Clinical trial NCT00859638: I Am Able: Population Based Rehabilitation in a Family Health Team
Official title: I Am Able: Population Based Rehabilitation in a Family Health Team
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Conditions
Arthritis
Diabetes
Hypertension
Chronic Pain
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Ontario Neurotrauma Foundation
First posted: 2009-03-11
Enrollment: 124
Sex: ALL
Minimum age (years): 44
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: People who have long-term conditions such as heart disease, diabetes, arthritis etc. face challenges in staying active and able to participate in activities that are important to them. There is some research that suggests that a care model that focuses on physical functioning and helping patients to manage their own conditions will assist them to stay active and healthy longer. In this project, the investigators are testing whether physiotherapy and occupational therapy offered to groups of patients and information about rehabilitation offered to other members of the health care team can help people with chronic conditions to maintain their physical abilities.

Detailed description: Participants older than 44, with at least one chronic disease, (n=60) will participate in a before-and-after study integrating a population based, rehabilitation-focused program targeting physical function into a Family Health Team. The program, delivered by a Physiotherapist and Occupational Therapist, will consist of comprehensive functional assessments and individualized self-management care plans; a rehabilitation based chronic disease self-management program; and on-line self-monitoring of physical function. Process and outcome measures will be administered at baseline and 4 months follow-up.

Eligibility criteria: Inclusion Criteria:

* 44 years and older
* 1 or more chronic conditions
* 3 visits to physician in the past year
* access or willingness to access email

Exclusion Criteria:

* none

Primary outcomes:
measure: Physical Functioning Inventory (PFI)
timeFrame: 4 months
Secondary outcomes:
measure: Self-rated Health
timeFrame: 4 months
measure: Health Care Utilization
timeFrame: 4 months
measure: Self-efficacy for Chronic Disease Scale
timeFrame: 4 months
measure: Rapid Assessment of Physical Activity
timeFrame: 4 months
measure: Grip Strength
timeFrame: 4 months
measure: Two Minute Walk Test
timeFrame: 4 months
measure: Patient Assessment of Chronic Illness Care
timeFrame: 4 months
measure: Primary Care Resources and Supports
timeFrame: 4 months
measure: Balance Screen
timeFrame: 4 months
measure: Eight Foot Walk Test
timeFrame: 4 months
Other outcomes:
Locations:
city: Hamilton
country: Canada
facility: McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)
state: Ontario
Study officials:
affiliation: McMaster University
name: Julie Richardson, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Richardson J, Letts L, Chan D, Officer A, Wojkowski S, Oliver D, Moore A, McCarthy L, Price D, Kinzie S. Monitoring physical functioning as the sixth vital sign: evaluating patient and practice engagement in chronic illness care in a primary care setting--a quasi-experimental design. BMC Fam Pract. 2012 Apr 3;13:29. doi: 10.1186/1471-2296-13-29.