Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors
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Purpose
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 a exercise program will have significantly improved Short Physical Performance Battery (SPPB) scores compared with participants who receive usual care alone.
| Condition | Intervention |
|---|---|
|
Hip Fractures Femoral Fractures |
Other: B4 Clinic Other: Usual Care |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) |
| Official Title: | Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors |
- Short Physical Performance Battery [ Time Frame: 12 months post-fracture ] [ Designated as safety issue: No ]The primary outcome for this trial is the Short Physical Performance Battery (SPPB). The SPPB is composed of three separate tests that are timed and categorized depending on performance. The three domains evaluated in the SPPB are standing balance, gait speed, and sit to stand performance.
- Gait speed (m/s) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Physical Activity (accelerometry) minutes of time spent in light and MVPA [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Sedentary behaviour (accelerometry) minutes and percentage of daily sedentary behaviour [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Health related quality of life (EQ5D-5L) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Quality of Life (ICECAP-O) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Health Resource Utilization [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Executive Function (Stroop and Trail B) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Global cognition (MoCA) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Leg strength (bilateral) [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Falls [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 130 |
| Study Start Date: | December 2010 |
| Estimated Study Completion Date: | July 2014 |
| Estimated Primary Completion Date: | July 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Usual Care
Usual care following hip fracture
|
Other: Usual Care
Other Name: usual care pathways for after hip fracture
|
|
Experimental: Intervention
Follow-up Fracture Clinic
|
Other: B4 Clinic
Fracture Follow-Up Clinic plus Exercise Program
|
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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.)
Contacts and Locations| Contact: Maureen C. Ashe, PhD | 604-675-2573 | maureen.ashe@exchange.ubc.ca |
| Canada, British Columbia | |
| University of British Columbia - VCHRI | Recruiting |
| Vancouver, British Columbia, Canada, V5Z 1M9 | |
| Principal Investigator: | Maureen C. Ashe, PhD | University of British Columbia |
More Information
No publications provided by University of British Columbia
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | University of British Columbia |
| ClinicalTrials.gov Identifier: | NCT01254942 History of Changes |
| Other Study ID Numbers: | H09-01291 |
| Study First Received: | December 2, 2010 |
| Last Updated: | April 17, 2013 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of British Columbia:
|
exercise hip fractures rehabilitation aged aged 80 and over |
Additional relevant MeSH terms:
|
Femoral Fractures Fractures, Bone Hip Fractures |
Wounds and Injuries Leg Injuries Hip Injuries |
ClinicalTrials.gov processed this record on May 22, 2013