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| Name | Class |
|---|---|
| Torrecárdenas Hospital | UNKNOWN |
| AlmerÃa Health District | UNKNOWN |
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In this research, investigators pretent to evaluate the effectiveness of clinical, functional, psychological and social impact of an intervention model based on shared care between the Mobile Rehabilitation and Physical therapy team (MRPTT) and nurse case managers of Primary Care in a sample of patients with multiple chronic diseases (comorbidities) and their caregivers. A non-randomised controlled trial.
The Experimental group consisted of patients with multiple chronic diseases referred to services in the province of AlmerÃa that comply the inclusion criteria and their caregivers. Outcome measures: sex, age, location, primary caregiver, disabling process, number and type of categories including by multiple pathologies, personal history, assessment (physical and functional), Barthel Index, Lawton and Brody index, risk of falls, Scale Pfeiffer, social support, caregiver burden, hospital readmissions and length, technical aids. Quality of Life (SF-12) and degree of user satisfaction. Regarding the intervention: date of application, date of assessment, objectives, treatment / intervention techniques, number of sessions, staff time spent.
Control Group: Patients with multiple diseases and their caregivers, belonging to health centers or areas where there is no figure nurse case manager or MRPTT. Registration information will consist of the same assessments, questionnaires and scales that are comparable to the experimental and control groups for analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | Patients with multiple chronic disease referred to Mobile Rehabilitation and Physical therapy team (MRPTT) and Nurse-led case Management in the province of Almeria that comply the inclusion criteria; as well as their caregivers. |
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| Control Group | No Intervention | Patients with multiple chronic disease and their caregivers belonging to health centers or areas where there is no figure MRPTT or Nurse-led case Management to reach this population |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home-based rehabilitation | Procedure | Procedure/Surgery: Home-based rehabilitation In the patient's home, the primarily applied treatment has been physical therapy, seeking to achieve the highest possible functionality and gait training. In more than 25% of cases, health education is conducted for families and caregivers. Thus, consistent with the patient's condition and their tolerance to activity and to exercise their self-care independently, rehabilitation interventions are activated that prevent sequelae derived from functional limitations. |
| Measure | Description | Time Frame |
|---|---|---|
| Activities of daily living (ADLs) | The Barthel Index to measure functional, activities of daily living (ADLs) (Mahoney and Barthel, 1965). | The Barthel Index is assessing a change between initial assessment, at 2, 6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Risk of falls | The risk of falls (Jonson Down questionnaire) | Changes between initial assessment, at 2, 6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive state | The cognitive state with Pfeiffer Scale (Pfeiffer, 1975) | Changes between initial assessment, at 2, 6 and 12 months |
| The Social Support State | The Social Support State ( assessed with the Gijon abbreviated questionnaire) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Torrecárdenas Hospital Complex (AlmerÃa) and AlmerÃa Health District | AlmerÃa | AlmerÃa | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28705187 | Derived | Vega-Ramirez FA, Lopez-Liria R, Granados-Gamez G, Aguilar-Parra JM, Padilla-Gongora D. Analysis of home-based rehabilitation in patients with motor impairment in primary care: a prospective observational study. BMC Geriatr. 2017 Jul 14;17(1):145. doi: 10.1186/s12877-017-0526-0. |
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According to current legislation ( RD 1090/2015 , Decree 439/210 ) and Law 14/2007 on Biomedical and Health Sciences Research, which regulates the process of clinical trials / observational studies, is the responsibility of the investigator to report regularly to the Committee on Ethics in Research Almeria ( AlmerÃa CEI ) the progress of the clinical trial / observational study.
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| ID | Term |
|---|---|
| D000071069 | Multiple Chronic Conditions |
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Changes between initial assessment, at 2, 6 and 12 months |
| Hospital readmissions | number of hospital readmissions | Hospital readmissions assessment at 12 months |