Home-Exercise vs General Physical Activity: Effect on Health-related Quality of Life

Health-Related Quality of Life Clinical Trial

Official title:

Effect of Progressive Home-Exercise on Health-related Quality of Life, Balance and Mobility in Older People Discharge From an Outpatient Geriatric Clinic.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01247636
• Other study ID #: S-03247
• Status: Completed
• Phase: Phase 2
• First received: November 18, 2010
• Last updated: November 23, 2010
• Start date: January 2005
• Est. completion date: January 2007

Study information

• Verified date: January 2005
• Source: Oslo University Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Norway: Data Protection Authority
• Study type: Interventional

Clinical Trial Summary

The purpose of this randomized controlled trial is to evaluate the effectiveness of an exercised-based programme developed for older people admitted at a geriatric outpatient clinic and to see if a home-exercise program enhances the effect. The outcomes considered is health-related quality of life, balance-self confidence, balance and mobility.

Description:

Older people discharge from hospital often have decreased functional and physiological reserve that make them vulnerable of being dependent of others. Research have shown that older people discharge from hospital are vulnerable for functional decline during hospital stay and this decline can persist 6 to 18 months after discharge from hospital.Exercise interventions are proven to have effect on mobility, balance and falls among community-dwelling older people and several studies have shown that deconditioning as a consequence of disuse is reversible with training even in very old individuals. However, few studies have evaluated the effects of physical activity promotion and exercise intervention among elderly recently discharge from a geriatric outpatient clinic.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 110
• Est. completion date: January 2007
• Est. primary completion date: January 2007
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

• home-dwelling patients who were admitted at the geriatric clinic.

• Assessed by a doctor to tolerate training

• Able to walk in the corridor for 3 min with or without assistive device

Exclusion Criteria:

• Cognitive disorders mini mental status < 24

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Health-Related Quality of Life

Intervention

Other:
• Balance- training and home-exercise
Balance-training admitted at the geriatric hospital Home-exercise or advice to be generally active
• Balance-training and home-exercise
The aim of the intervention was to enhance health-related quality of life, self-efficacy and physical function through education and exercise. The education program consisted of information given both oral and in writing regarding the benefits of physical activity. The aim was to increase the participants knowledge about the benefits of physical activity and to stimulate them to integrate physical activity into their immediate environment during daily routines. They were given an exercise-log and were advised to write down all their daily activities and exercise. The exercise program were conducted 2 times per week for 45 min per session. The content of these sessions were balance training with main focus on balance-exercises considered essential for daily living.

Locations

Country	Name	City	State
Norway	Ulleval University Hospital	Oslo

Sponsors (2)

Lead Sponsor	Collaborator
Oslo University Hospital	Norwegian Fund for Postgraduate Training in Physiotherapy

Country where clinical trial is conducted

Norway, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Health-related quality of life		by the time of discharge mean 2 weeks after admission	No
Primary	Health-related quality of life		3 months	No
Secondary	Functional balance (Berg Balance Scale)		by the time of discharge mean 2 weeks after admission and after 3 months	No
Secondary	Functional mobility	Timed up and go test and 6 min walk test	by the time of discharge mean 2 weeks after admission, and after 3 months	No
Secondary	Functional strength		by the time of discharge mean 2 weeks after admission and after 3 months	No