Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities

This study has been completed.
Sponsor:
Collaborators:
Canadian Institutes of Health Research (CIHR)
CapitalCare Continuing Care
Extendicare
Good Samaritan Society
Shepherd's Care Foundation
Information provided by (Responsible Party):
University of Alberta
ClinicalTrials.gov Identifier:
NCT01474616
First received: November 10, 2011
Last updated: July 18, 2013
Last verified: July 2013
  Purpose

Almost 90 percent of residents living in long-term care facilities have some type of mobility limitation, which worsens quickly once they move into a long-term care facility. This means that they cannot easily walk or move around in their day-to-day lives and this can have serious consequences for their general health and well-being. Researchers have shown that exercise can help the mobility of even the oldest of adults but elderly residents in long-term care facilities still commonly sit or lie in bed for long periods of time, in many cases for most of their waking hours. The purpose of this research is to study the effect of a simple physical activity on the mobility and quality of life of residents in long-term care facilities. Researchers will introduce a sit-to-stand activity to health care aides which will become part of their daily routine with residents. The basic sit-to-stand movement is already a part of the daily activities that health care aides do with residents. Specifically, health care aides will ask residents to repeat the sit-to-stand activity at mealtimes, when using the toilet, and on other occasions of daily activity. An important part of this research is to find out how well the activity preserves the ability of residents to stay mobile and also to examine how this will improve their quality of life in the home. The MOVE study will demonstrate whether it is possible to delay the loss of mobility in long-term care residents by incorporating the sit-to-stand activity into the regular practice of health care aides.


Condition Intervention
Mobility Limitation
Other: Sit-to-Stand Activity

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities

Further study details as provided by University of Alberta:

Primary Outcome Measures:
  • Change from Baseline in Mobility at 3 and 6 months [ Time Frame: Baseline, 3-Months, 6-Months ] [ Designated as safety issue: No ]
    The sit-to-stand action is a functional activity that has been incorporated into a number of mobility measures. We have chosen to measure mobility using the number of sit-to-stands in 30 seconds because in the frail nursing home population many residents have difficulty transfering (e.g.standing up from a chair). In our pilot study we found many residents were unable to complete more than two or three sit-to-stands. Residents will be instructed to stand up and sit down as many times as possible until they are asked to stop after 30 seconds (Jones, Rikli, & Beam, 1999).


Secondary Outcome Measures:
  • Change from Baseline in Function at 3 and 6 months [ Time Frame: Baseline, 3-Months, 6-Months ] [ Designated as safety issue: No ]
    The Functional Independence Measure (FIM) is an 18-item performance-based instrument which assesses the amount of assistance required to complete basic activities of daily living using a 7-point scale graded from 1 (dependent) to 7 (independent) (Jones & Feeny, 2006).

  • Change from Baseline in Health Related Quality of Life at 3 and 6 months [ Time Frame: Baseline, 3-Months, 6-Months ] [ Designated as safety issue: No ]
    The Health Utilities Index Mark 2 and 3 (HUI2/3) is a generic health related quality of life questionnaire based on two generic multi-attribute preference-based systems: the HUI2 and the HUI3. The HUI2 assesses capacity on six dimensions (or attributes) of health status: sensation (vision, hearing, and speech), mobility, emotion, cognition, self-care, and pain. The HUI3 consists of eight attributes: vision; hearing; speech; ambulation; dexterity; emotion; cognition; and, pain (Furlong, et al., 2011).

  • Change from Baseline in Dementia Specific Quality of Life at 3 and 6 Months [ Time Frame: Baseline, 3-Months, 6-Months ] [ Designated as safety issue: No ]
    The Quality of Life-Alzheimer's Disease (QofL-AD) was developed to capture the domains considered important to quality of life in Lawton's broad conceptual framework: the interpersonal; environmental; functional; physical; and, psychological domains. The 13 items including physical health, energy, mood, living situation, memory, family, marriage, friends, self as a whole, ability to do chores around the house, fun, money, life as a whole scored on a 4-point Likert scale ranging from 1 (poor) to 4 (excellent) (Lawton, 1983; 1991).


Enrollment: 113
Study Start Date: August 2011
Study Completion Date: June 2013
Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Sit-to-Stand Activity Other: Sit-to-Stand Activity
Health care aides will be expected to prompt residents to repeatedly stand up and sit down on four occasions throughout the day (twice on each of the day and evening shifts). The number of repetitions on each occasion will vary according to residents' ability and fatigue. The sit-to-stand activity is to be integrated into usual care routines such as when entering the dining room at mealtimes, while toileting, and on other occasions of regular activity. The timing and location will be at the discretion of the health care aide.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • have a diagnosis of Alzheimer disease, vascular dementia, or mixed dementia
  • are able to transfer independently or with the assistance of one person

Exclusion Criteria:

  • have a diagnosis of fronto-temporal or Lewy-body dementia
  • require the assistance of more than one person to transfer, or a transfer lift
  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: NCT01474616

Locations
Canada, Alberta
CapitalCare Continuing Care
Edmonton, Alberta, Canada, T5J 3M9
Extendicare
Edmonton, Alberta, Canada, T6E 6A8
Shepherd's Care Foundation
Edmonton, Alberta, Canada, T6K 2R1
Good Samaritan Society
Edmonton, Alberta, Canada, T6C 4G8
Sponsors and Collaborators
University of Alberta
Canadian Institutes of Health Research (CIHR)
CapitalCare Continuing Care
Extendicare
Good Samaritan Society
Shepherd's Care Foundation
Investigators
Principal Investigator: Susan Slaughter, RN, PhD University of Alberta
  More Information

No publications provided by University of Alberta

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: University of Alberta
ClinicalTrials.gov Identifier: NCT01474616     History of Changes
Other Study ID Numbers: DPA 108891
Study First Received: November 10, 2011
Last Updated: July 18, 2013
Health Authority: Canada: Canadian Institutes of Health Research

Keywords provided by University of Alberta:
Aging
Health Services
Knowledge Translation
Long-Term Care Facilities
Mobility
Psychosocial And Health Behaviours

Additional relevant MeSH terms:
Mobility Limitation
Signs and Symptoms

ClinicalTrials.gov processed this record on October 19, 2014