Back to the Future: Bridging the Hospital to Home Continuum After Hip Fracture

Hip Fracture Clinical Trial

— B2F  

Official title:

A Feasibility Study Investigating Telephone Supported Discharge From Acute Care to the Community After Hip Fracture

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01930409
• Other study ID #: H13-01810
• Status: Completed
• Phase: N/A
• First received: July 31, 2013
• Last updated: October 25, 2017
• Start date: November 2013
• Est. completion date: January 2015

Study information

• Verified date: October 2017
• Source: University of British Columbia
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.

Description:

The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: January 2015
• Est. primary completion date: September 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years to 100 Years

Eligibility

Inclusion Criteria:

• Adults (men and women) over 60 years of age

• Fall related hip fracture

• Community dwelling

• English speaking

Exclusion Criteria:

• Dementia

• Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.)

• Profound hearing loss

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fracture
• Hip Fractures

Intervention

Behavioral:
• Telephone Support and Coaching
The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements: Health Status Medication Management Activity/Exercise Prescription and Goal-Setting Falls Prevention Clarification of Appointments Coordination of Post-Discharge Home Services What To Do If a Problem Arises
• Education Only
An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture

Locations

Country	Name	City	State
Canada	Lions Gate Hospital	North Vancouver	British Columbia

Sponsors (1)

Lead Sponsor	Collaborator
University of British Columbia

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Quality of Life ICECAP-O		4 months
Other	de Morton Mobility Index (DEMMI)	The DEMMI is a clinical instrument for measuring mobility in older adults. Interval levels are obtained from 0 (poor mobility) to 100 (excellent mobility)	4 months
Other	Gait (Walking) speed	Gait speed is a reliable, valid and sensitive measure likened to a vital sign.	4 months
Other	Falls FES-1	Falls self efficacy questionnaire will be used.	4 months
Other	Pain: Visual Analogue Scale (VAS)		4 months
Other	Falls self report diary	Participants will record Falls in a check box format daily	4 months
Other	The Hospital Anxiety and Depression Scale (HADS)	The HADS is a 14 item self reported questionnaire designed to assess anxiety and depression	4 months
Primary	Feasibility of study recruitment and retention	Feasibility will be measured by recruitment rate (30%), and retention rate (<10% attrition)	1 year
Secondary	Quality of Life EQ5D-5L	The EQ5D-5L Quality of Life outcome measure is a self reported questionnaire measure, and has been extensively investigated in the hip fracture population, with well established sensitivity, reliability and validity properties.	4 months