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

This study has been completed.
Sponsor:
Collaborator:
Ontario Ministry of Health and Long Term Care
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT00229957
First received: September 28, 2005
Last updated: July 13, 2010
Last verified: September 2009
  Purpose

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.


Condition Intervention
Chronic Disease
Hypertension
Back Pain
Obesity
Arthritis
Behavioral: Occupational therapy
Behavioral: Physiotherapy
Behavioral: Self-management

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Rehabilitation in Primary Care: A Project to Maximize the Health Status of Adults With Chronic Illness

Resource links provided by NLM:


Further study details as provided by McMaster University:

Primary Outcome Measures:
  • SF-36 Physical Component [ Time Frame: 15 months ] [ Designated as safety issue: No ]
    health related quality of life. Minimum: 0; Maximum 100.


Secondary Outcome Measures:
  • Use of Hospital Services [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    self report use of hospital service

  • Independence in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    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)

  • Functional Limitations [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    Late Life Function and Disability Instrument: A measure of functional limitations and disability in older adults.

  • Falls and Injuries [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    self-reported number of falls in last 6 months

  • HOME Falls and Accident Screening Tool (FAST) [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    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.

  • Self-management and Self-efficacy [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    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).

  • Physical Abilities (Strength, Balance) [ Time Frame: baseline, 15 months ] [ Designated as safety issue: No ]
    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).

  • Patient Satisfaction Questionnaire - 18 (Modified) [ Time Frame: 15 months ] [ Designated as safety issue: No ]
    Patient satisfaction with the care they received. (Score range 0-5)


Enrollment: 303
Study Start Date: June 2004
Study Completion Date: October 2006
Primary Completion Date: August 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention
Intervention
Behavioral: Occupational therapy Behavioral: Physiotherapy Behavioral: Self-management
No Intervention: Control
Control group received usual care in primary care.

Detailed 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.

  Eligibility

Ages Eligible for Study:   44 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • At least 1 chronic condition
  • 3 visits to family physician in the past year

Exclusion Criteria:

  • None
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00229957

Locations
Canada, Ontario
Stonechurch Family Health Centre, 549 Stonechurch Rd. E.
Hamilton, Ontario, Canada, L8W 3L2
Sponsors and Collaborators
Hamilton Health Sciences Corporation
Ontario Ministry of Health and Long Term Care
Investigators
Principal Investigator: Lori Letts, PhD McMaster University
Principal Investigator: Julie Richardson, PhD McMaster University
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00229957     History of Changes
Other Study ID Numbers: 04-052, G03-02572
Study First Received: September 28, 2005
Results First Received: May 18, 2009
Last Updated: July 13, 2010
Health Authority: Canada: Ministry of Health & Long Term Care, Ontario

Keywords provided by McMaster University:
Occupational therapy
Physical therapy techniques
Primary health care
Chronic disease
Rehabilitation
Disease management
Self care

Additional relevant MeSH terms:
Arthritis
Back Pain
Chronic Disease
Hypertension
Obesity
Joint Diseases
Musculoskeletal Diseases
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Disease Attributes
Pathologic Processes
Vascular Diseases
Cardiovascular Diseases
Overnutrition
Nutrition Disorders
Overweight
Body Weight

ClinicalTrials.gov processed this record on August 19, 2014