difficulty

Primary outcomes:
measure: Timed up and go test (TUG)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
measure: The Functional Reach Test (FR)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
measure: Muscle strength (MS)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
measure: The Pain Visual Analogue Scale (VAS)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
Secondary outcomes:
measure: The Hong Kong Chinese version of the Modified Barthel index (MBI)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
measure: The Hong Kong Chinese version of the Lawton Instrumental Activities of Daily Living (IADL)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
measure: The Fall Efficacy Scale (FES)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
measure: The Morse Fall Scale (MFS)
timeFrame: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: The Hong Kong Polytechnic University
Study officials:
References: