Outcome of Rehabilitation of Older People in Primary Health Care

Stroke Clinical Trial

Official title:

Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in an Inpatient District Rehabilitation Centre Versus Standard Primary Health Care Rehabilitation - An Open Comparative Observational Stdy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01457300
• Other study ID #: PHC rehab older people
• Status: Completed
• Phase: N/A
• First received: October 12, 2011
• Last updated: October 24, 2011
• Start date: June 2006
• Est. completion date: October 2010

Study information

• Verified date: October 2011
• Source: University of Oslo
• Contact: n/a
• Is FDA regulated: No
• Health authority: Norway: Regional Ethics Commitee
• Study type: Observational

Clinical Trial Summary

The Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in a District Inpatient Rehabilitation Centre is better than in a Standard Primary Health Care Rehabilitation Programme in Short Term Beds in Nursing Homes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 302
• Est. completion date: October 2010
• Est. primary completion date: April 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Both Genders

• Age=>65 Years

• Diagnoses: Stroke, Hip Fractures, Osteoarthritis, Chronic, slowly progressing Diseases, Functional Decline due to Old Age, Functional Decline due to Long Hospital Stay

• Assessed to have a Rehabilitation Potential

Exclusion Criteria:

• Age<65 Years

• Patietns with Highly Progressive Diseases

• Sunnaas ADL Index<10

• MMSE<18

• Deeply Depressed Patients with no Initiative

• Patients with Speech Dyspnoea

• Patients with unstable Angina Pectoris

• Patients with not diagnosed Cardiac Arrythmias

Study Design

Observational Model: Case Control, Time Perspective: Prospective

Related Conditions & MeSH terms

• Chronic Disease
• Hip Fractures
• Osteoarthritis
• Stroke

Intervention

Other:
• Rehabilitation
Model 1: Regular Assessment of Rehabilitation Goal, Rehabilitation Plan, Weekly Multi-Disciplinary Evaluation and Adjustment of Plan, Regular use of Measurement Scales, Regular Dialog between Personnel, Patient and Relatives. Model 2: More Occasional use of the Listed Activities. Model 1 and Model 2: Physical Training and Functional ADL Training, in Groups, One by One or Self-Training.

Locations

Country	Name	City	State
Norway	Department of General Practice/General Practice Research Unit, Institute of Health and Society, University of Oslo	Oslo
Norway	Prestelokka Rehabilitation Centre	Stavern	Vestfold

Sponsors (2)

Lead Sponsor	Collaborator
University of Oslo	Norwegian Medical Association

Country where clinical trial is conducted

Norway, 

References & Publications (1)

Johansen I, Lindbaek M, Stanghelle JK, Brekke M. Effective rehabilitation of older people in a district rehabilitation centre. J Rehabil Med. 2011 Apr;43(5):461-4. doi: 10.2340/16501977-0792. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Sunnaas ADL Index	Sunnaas ADL Index measures 12 Activities of Daily Life. Each Activity has a Score from 0-3, where 0=totally dependent and 3=independent. The Total Max Score of 36 means Totally Independent.	Change from Baseline in Sunnaas ADL Index at End of Rehabilitation. Change from End of Rehabilitation in Sunnaas ADL Index at 3 months. Change from End of Rehabilitation in Sunnaas ADL Index at 18 Months	No
Secondary	Change in Umea Life Satisfaction Checklist	A Simple and Validated Questionnaire, testing Life Satisfaction. We chose Two of the Questions: LSCa: How satisfied are you with your Life in general? LSCb: How satisfied are you with your Ability to manage your Self-Care? The Scores are 1-3=not satisfied and 4-6=satisfied	Change from End of Rehabilitation in Umea Life Satisfaction Checklist at 3 Months after Rehabilitation.	No
Secondary	Mini Mental Status Evaluation=MMSE	MMSE measures Cognitive Function. Scores are from 0-30, where 30 indicates no Cognitive Problems.	MMSE Recorded Two Weeks into Rehabilitation	No
Secondary	Symptom Check List 10=SCL10	SCL10 is a Questionnaire mapping Emotional Health during the Previous Week, particularly Anxiety and Depression. SCL-10 comprises Ten Questions with Scores from 1-4. The Final Score is the Total Score sum divided by Ten. Scores>1.85 indicate Severe Emotional Problems	SCL10 recorded at two Weeks into Rehabilitation	No
Secondary	Home Care Services	The care scores were: 1:0 hour/week, 2:>0-3 hours/week, 3:>3-6 hours/week, 4:>6-9 hours/week, and 5:>9 hours/week.	Change from End of Rehabilitation in Home Care Services at Three Months after Rehabilitation	No
Secondary	Informal Care from Relatives	Care Scores: 1:0 Hour/Week, 2:>0-3 Hours/Week, 3:>3-6 Hours/Week, 4:>6-9 Hours/Week, and 5:>9 Hours/Week.	Change in Informal Care from relatives from End of Rehabilitation at Three Months after Rehabilitation	No