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| ID | Type | Description | Link |
|---|---|---|---|
| 2007-ORRAN-IIA-568 |
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| Name | Class |
|---|---|
| Ontario Neurotrauma Foundation | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building. |
|
| Case matched controls | No Intervention | Usual care in primary health care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physiotherapy | Behavioral | group self-management classes |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Physical Functioning Inventory (PFI) | 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). | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Self-rated Health | 4 months | |
| Health Care Utilization | 4 months | |
| Self-efficacy for Chronic Disease Scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julie Richardson, PhD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McMaster Family Health Team (Stonechurch Family Health Centre and McMaster Family Practice) | Hamilton | Ontario | L8W 3J6 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22471378 | Derived | Richardson J, Letts L, Chan D, Officer A, Wojkowski S, Oliver D, Moore A, McCarthy L, Price D, Kinzie S. Monitoring physical functioning as the sixth vital sign: evaluating patient and practice engagement in chronic illness care in a primary care setting--a quasi-experimental design. BMC Fam Pract. 2012 Apr 3;13:29. doi: 10.1186/1471-2296-13-29. |
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Participants were recruited from two distinct locations of the McMaster Family Health Team.
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| ID | Title | Description |
|---|---|---|
| FG000 | Intervention Group | Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building. |
| FG001 | Case Matched Controls | Usual care in primary health care. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention Group | Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building. |
| BG001 | Case Matched Controls | Usual care in primary health care. |
| 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 | Physical Functioning Inventory (PFI) | 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). | Posted | Mean | Standard Deviation | units on a scale | 4 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 | Rehabilitation self-management group, on-line self monitoring of physical function, and organizational capacity building. |
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The limited duration of the study period may not allow sufficient time to show the difference in outcome measures such as self-rated health and health care utilization.
| 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 |
| D001168 | Arthritis |
| D003920 | Diabetes Mellitus |
| D006973 | Hypertension |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007592 | Joint Diseases |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D009788 | Occupational Therapy |
| D057191 | Capacity Building |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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| Occupational Therapy |
| Behavioral |
group self-management classes |
|
| Capacity Building | Behavioral | workshops and case reviews with primary health care team members |
|
| 4 months |
| Rapid Assessment of Physical Activity | 4 months |
| Grip Strength | 4 months |
| Two Minute Walk Test | 4 months |
| Patient Assessment of Chronic Illness Care | 4 months |
| Primary Care Resources and Supports | 4 months |
| Balance Screen | 4 months |
| Eight Foot Walk Test | 4 months |
| Ill health |
|
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 |
| Case Matched Controls |
Usual care in primary health care. |
|
|
| Secondary | Self-rated Health | Not Posted | 4 months |
| Secondary | Health Care Utilization | Not Posted | 4 months |
| Secondary | Self-efficacy for Chronic Disease Scale | Not Posted | 4 months |
| Secondary | Rapid Assessment of Physical Activity | Not Posted | 4 months |
| Secondary | Grip Strength | Not Posted | 4 months |
| Secondary | Two Minute Walk Test | Not Posted | 4 months |
| Secondary | Patient Assessment of Chronic Illness Care | Not Posted | 4 months |
| Secondary | Primary Care Resources and Supports | Not Posted | 4 months |
| Secondary | Balance Screen | Not Posted | 4 months |
| Secondary | Eight Foot Walk Test | Not Posted | 4 months |
| 0 |
| 65 |
| 0 |
| 65 |
| EG001 | Case Matched Controls | Usual care in primary health care. | 0 | 59 | 0 | 59 |
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| D009140 | Musculoskeletal Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D005791 |
| Patient Care |
| D005159 | Health Care Facilities Workforce and Services |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
| D000096763 | Pandemic Preparedness |
| D004189 | Disaster Planning |
| D004190 | Disasters |
| D004777 | Environment |
| D004778 | Environment and Public Health |
| D003140 | Communicable Disease Control |
| D015980 | Public Health Practice |
| D011634 | Public Health |