An Inpatient Rehabilitation Model of Care Targeting Patients With Cognitive Impairment

The recruitment status of this study is unknown because the information has not been verified recently.
Verified March 2012 by University Health Network, Toronto.
Recruitment status was  Recruiting
Sponsor:
Information provided by (Responsible Party):
University Health Network, Toronto
ClinicalTrials.gov Identifier:
NCT01566136
First received: March 21, 2012
Last updated: March 28, 2012
Last verified: March 2012
  Purpose

Hip fractures are a danger to an individual's mobility, independence and ability to live in the community. When patients have a cognitive impairment (such as dementia or delirium) they do not recover as well or go back to their homes as often as those patients who do not have a cognitive impairment. Therefore, our team developed a rehabilitation model to care for patients with hip fractures, and specifically for those patients with CI. The model of care is called the Patient Centred Rehabilitation Model of Care (PCRM-CI). This 3 year study will focus on comparing the new model with usual rehabilitation care. This study will also focus on understanding the factors that could influence the use of the model on new rehabilitation units. The investigators hypothesize that patients who have received the new model of care will have better mobility outcomes over time. The investigators will collect data in 2 hospitals, 70 patients receiving the usual care and 70 patients receiving the care in the new model. The team will invite 60 staff and their unit managers as well. This study will help decision makers to use research findings to make better decisions about care of older Canadians.


Condition Intervention Phase
Hip Fracture
Behavioral: Rehabilitation Model of Care
Other: Usual Care
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: An Inpatient Rehabilitation Model of Care Targeting Patients With Cognitive

Resource links provided by NLM:


Further study details as provided by University Health Network, Toronto:

Primary Outcome Measures:
  • Change from baseline in mobility at 6 months [ Time Frame: Baseline to 6 months post-surgery ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Change from baseline in physical functioning at 6 months [ Time Frame: Baseline to 6 months post-surgery ] [ Designated as safety issue: No ]

Estimated Enrollment: 140
Study Start Date: August 2009
Estimated Study Completion Date: March 2013
Estimated Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Usual care Other: Usual Care
Experimental: Rehabilitation Model of Care Behavioral: Rehabilitation Model of Care
The PCRM-CI model includes the following 5 components: rehabilitation management; dementia management; delirium prevention and management; staff education and support; and family/significant other support and education.
Other Name: Patient Centred Rehabilitation Model of Care

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 65 years or older,
  • admitted to rehabilitation directly from an acute care hospital after receiving surgery for a hip fracture
  • living in the community, home or residential setting (where an individual has services and supports but does not require 24 hour nursing care) prior to sustaining the hip fracture,
  • able to speak and understand English
  • have a family member or close friend who is familiar with the patients' pre-fracture condition and can act as a collateral informant.

Exclusion Criteria:

  • they have a pathologic hip fracture
  • the hip fracture is associated with multiple trauma
  • they have had a previous hip fracture.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01566136

Locations
Canada, Ontario
Northumberland Hospital Recruiting
Cobourg, Ontario, Canada
Contact: Janet Burn, RN    905 372 6811 ext 3211    jburn@nhh.ca   
Sponsors and Collaborators
University Health Network, Toronto
Investigators
Principal Investigator: Katherine S McGilton, PhD UHN-Toronto Rehab
  More Information

No publications provided by University Health Network, Toronto

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University Health Network, Toronto
ClinicalTrials.gov Identifier: NCT01566136     History of Changes
Other Study ID Numbers: CIHR DPA-93049
Study First Received: March 21, 2012
Last Updated: March 28, 2012
Health Authority: Canada: Canadian Institutes of Health Research

Keywords provided by University Health Network, Toronto:
hip fracture patients
cognitive impairment
rehabilitation model of care

Additional relevant MeSH terms:
Fractures, Bone
Hip Fractures
Wounds and Injuries
Femoral Fractures
Hip Injuries
Leg Injuries

ClinicalTrials.gov processed this record on April 16, 2014