Skip to main content
OpenTrials
Completed

NCT Number: NCT02114879

Enhanced Medical Rehabilitation in Older Adults

The purpose of this study is to provide evidence that Enhanced Medical Rehabilitation is an effective treatment for older adults after disabling medical events.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Disabling Medical Events Behavior Behavioral Symptoms Depression Disabled

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Alexian Brothers Sherbrooke Village, St Louis, Missouri, United States

Loading trial locations.

About this study

The intervention involves physical and occupational therapy for patients who have been admitted to a skilled nursing facility for therapy following a disabling medical event.

Participants in this study will be randomly assigned to receive either Enhanced or standard of care therapy, meaning they will either receive their PT (Physical Therapy)& OT(Occupational Therapy) from therapists who have been specially trained in the study intervention or from therapists with normal training. Participants will be assessed at baseline, 30, 60, and 90 days after baseline, and at the date of their discharge from the skilled nursing facility.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 65 and older
  • Admitted to a skilled nursing facility for post-acute care from PT and OT for 2 weeks or more.

Exclusion criteria

  • Language, visual or hearing barriers to participation
  • Medical illness preventing study participation or accurate data collection
  • Moderate-severe dementia (demonstrated by chart diagnosis and/or short blessed score greater than 13)
  • Progressive neurological condition such that recovery of function is not feasible
  • Patient did not have the ability to walk prior to hospitalization (e.g. paraplegic)
  • Schizophrenia or other chronic or current psychotic disorder.

Treatment and study plan

Enhanced Medical Rehabilitation

Behavioral

Daily PT/OT provided by therapists trained in Enhanced Medical Rehabilitation. This training focuses on improved communication, patient engagement, and intensity.

Standard of Care Rehabilitation

Behavioral

Daily PT/OT provided by therapists not trained in the treatment intervention.

Primary outcomes

  1. Change in Barthel Index Score

    Time frame: Baseline and Discharge, an average of 24 days.

    Barthel Index scores range from 0 to 100, with higher scores indicating greater levels of function.

Secondary outcomes

  1. Gait Speed (Determined by 4 or 10 Meter Walk Test)

    Time frame: Discharge, an average of 24 days after baseline.

    Meters walked per second.

  2. Distance Ambulated in 6-Minute Walk Test

    Time frame: Discharge, an average of 24 days after baseline.

    Feet walked during 6 minute interval.

  3. Self-reported Barthel Index

    Time frame: 30, 60, and 90 Days Post Admission to the SNF

    Barthel Index scores range from 0 to 100, with higher scores indicating greater levels of function. Conducted as a self-report at timepoints where patient was not in an institutional setting.

  4. Discharge Disposition

    Time frame: Discharge, an average of 24 days after baseline.

    Number of participants discharged from skilled nursing facility to home

  5. Rehospitalizations

    Time frame: Days 30, 60, and 90 post admission to a SNF as well as at Discharge

    Assesses whether the participant was readmitted to the hospital.

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Collaborators

  • National Institute of Mental Health (NIMH)
  • National Institutes of Health (NIH)

Registry information

Acronym: EMR

Important dates

Study start
2014
Primary completion
2018
Study completion
2018
First posted
Apr 15, 2014
Registry last updated
Jul 7, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.