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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Greybox Solutions Inc. | UNKNOWN |
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Approximately 30,000 adults in Quebec over the age of 50 suffer a fragility fracture each year. Fractures can affect a person's health, well-being and autonomy. Personal costs of these fractures are high, with as many as 50% of hip fracture patients being unable to return their pre-fracture level of autonomy.
Homecare and community services provide customary rehabilitation support immediately following discharge from acute-care, though this contribution can be limited by lack of resources. For those patients at risk of negative outcomes, we have demonstrated clinically important benefits of extended exercise rehabilitation programs offered beyond the regular rehabilitation period on improving physical function.
Through advances in sensor and telecommunication technology, eHealth solutions incorporated within homecare services as an integral part of the continuum of care can lead to better patient and health professional experience, improve clinical outcomes and reduce costs to the healthcare system.
The purpose of this study is to determine if the implementation of a 3-month community-based extended-rehabilitation e-Monitoring and Coaching support program is more effective at improving mobility in community-dwelling elderly patients who have sustained a fracture than a printed material support program, and if these effects persist 6 months after discontinuation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Workbook support group | Experimental | Printed educational workbook and pedometer. |
|
| HIP Mobile e-Monitoring support group | Experimental | Remote monitoring via smart shoe insoles and a coaching with enabling educational electronic program accessed through a tablet. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HIP Mobile e-Monitoring support | Device | 3-month community-based extended-rehabilitation e-Monitoring and Coaching support program |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in mobility | Measured as an ordinal mobility response variable quantified by the number of minimal clinically important changes (MIC) a participant attains using the gait speed and 30 second Sit to Stand tests. A person making no MIC in either measure is given a response category of 0, the lowest. A person changing by 1 MIC on only of the measures (either one) will be given a value of 1; a MIC gain on both measures would be assigned a value of 2, and so forth. | 0, 1, 3, and 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in grip strength | Measured using a Jamarâ„¢ hand dynamometer. | 0, 1, 3, and 7 months |
| Change in walking endurance | Measured using the 2-minute walk test. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Suzanne Morin, MD | Research Institute of the McGill University Health Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McGill University Health Centre | Montreal | Quebec | H3G 1A4 | Canada | ||
| Jewish General Hospital |
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Pragmatic randomized trial
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| Workbook support | Other | Printed material support |
|
| 0, 1, 3, and 7 months |
| Change in balance | Measured using the Berg Balance Scale. | 0, 1, 3, and 7 months |
| Change in the spatial area an individual moves through | Measured using the Life Space Mobility Assessment | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in global function status | Measured using the Reintegration to Normal Living Index (RNLI) | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in perceived physical health status | Measured by the physical function subscale of the RAND-36 | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in Health-related quality of life | Measured by the EQ-5D | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in patient-reported health perception | Measured by the How Are You Today? Visual Analog Health States | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in goal directed behavior | Measured by the Apathy Evaluation Scale | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in global quality of life (QOL) | Measured by Patient Generated Index (PGI) | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in cognition | Measured by the Perceived Deficits Questionnaire (PDQ) | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Change in confidence in maintaining balance while doing daily activities. | Measured by the Activities-specific Balance Confidence Scale (ABC-S) | 0, 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 months |
| Montreal |
| Quebec |
| H3T 1E2 |
| Canada |
| St. Mary's Hospital Center | Montreal | Quebec | H3T 1M5 | Canada |
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |
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