An Inpatient Rehabilitation Model of Care Targeting Patients With Cognitive Impairment
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|ClinicalTrials.gov Identifier: NCT01566136|
Recruitment Status : Completed
First Posted : March 29, 2012
Last Update Posted : April 24, 2014
|Condition or disease||Intervention/treatment||Phase|
|Hip Fracture||Behavioral: Rehabilitation Model of Care||Phase 2 Phase 3|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||198 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||An Inpatient Rehabilitation Model of Care Targeting Patients With Cognitive|
|Study Start Date :||August 2009|
|Actual Primary Completion Date :||March 2014|
|Actual Study Completion Date :||March 2014|
No Intervention: Usual care
Current routine rehab care for persons with a hip fracture and CI lacks a well integrated care system within the local hospital network. The usual approach to care at the two sites differ in one major way: patients presenting with a hip fracture to Site 1 receive surgery locally, while those presenting to Site 2 receive surgery at a different hospital because of the absence of an operating suite at this site. Within 2 to 10 days 95% of patients presenting to either site hospital's emergency room with a hip fracture, receive internal fixation or arthroplasty surgery. Patients, including some with mild and moderate CI, are then transferred to in-patient rehabilitation beds at Site 1 or Site 2. Screening of patients for dementia or delirium is not routinely done.
Experimental: Rehabilitation Model of Care
Staff will be introduced to five components of the Patient-Centred Rehabilitation Model of Care (PCRM-CI) in a one-day workshop prior to implementing the PCRM-CI model. They will then be provided with eight additional educational sessions throughout the year. A manual detailing all aspects of training, including specifics on how to present the material, ideas for stimulating discussion, and case vignettes to illustrate training concepts was developed for our pilot study and will be used here. We also produced a short video on care of elderly with CI in rehabilitation which will be utilized in the training session. The model will be tested over a one year period with a sustainability plan in place developed by the local hospital network and the two study sites.
Behavioral: Rehabilitation Model of Care
The PCRM-CI model includes the following 5 components: rehabilitation management; dementia management; delirium prevention and management; staff education and support; and family/significant other support and education.
Other Name: Patient Centred Rehabilitation Model of Care
- Change from baseline in mobility at 6 months [ Time Frame: Baseline to 6 months post-surgery ]
- Change from baseline in physical functioning at 6 months [ Time Frame: Baseline to 6 months post-surgery ]
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 ClinicalTrials.gov identifier (NCT number): NCT01566136
|Cobourg, Ontario, Canada|
|Principal Investigator:||Katherine S McGilton, PhD||UHN-Toronto Rehab|