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Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors

This study has been completed.
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
Maureen C. Ashe, University of British Columbia Identifier:
First received: December 2, 2010
Last updated: May 13, 2017
Last verified: May 2017
This is a parallel Randomized Controlled Trial comparing two different delivery modes of post hip fracture management—a specialized Fracture Follow-up Clinic versus Usual Care alone. The Fracture Follow-up Clinic will focus on bone health and fall risk factors. The investigators will evaluate the effect of the clinic and exercise program on mobility and falls. The investigators primary hypothesis is that within the first year following a hip fracture, older adults who are assessed in the B4 Clinic and prescribed an exercise program will have significantly improved Short Physical Performance Battery (SPPB) scores compared with participants who receive usual care alone.

Condition Intervention
Hip Fractures Femoral Fractures Other: B4 Clinic Other: Usual Care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Other
Official Title: Mobilizing Evidence Into Action to Improve Outcomes of Vulnerable Seniors

Resource links provided by NLM:

Further study details as provided by Maureen C. Ashe, University of British Columbia:

Primary Outcome Measures:
  • Short Physical Performance Battery [ Time Frame: 12 months post-fracture ]
    The primary outcome for this trial is the Short Physical Performance Battery (SPPB). The SPPB is composed of three separate tests that are timed and categorized depending on performance. The three domains evaluated in the SPPB are standing balance, gait speed, and sit to stand performance.

Secondary Outcome Measures:
  • Sedentary behaviour (accelerometry) minutes and percentage of daily sedentary behaviour [ Time Frame: 12 months ]
  • Physical Activity (accelerometry) minutes of time spent in light and MVPA [ Time Frame: 12 months ]
  • Global cognition (MoCA) [ Time Frame: 12 months ]
  • Executive Function (Stroop and Trail B) [ Time Frame: 12 months ]
  • Falls [ Time Frame: 12 months ]
  • Quality of Life (ICECAP-O) [ Time Frame: 12 months ]
  • Health related quality of life (EQ5D-5L) [ Time Frame: 12 months ]
  • Health Resource Utilization [ Time Frame: 12 months ]
  • Lower Extremity Measure [ Time Frame: 12 months ]
  • Gait speed (m/s) [ Time Frame: 12 months ]
  • Grip strength (bilateral) [ Time Frame: 12 months ]
  • Leg strength (bilateral) [ Time Frame: 12 months ]
  • Timed up and Go (TUG) [ Time Frame: 12 months ]
  • Falls Self-efficacy International (FES-I) [ Time Frame: 12 months ]

Enrollment: 62
Study Start Date: December 2010
Study Completion Date: September 2014
Primary Completion Date: August 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Usual Care
Usual care following hip fracture
Other: Usual Care
Other Name: usual care pathways for after hip fracture
Experimental: Intervention
Follow-up Fracture Clinic
Other: B4 Clinic
Fracture Follow-Up Clinic plus Exercise Program


Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 65 years +
  • community-dwelling
  • residents of Metro Vancouver
  • recent history (within 12 months) of femoral fracture

Exclusion Criteria:

  • unable to ambulate 10 meters prior to the femoral fracture were(with/without a walking aid)
  • discharged to a residential care facility
  • and/or diagnosed with any type of dementia (Alzheimer's, vascular etc.)
  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 identifier: NCT01254942

Canada, British Columbia
University of British Columbia - VCHRI
Vancouver, British Columbia, Canada, V5Z 1M9
Sponsors and Collaborators
University of British Columbia
Canadian Institutes of Health Research (CIHR)
Principal Investigator: Maureen C. Ashe, PhD University of British Columbia
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Maureen C. Ashe, Principal Investigator, University of British Columbia Identifier: NCT01254942     History of Changes
Other Study ID Numbers: H09-01291
Study First Received: December 2, 2010
Last Updated: May 13, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Maureen C. Ashe, University of British Columbia:
hip fractures
aged 80 and over

Additional relevant MeSH terms:
Fractures, Bone
Hip Fractures
Femoral Fractures
Wounds and Injuries
Hip Injuries
Leg Injuries processed this record on August 18, 2017