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Completed

NCT Number: NCT00859638

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

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.

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Key information

Conditions

Chronic Conditions Arthritis Cardiovascular Diseases Chronic Disease Chronic Pain Diabetes Diabetes Mellitus Disease Attributes Endocrine System Diseases Glucose Metabolism Disorders Hypertension Joint Diseases Metabolic Diseases Musculoskeletal Diseases Neurologic Manifestations Nutritional and Metabolic Diseases Pain Pathologic Processes Pathological Conditions, Signs and Symptoms Signs and Symptoms Vascular Diseases

Age range

44 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice)

Hamilton, Ontario, L8W 3J6, Canada

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

  • none

Treatment and study plan

Physiotherapy

Behavioral

group self-management classes

occupational therapy

Behavioral

group self-management classes

Capacity Building

Behavioral

workshops and case reviews with primary health care team members

Primary outcomes

  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 outcomes

  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

Sponsors and collaborators

Lead sponsor

Hamilton Health Sciences Corporation

Other

Collaborators

  • Ontario Neurotrauma Foundation

Registry information

Important dates

Study start
2008
Primary completion
2009
Study completion
2009
First posted
Mar 11, 2009
Registry last updated
Jun 22, 2010

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.

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