I Am Able: Population Based Rehabilitation in a Family Health Team

This study has been completed.
Sponsor:
Collaborator:
Ontario Neurotrauma Foundation
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT00859638
First received: March 10, 2009
Last updated: June 17, 2010
Last verified: September 2009
  Purpose

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.


Condition Intervention
Chronic Conditions
Arthritis
Diabetes
Hypertension
Chronic Pain
Behavioral: Physiotherapy
Behavioral: Occupational Therapy
Behavioral: Capacity Building

Study Type: Interventional
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

Resource links provided by NLM:


Further study details as provided by McMaster University:

Primary Outcome Measures:
  • 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).


Secondary Outcome Measures:
  • 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 ]

Enrollment: 124
Study Start Date: May 2008
Study Completion Date: April 2009
Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention Group
Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building.
Behavioral: Physiotherapy
group self-management classes
Behavioral: Occupational Therapy
group self-management classes
Behavioral: Capacity Building
workshops and case reviews with primary health care team members
No Intervention: Case matched controls
Usual care in primary health care.

Detailed Description:

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.

  Eligibility

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

Inclusion Criteria:

  • 44 years and older
  • 1 or more chronic conditions
  • 3 visits to physician in the past year
  • access or willingness to access email

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: NCT00859638

Locations
Canada, Ontario
McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)
Hamilton, Ontario, Canada, L8W 3J6
Sponsors and Collaborators
Hamilton Health Sciences Corporation
Ontario Neurotrauma Foundation
Investigators
Principal Investigator: Julie Richardson, PhD McMaster University
  More Information

No publications provided by McMaster University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Dr. Julie Richardson, McMaster University
ClinicalTrials.gov Identifier: NCT00859638     History of Changes
Other Study ID Numbers: 08-177, 2007-ORRAN-IIA-568
Study First Received: March 10, 2009
Results First Received: September 29, 2009
Last Updated: June 17, 2010
Health Authority: Canada: Ethics Review Committee

Additional relevant MeSH terms:
Hypertension
Chronic Pain
Vascular Diseases
Cardiovascular Diseases
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on September 22, 2014