Clinical trial NCT01254942: Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors
Official title: Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hip Fractures
Femoral Fractures
Keywords: exercise
hip fractures
rehabilitation
aged
aged 80 and over
Lead sponsor: University of British Columbia
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
First posted: 2010-12-07
Enrollment: 53
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This is a parallel Randomized Controlled Trial comparing two different delivery modes of post hip fracture management-a specialized Fracture Follow-up Clinic versus Usual Care alone. The Fracture Follow-up Clinic will focus on bone health and fall risk factors. The investigators will evaluate the effect of the clinic and exercise program on mobility and falls. The investigators primary hypothesis is that within the first year following a hip fracture, older adults who are assessed in the B4 Clinic and prescribed an exercise program will have significantly improved Short Physical Performance Battery (SPPB) scores compared with participants who receive usual care alone.


Eligibility criteria: Inclusion Criteria:

* 65 years +
* community-dwelling
* residents of Metro Vancouver
* recent history (within 12 months) of femoral fracture

Exclusion Criteria:

* unable to ambulate 10 meters prior to the femoral fracture were(with/without a walking aid)
* discharged to a residential care facility
* and/or diagnosed with any type of dementia (Alzheimer's, vascular etc.)

Primary outcomes:
measure: Short Physical Performance Battery
timeFrame: 12 months post-fracture
Secondary outcomes:
measure: Difference in Sedentary Behavior Minutes/Day
timeFrame: 12 months
measure: Falls
timeFrame: 12 months
measure: Quality of Life (ICECAP-O)
timeFrame: 12 months
measure: Health Related Quality of Life (EQ5D-5L)
timeFrame: 12 months
measure: Lower Extremity Measure
timeFrame: 12 months
measure: Gait Speed (m/s)
timeFrame: 12 months
measure: Grip Strength (Bilateral)
timeFrame: 12 months
measure: Leg Strength (Fractured Leg)
timeFrame: 12 months
measure: Timed up and Go (TUG)
timeFrame: baseline
measure: Falls Self-efficacy International (FES-I)
timeFrame: baseline
Other outcomes:
Locations:
city: Vancouver
country: Canada
facility: University of British Columbia - VCHRI
state: British Columbia
Study officials:
affiliation: University of British Columbia
name: Maureen C. Ashe, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Cook WL, Khan KM, Bech MH, Brasher PM, Brown RA, Bryan S, Donaldson MG, Guy P, Hanson HM, Leia C, Macri EM, Sims-Gould J, McKay HA, Ashe MC. Post-discharge management following hip fracture--get you back to B4: a parallel group, randomized controlled trial study protocol. BMC Geriatr. 2011 Jun 9;11:30. doi: 10.1186/1471-2318-11-30.
citation: Cook WL, Brasher PMA, Guy P, Bryan S, Donaldson MG, Sims-Gould J, McKay HA, Khan KM, Ashe MC. Comprehensive Geriatric Care to Improve Mobility after Hip Fracture: An RCT. Gerontology. 2020;66(6):542-548. doi: 10.1159/000510903. Epub 2020 Nov 11.
citation: Handoll HH, Cameron ID, Mak JC, Panagoda CE, Finnegan TP. Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev. 2021 Nov 12;11(11):CD007125. doi: 10.1002/14651858.CD007125.pub3.