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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00859638
Recruitment Status : Completed
First Posted : March 11, 2009
Results First Posted : June 17, 2010
Last Update Posted : June 22, 2010
Ontario Neurotrauma Foundation
Information provided by:
McMaster University

Brief Summary:
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 or disease Intervention/treatment Phase
Chronic Conditions Arthritis Diabetes Hypertension Chronic Pain Behavioral: Physiotherapy Behavioral: Occupational Therapy Behavioral: Capacity Building Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 124 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: I Am Able: Population Based Rehabilitation in a Family Health Team
Study Start Date : May 2008
Actual Primary Completion Date : March 2009
Actual Study Completion Date : April 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Rehabilitation
U.S. FDA Resources

Arm Intervention/treatment
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.

Primary Outcome Measures :
  1. Physical Functioning Inventory (PFI) [ Time Frame: 4 months ]
    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 :
  1. Self-rated Health [ Time Frame: 4 months ]
  2. Health Care Utilization [ Time Frame: 4 months ]
  3. Self-efficacy for Chronic Disease Scale [ Time Frame: 4 months ]
  4. Rapid Assessment of Physical Activity [ Time Frame: 4 months ]
  5. Grip Strength [ Time Frame: 4 months ]
  6. Two Minute Walk Test [ Time Frame: 4 months ]
  7. Patient Assessment of Chronic Illness Care [ Time Frame: 4 months ]
  8. Primary Care Resources and Supports [ Time Frame: 4 months ]
  9. Balance Screen [ Time Frame: 4 months ]
  10. Eight Foot Walk Test [ Time Frame: 4 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   44 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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:

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00859638

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
Principal Investigator: Julie Richardson, PhD McMaster University

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Dr. Julie Richardson, McMaster University Identifier: NCT00859638     History of Changes
Other Study ID Numbers: 08-177
First Posted: March 11, 2009    Key Record Dates
Results First Posted: June 17, 2010
Last Update Posted: June 22, 2010
Last Verified: September 2009

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