Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities (MOVE)
|ClinicalTrials.gov Identifier: NCT01474616|
Recruitment Status : Completed
First Posted : November 18, 2011
Last Update Posted : January 26, 2017
|Condition or disease||Intervention/treatment||Phase|
|Mobility Limitation||Other: Sit-to-Stand Activity||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||113 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities|
|Study Start Date :||August 2011|
|Actual Primary Completion Date :||February 2013|
|Actual Study Completion Date :||June 2013|
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.
- Change from Baseline in Mobility at 3 and 6 months [ Time Frame: Baseline, 3-Months, 6-Months ]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 transferring (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).
- Change from Baseline in Function at 3 and 6 months [ Time Frame: Baseline, 3-Months, 6-Months ]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 ]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 ]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).
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01474616
|CapitalCare Continuing Care|
|Edmonton, Alberta, Canada, T5J 3M9|
|Good Samaritan Society|
|Edmonton, Alberta, Canada, T6C 4G8|
|Edmonton, Alberta, Canada, T6E 6A8|
|Shepherd's Care Foundation|
|Edmonton, Alberta, Canada, T6K 2R1|
|Principal Investigator:||Susan Slaughter, RN, PhD||University of Alberta|