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Completed

NCT Number: NCT00229957

Rehabilitation in Primary Care: A Project to Maximize the Health Status of Adults With Chronic Illness

The purpose of the study is to determine whether occupational therapy and physiotherapy delivered in a primary care setting to adults with chronic illness is effective in improving health.

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Key information

Age range

44 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stonechurch Family Health Centre, 549 Stonechurch Rd. E.

Hamilton, Ontario, L8W 3L2, Canada

About this study

Primary health care is changing so that people receive the care that they need at the front line. Rehabilitation has been identified as one service that should be offered in primary care, to address the needs of adults who have or are at risk of poor health from chronic conditions such as arthritis, heart disease and depression.

Two full time therapists (one physiotherapist and one occupational therapist) will offer rehabilitation to a sample of 170 adults with chronic illness over an 18 month period (170 people will also be enrolled in a control group) at the Stonechurch Family Health Centre. Key outcomes include health, hospital admissions and emergency room visits.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • At least 1 chronic condition
  • 3 visits to family physician in the past year

Exclusion criteria

  • None

Treatment and study plan

occupational therapy

Behavioral

Physiotherapy

Behavioral

Self-Management

Behavioral

Primary outcomes

  1. SF-36 Physical Component

    Time frame: 15 months

    health related quality of life. Minimum: 0; Maximum 100.

Secondary outcomes

  1. Use of Hospital Services

    Time frame: baseline, 15 months

    self report use of hospital service

  2. Independence in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)

    Time frame: baseline, 15 months

    Late Life Function and Disability Instrument: A measure of disability and functional limitations in older adults. (Score range 0-100 with 100 representing better ability and less disability/functional limitation)

  3. Functional Limitations

    Time frame: baseline, 15 months

    Late Life Function and Disability Instrument: A measure of functional limitations and disability in older adults.

  4. Falls and Injuries

    Time frame: baseline, 15 months

    self-reported number of falls in last 6 months

  5. HOME Falls and Accident Screening Tool (FAST)

    Time frame: baseline, 15 months

    This is a home assessment of safety hazards for falls present in the individual's home. This tool helps to identify seniors at risk of falls. Score 0-25.

  6. Self-management and Self-efficacy

    Time frame: baseline, 15 months

    Individual's self-reported ability to carry out behaviours to self-manage their health condition, and their confidence level in being able to carry out these behaviours. (Score range 0= not confident at all, 10= totally confident).

  7. Physical Abilities (Strength, Balance)

    Time frame: baseline, 15 months

    Grip strength was measured using a JAMAR hand grip dynamometer (in kilograms). The Lower Extremity Function test is a battery of three tests used to measure lower extremity function and balance: a balance test, 8 foot walk test, and repetitive standing from a chair. A performance summary score is created by adding the number of seconds achieved on the balance test, the number of seconds to walk 8 feet and the number of seconds it takes the person to stand up from a chair five times consecutively (no maximum score exists on this measure).

  8. Patient Satisfaction Questionnaire - 18 (Modified)

    Time frame: 15 months

    Patient satisfaction with the care they received. (Score range 0-5)

Sponsors and collaborators

Lead sponsor

Hamilton Health Sciences Corporation

Other

Collaborators

  • Ontario Ministry of Health and Long Term Care

Registry information

Important dates

Study start
2004
Primary completion
2006
Study completion
2006
First posted
Sep 30, 2005
Registry last updated
Jul 20, 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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