I Am Able: Population Based Rehabilitation in a Family Health Team

Hypertension Clinical Trial

Official title:

I Am Able: Population Based Rehabilitation in a Family Health Team

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00859638
• Other study ID #: 08-177
• Secondary ID: 2007-ORRAN-IIA-5
• Status: Completed
• Phase: N/A
• First received: March 10, 2009
• Last updated: June 17, 2010
• Start date: May 2008
• Est. completion date: April 2009

Study information

• Verified date: September 2009
• Source: McMaster University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial Summary

People who have long-term conditions such as heart disease, diabetes, arthritis etc. face challenges in staying active and able to participate in activities that are important to them. There is some research that suggests that a care model that focuses on physical functioning and helping patients to manage their own conditions will assist them to stay active and healthy longer. In this project, the investigators are testing whether physiotherapy and occupational therapy offered to groups of patients and information about rehabilitation offered to other members of the health care team can help people with chronic conditions to maintain their physical abilities.

Description:

Participants older than 44, with at least one chronic disease, (n=60) will participate in a before-and-after study integrating a population based, rehabilitation-focused program targeting physical function into a Family Health Team. The program, delivered by a Physiotherapist and Occupational Therapist, will consist of comprehensive functional assessments and individualized self-management care plans; a rehabilitation based chronic disease self-management program; and on-line self-monitoring of physical function. Process and outcome measures will be administered at baseline and 4 months follow-up.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 124
• Est. completion date: April 2009
• Est. primary completion date: March 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 44 Years and older

Eligibility

Inclusion Criteria:

• 44 years and older

• 1 or more chronic conditions

• 3 visits to physician in the past year

• access or willingness to access email

Exclusion Criteria:

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Arthritis
• Chronic Conditions
• Chronic Pain
• Diabetes
• Hypertension

Intervention

Behavioral:
• Physiotherapy
group self-management classes
• Occupational Therapy
group self-management classes
• Capacity Building
workshops and case reviews with primary health care team members

Locations

Country	Name	City	State
Canada	McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)	Hamilton	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
Hamilton Health Sciences Corporation	Ontario Neurotrauma Foundation

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Physical Functioning Inventory (PFI)	The PFI is used to assess physical functioning in older adults. It contains 21 tasks from 4 subscales: activities of daily living, instrumental activities of daily living, mobility, moderate activities. A series of questions is used to determine whether the person experiences difficulty in completing a task, the level of difficulty they experience, and any changes to the method and/or frequency of task performance. The PFI is sensitive to steps in the natural history of functional decline that are often not assessed clinically. Range of scores: 0 (most difficulty); 100 (least difficulty).	4 months	No
Secondary	Self-rated Health		4 months	No
Secondary	Health Care Utilization		4 months	No
Secondary	Self-efficacy for Chronic Disease Scale		4 months	No
Secondary	Rapid Assessment of Physical Activity		4 months	No
Secondary	Grip Strength		4 months	No
Secondary	Two Minute Walk Test		4 months	No
Secondary	Patient Assessment of Chronic Illness Care		4 months	No
Secondary	Primary Care Resources and Supports		4 months	No
Secondary	Balance Screen		4 months	No
Secondary	Eight Foot Walk Test		4 months	No