Clinical trial NCT03828240: HIP Fracture REhabilitation Programme for Elderly With Hip Fractures
Official title: HIP Fracture REhabilitation Programme for Elderly With Hip Fractures
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hip Fractures
Lead sponsor: Herlev and Gentofte Hospital
Sponsor class: OTHER
Collaborators: name: Municipality of Herlev
name: Municipality of Lyngby-Taarbæk
name: Municipality of Gentofte
name: Copenhagen University Hospital at Herlev
name: Jonkoping University
name: Intersectoral Research Unit
name: Metropolitan University College
name: Danish Association of Occupational Therapist
name: Danish Regions Development and Research
First posted: 2019-02-04
Enrollment: 18
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Activity-based intervention
Primary purpose: OTHER

Brief summary: Objectives: To evaluate the feasibility of a HIP fracture REhabilitation Programme (HIP-REP).This study will investigate adherence, satisfaction, technical and practical circumstances regarding implementation and taking this into account when evaluating the feasibility of the HIP-REP program.

Hypothesis: By testing the feasibility of a HIP-REP for the participants and the usefulness of the selected measurement tools, the investigators will be able to evaluate and adjust the HIP-REP before evaluating this in a larger Randomized controlled trial (RCT).

Detailed description: Little is known about the feasibility and effect of an intersectoral rehabilitation intervention aiming at reducing the decrease in Activities of Daily Living (ADL) ability for elderly with hip fractures. Despite positive surgical outcomes, one-quarter dies within a year after surgery, around eight percent are readmitted to hospital, and just one-third regain their pre-fracture level of physical functioning and ADL ability. After hip fracture, the loss of independence, and further decrease in ADL ability often persists beyond three months after surgery. This increases the risk of social isolation, depression and thus a decrease in Quality of Life (QoL). Therefore, the investigators want to evaluate whether an activity-based rehabilitation intervention across sectors is feasible and influences this fragile group of patients. The investigators hope to increase the ability to safely and independently perform ADL in elderly with hip fractures, and thereby enhance their health-related QoL.

Eligibility criteria: Inclusion Criteria:

* Aged 65 years or older
* Recent proximal hip fracture (S 72.0 Medial femur fracture, S 72.1, Pertrochanteric femur fracture, S 72.2 Subtrochanteric femur fracture)
* Living at home prior to hip fracture in Herlev, Gentofte or Lyngby-Taarbæk municipalities
* Ability to give informed consent
* Discharged from hospital and receiving or having received rehabilitation in one municipalities within the last 3 months from onset

Exclusion Criteria:

* Not expected to be discharged to home or rehabilitation centers in the municipality
* Not able to speak and/or understand Danish
* Have prior severe physical and /or mental disabilities

Primary outcomes:
measure: Assessment of Motor and Process Skills
timeFrame: Change from baseline at motor and process skills 3 months after baseline testing
Secondary outcomes:
measure: European Quality of Life Questionnaire
timeFrame: at baseline and 3 months after baseline testing
measure: Verbal Rating Scale
timeFrame: at baseline and 3 months after baseline testing
measure: Occupational Balance Questionnaire
timeFrame: at baseline and 3 months after baseline testing
measure: Satisfaction with daily occupations
timeFrame: at baseline and 3 months after baseline testing
measure: Cumulated Ambulation Score
timeFrame: at baseline
measure: New Mobility Score
timeFrame: at baseline and 3 months after baseline testing
measure: Functional Recovery Score
timeFrame: at baseline and 3 months after baseline testing
Other outcomes:
Locations:
city: Copenhagen
country: Denmark
facility: Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte
state: Herlev
Study officials:
References:
citation: Ropke A, Morville AL, Moller TE, Delkus ECG, Juhl CB. HIP Fracture REhabilitation Program for older adults with hip fracture (HIP-REP) based on activity of daily living: a feasibility study. BMC Geriatr. 2022 Apr 27;22(1):370. doi: 10.1186/s12877-022-03039-x.
citation: Ropke A, Lund K, Thrane C, Juhl C, Morville AL. Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study. BMJ Open. 2021 Jun 18;11(6):e044539. doi: 10.1136/bmjopen-2020-044539.