Clinical trial NCT04207788: HIP Fracture REhabilitation Programme
Official title: HIp Fracture REhabilitation Programme for Elderly With Hip Fracture
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 Gentofte
name: Municipality of Lyngby-Taarbaek
name: Municipality of Furesoe
name: Municipality of Rudersdal
name: Herlev and Gentofte Hospital
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: 2019-12-23
Enrollment: 80
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Activity-based intervention
Primary purpose: TREATMENT

Brief summary: Objectives: To evaluate the effect of a HIP-REP on the quality and independence in ADL ability (performance), measured with the Assessment of Motor and Process Skills (AMPS) and health-related Quality of Life (QoL).

Hypothesis: The HIP-REP will increase the quality and independence in ADL performance, measured with AMPS and health-related QoL measure.

Detailed description: Little is known about the 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 QoL. Therefore, the investigators want to evaluate whether an activity-based rehabilitation intervention across sectors is effective 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, Furesoe, Rudersdal or Lyngby-Taarbæk municipalities
* Ability to give informed consent

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 frombaseline at motor and process skills 3 and 6 months after baseline testing
Secondary outcomes:
measure: European Quality of Life Questionnaire
timeFrame: At baseline and 3 and 6 months after baseline testing
measure: Verbal Rating Scale
timeFrame: At baseline and 3 and 6 months after baseline testing
measure: Functional Recovery Score
timeFrame: at baseline and 3 and 6 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: Fairhall NJ, Dyer SM, Mak JC, Diong J, Kwok WS, Sherrington C. Interventions for improving mobility after hip fracture surgery in adults. Cochrane Database Syst Rev. 2022 Sep 7;9(9):CD001704. doi: 10.1002/14651858.CD001704.pub5.
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.