Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.
The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education Only | Active Comparator |
|
|
| Education + Telephone Follow-up | Experimental |
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telephone Support and Coaching | Behavioral | The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements:
|
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of study recruitment and retention | Feasibility will be measured by recruitment rate (30%), and retention rate (<10% attrition) | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life EQ5D-5L | The EQ5D-5L Quality of Life outcome measure is a self reported questionnaire measure, and has been extensively investigated in the hip fracture population, with well established sensitivity, reliability and validity properties. | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of Life ICECAP-O | 4 months | |
| de Morton Mobility Index (DEMMI) | The DEMMI is a clinical instrument for measuring mobility in older adults. Interval levels are obtained from 0 (poor mobility) to 100 (excellent mobility) |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Dolores P Langford, Msc. | Vancouver Coastal Health | Principal Investigator |
| Maureen C Ashe, PhD | Centre for Hip Health and Mobility | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lions Gate Hospital | North Vancouver | British Columbia | V7L 2L7 | Canada |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Dec 14, 2017 | |
| Reset | Sep 4, 2018 | |
| Release | May 19, 2023 | |
| Reset | Feb 1, 2024 |
Not provided
Not provided
| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Dec 14, 2017 | Sep 4, 2018 | |||
| May 19, 2023 |
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D005264 | Femoral Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Education Only | Behavioral | An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture |
|
| 4 months |
| Gait (Walking) speed | Gait speed is a reliable, valid and sensitive measure likened to a vital sign. | 4 months |
| Falls FES-1 | Falls self efficacy questionnaire will be used. | 4 months |
| Pain: Visual Analogue Scale (VAS) | 4 months |
| Falls self report diary | Participants will record Falls in a check box format daily | 4 months |
| The Hospital Anxiety and Depression Scale (HADS) | The HADS is a 14 item self reported questionnaire designed to assess anxiety and depression | 4 months |
| Feb 1, 2024 |