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| ID | Type | Description | Link |
|---|---|---|---|
| G03-02572 |
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| Name | Class |
|---|---|
| Ontario Ministry of Health and Long Term Care | OTHER_GOV |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Intervention |
|
| Control | No Intervention | Control group received usual care in primary care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Occupational therapy | Behavioral |
| ||
| Physiotherapy |
| Measure | Description | Time Frame |
|---|---|---|
| SF-36 Physical Component | health related quality of life. Minimum: 0; Maximum 100. | 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| Use of Hospital Services | self report use of hospital service | baseline, 15 months |
| Independence in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) | 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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lori Letts, PhD | McMaster University | Principal Investigator |
| Julie Richardson, PhD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stonechurch Family Health Centre, 549 Stonechurch Rd. E. | Hamilton | Ontario | L8W 3L2 | Canada |
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All participants recruited from a family health practice.
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| ID | Title | Description |
|---|---|---|
| FG000 | Intervention Group | A rehabilitation multi-component intervention delivered by a physiotherapist and occupational therapist in a primary care setting included collaborative goal setting for rehabilitation needs, a six-week chronic disease self-management workshop, referral to community programs and a web-based education programme. |
| FG001 | Control Group | Usual care from the primary health care team which did not include physiotherapy or occupational therapy. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention Group | A rehabilitation multi-component intervention delivered by a physiotherapist and occupational therapist in a primary care setting included collaborative goal setting for rehabilitation needs, a six-week chronic disease self-management workshop, referral to community programs and a web-based education programme. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | SF-36 Physical Component | health related quality of life. Minimum: 0; Maximum 100. | Posted | Mean | Standard Deviation | units on a scale | 15 months |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intervention Group | A rehabilitation multi-component intervention delivered by a physiotherapist and occupational therapist in a primary care setting included collaborative goal setting for rehabilitation needs, a six-week chronic disease self-management workshop, referral to community programs and a web-based education programme. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Julie Richardson | McMaster University | 905-525-9140 | 27811 | jrichard@mcmaster.ca |
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| ID | Term |
|---|---|
| D002908 | Chronic Disease |
| D006973 | Hypertension |
| D001416 | Back Pain |
| D009765 | Obesity |
| D001168 | Arthritis |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D009788 | Occupational Therapy |
| D026741 | Physical Therapy Modalities |
| D000073278 | Self-Management |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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|
| Self-management | Behavioral |
|
| baseline, 15 months |
| Functional Limitations | Late Life Function and Disability Instrument: A measure of functional limitations and disability in older adults. | baseline, 15 months |
| Falls and Injuries | self-reported number of falls in last 6 months | baseline, 15 months |
| HOME Falls and Accident Screening Tool (FAST) | 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. | baseline, 15 months |
| Self-management and Self-efficacy | 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). | baseline, 15 months |
| Physical Abilities (Strength, Balance) | 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). | baseline, 15 months |
| Patient Satisfaction Questionnaire - 18 (Modified) | Patient satisfaction with the care they received. (Score range 0-5) | 15 months |
| Control Group |
Usual care from the primary health care team which did not include physiotherapy or occupational therapy. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Secondary | Use of Hospital Services | self report use of hospital service | Not Posted | Jul 2009 | Mean | Standard Deviation | planned hospital days, ER visits | baseline, 15 months |
| Secondary | Independence in Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) | 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) | Not Posted | Aug 2009 | Mean | Standard Deviation | units on a scale | baseline, 15 months |
| Secondary | Functional Limitations | Late Life Function and Disability Instrument: A measure of functional limitations and disability in older adults. | Not Posted | Aug 2009 | Mean | Standard Deviation | units on a scale | baseline, 15 months |
| Secondary | Falls and Injuries | self-reported number of falls in last 6 months | Not Posted | Aug 2009 | Mean | number of falls | baseline, 15 months |
| Secondary | HOME Falls and Accident Screening Tool (FAST) | 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. | Not Posted | Aug 2009 | Mean | Standard Deviation | number | baseline, 15 months |
| Secondary | Self-management and Self-efficacy | 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). | Not Posted | Aug 2009 | Mean | Standard Deviation | units on a scale | baseline, 15 months |
| Secondary | Physical Abilities (Strength, Balance) | 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). | Not Posted | Aug 2009 | Mean | Standard Deviation | kilograms, seconds | baseline, 15 months |
| Secondary | Patient Satisfaction Questionnaire - 18 (Modified) | Patient satisfaction with the care they received. (Score range 0-5) | Not Posted | Mean | Standard Deviation | units on a scale | 15 months |
| 0 |
| 152 |
| 0 |
| 152 |
| EG001 | Control Group | Usual care from the primary health care team which did not include physiotherapy or occupational therapy. | 0 | 151 | 0 | 151 |
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| D002318 | Cardiovascular Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D013812 |
| Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |