Rehabilitation in Primary Care: A Project to Maximize the Health Status of Adults With Chronic Illness

Obesity Clinical Trial

Official title:

Rehabilitation in Primary Care: A Project to Maximize the Health Status of Adults With Chronic Illness

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00229957
• Other study ID #: 04-052
• Secondary ID: G03-02572
• Status: Completed
• Phase: N/A
• First received: September 28, 2005
• Last updated: July 13, 2010
• Start date: June 2004
• Est. completion date: October 2006

Study information

• Verified date: September 2009
• Source: McMaster University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ministry of Health & Long Term Care, Ontario
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to determine whether occupational therapy and physiotherapy delivered in a primary care setting to adults with chronic illness is effective in improving health.

Description:

Primary health care is changing so that people receive the care that they need at the front line. Rehabilitation has been identified as one service that should be offered in primary care, to address the needs of adults who have or are at risk of poor health from chronic conditions such as arthritis, heart disease and depression.

Two full time therapists (one physiotherapist and one occupational therapist) will offer rehabilitation to a sample of 170 adults with chronic illness over an 18 month period (170 people will also be enrolled in a control group) at the Stonechurch Family Health Centre. Key outcomes include health, hospital admissions and emergency room visits.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 303
• Est. completion date: October 2006
• Est. primary completion date: August 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 44 Years and older

Eligibility

Inclusion Criteria:

• At least 1 chronic condition

• 3 visits to family physician in the past year

Exclusion Criteria:

Study Design

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

Related Conditions & MeSH terms

• Arthritis
• Back Pain
• Chronic Disease
• Hypertension
• Obesity

Intervention

Behavioral:
• Occupational therapy

• Physiotherapy

• Self-management

Locations

Country	Name	City	State
Canada	Stonechurch Family Health Centre, 549 Stonechurch Rd. E.	Hamilton	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
Hamilton Health Sciences Corporation	Ontario Ministry of Health and Long Term Care

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	SF-36 Physical Component	health related quality of life. Minimum: 0; Maximum 100.	15 months	No
Secondary	Use of Hospital Services	self report use of hospital service	baseline, 15 months	No
Secondary	Independence in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)	Late Life Function and Disability Instrument: A measure of disability and functional limitations in older adults. (Score range 0-100 with 100 representing better ability and less disability/functional limitation)	baseline, 15 months	No
Secondary	Functional Limitations	Late Life Function and Disability Instrument: A measure of functional limitations and disability in older adults.	baseline, 15 months	No
Secondary	Falls and Injuries	self-reported number of falls in last 6 months	baseline, 15 months	No
Secondary	HOME Falls and Accident Screening Tool (FAST)	This is a home assessment of safety hazards for falls present in the individual's home. This tool helps to identify seniors at risk of falls. Score 0-25.	baseline, 15 months	No
Secondary	Self-management and Self-efficacy	Individual's self-reported ability to carry out behaviours to self-manage their health condition, and their confidence level in being able to carry out these behaviours. (Score range 0= not confident at all, 10= totally confident).	baseline, 15 months	No
Secondary	Physical Abilities (Strength, Balance)	Grip strength was measured using a JAMAR hand grip dynamometer (in kilograms). The Lower Extremity Function test is a battery of three tests used to measure lower extremity function and balance: a balance test, 8 foot walk test, and repetitive standing from a chair. A performance summary score is created by adding the number of seconds achieved on the balance test, the number of seconds to walk 8 feet and the number of seconds it takes the person to stand up from a chair five times consecutively (no maximum score exists on this measure).	baseline, 15 months	No
Secondary	Patient Satisfaction Questionnaire - 18 (Modified)	Patient satisfaction with the care they received. (Score range 0-5)	15 months	No