I Am Able: Population Based Rehabilitation in a Family Health Team
People who have long-term conditions such as heart disease, diabetes, arthritis etc. face challenges in staying active and able to participate in activities that are important to them. There is some research that suggests that a care model that focuses on physical functioning and helping patients to manage their own conditions will assist them to stay active and healthy longer. In this project, the investigators are testing whether physiotherapy and occupational therapy offered to groups of patients and information about rehabilitation offered to other members of the health care team can help people with chronic conditions to maintain their physical abilities.
Behavioral: Occupational Therapy
Behavioral: Capacity Building
|Study Design:||Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
|Official Title:||I Am Able: Population Based Rehabilitation in a Family Health Team|
- Physical Functioning Inventory (PFI) [ Time Frame: 4 months ] [ Designated as safety issue: No ]The PFI is used to assess physical functioning in older adults. It contains 21 tasks from 4 subscales: activities of daily living, instrumental activities of daily living, mobility, moderate activities. A series of questions is used to determine whether the person experiences difficulty in completing a task, the level of difficulty they experience, and any changes to the method and/or frequency of task performance. The PFI is sensitive to steps in the natural history of functional decline that are often not assessed clinically. Range of scores: 0 (most difficulty); 100 (least difficulty).
- Self-rated Health [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Health Care Utilization [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Self-efficacy for Chronic Disease Scale [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Rapid Assessment of Physical Activity [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Grip Strength [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Two Minute Walk Test [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Patient Assessment of Chronic Illness Care [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Primary Care Resources and Supports [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Balance Screen [ Time Frame: 4 months ] [ Designated as safety issue: No ]
- Eight Foot Walk Test [ Time Frame: 4 months ] [ Designated as safety issue: No ]
|Study Start Date:||May 2008|
|Study Completion Date:||April 2009|
|Primary Completion Date:||March 2009 (Final data collection date for primary outcome measure)|
Experimental: Intervention Group
Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building.
group self-management classesBehavioral: Occupational Therapy
group self-management classesBehavioral: Capacity Building
workshops and case reviews with primary health care team members
No Intervention: Case matched controls
Usual care in primary health care.
Participants older than 44, with at least one chronic disease, (n=60) will participate in a before-and-after study integrating a population based, rehabilitation-focused program targeting physical function into a Family Health Team. The program, delivered by a Physiotherapist and Occupational Therapist, will consist of comprehensive functional assessments and individualized self-management care plans; a rehabilitation based chronic disease self-management program; and on-line self-monitoring of physical function. Process and outcome measures will be administered at baseline and 4 months follow-up.
|McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)|
|Hamilton, Ontario, Canada, L8W 3J6|
|Principal Investigator:||Julie Richardson, PhD||McMaster University|