دورية أكاديمية
Rehabilitation for life: the effect on physical function of rehabilitation and care in older adults after hip fracture-study protocol for a cluster-randomised stepped-wedge trial.
العنوان: | Rehabilitation for life: the effect on physical function of rehabilitation and care in older adults after hip fracture-study protocol for a cluster-randomised stepped-wedge trial. |
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المؤلفون: | Ipsen JA; Department of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark. Jonas.Ammundsen.Ipsen@rsyd.dk.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. Jonas.Ammundsen.Ipsen@rsyd.dk., Pedersen LT; Department of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Health Education, University College South Denmark, Odense, Denmark., Viberg B; Department of Orthopaedic Surgery and Traumatology, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark., Nørgaard B; Department of Public Health, University of Southern Denmark, Odense, Denmark., Suetta C; Department of Geriatric and Palliative Medicine, Bispebjerg and Frederiksberg Hospitals, University of Copenhagen, Copenhagen, Denmark.; Department of Medicine, Herlev and Gentofte Hospitals, University of Copenhagen, Copenhagen, Denmark., Bruun IH; Department of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. |
المصدر: | Trials [Trials] 2022 May 07; Vol. 23 (1), pp. 375. Date of Electronic Publication: 2022 May 07. |
نوع المنشور: | Clinical Trial Protocol; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101263253 Publication Model: Electronic Cited Medium: Internet ISSN: 1745-6215 (Electronic) Linking ISSN: 17456215 NLM ISO Abbreviation: Trials Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2006- |
مواضيع طبية MeSH: | Hip Fractures*/diagnosis , Hip Fractures*/rehabilitation , Postural Balance*, Aged ; Exercise Therapy/methods ; Humans ; Patient Discharge ; Randomized Controlled Trials as Topic ; Time and Motion Studies |
مستخلص: | Background: A hip fracture is a serious event for older adults, given that approximately 50% do not regain their habitual level of physical function, and the mortality rate is high, as is the number of readmissions. The gap in healthcare delivery, as separated into two financial and self-governing sectors, might be a contributing cause of inferior rehabilitation and care for these patients. Therefore, we aim to assess the effect of continuous and progressive rehabilitation and care across sectors for older adults after hip fracture. Methods/design: The project is designed as a stepped-wedge cluster randomised controlled trial. The study population of patients are older adults 65 years of age and above discharged after a hip fracture and healthcare professionals in primary and secondary care (municipalities and hospitals). Healthcare professionals from different sectors (hospital and municipalities) will be engaged in the empowerment-orientated praxis, through a workshop for healthcare professionals with knowledge sharing to the older adults using a digital health application (app). The rehabilitation intervention consists of 12 weeks of progressive resistance exercises initiated 1-2 days after discharge. To improve communication across sectors, a videoconference involving the patient and physiotherapists from both sectors will be conducted. On day, 3 after discharge, an outreach nurse performs a thorough assessment including measurement of vital signs. A hotline to the hospital for medical advice is a part of the intervention. The intervention is delivered as an add-on to the usual rehabilitation and care, and it involves one regional hospital and the municipalities within the catchment area of the hospital. The primary outcome is a Timed Up and Go Test 8 weeks post-surgery. Discussion: Using a stepped-wedge design, the intervention will be assessed as well as implemented in hospital and municipalities, hopefully for the benefit of older adults after hip fracture. Furthermore, the collaboration between the sectors is expected to improve. Trial Registration: The study is approved by the Regional Scientific Ethics Committees of Southern Denmark (S-20200070) and the Danish Data Protection Agency (20-21854). Registered 9 of June 2020 at ClinicalTrials.gov, NCT04424186 . (© 2022. The Author(s).) |
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فهرسة مساهمة: | Keywords: Between sectors; Care; Empowerment; Hip fracture; Physical function; Rehabilitation; Stepped-wedge cluster randomised controlled trial |
سلسلة جزيئية: | ClinicalTrials.gov NCT04424186 |
تواريخ الأحداث: | Date Created: 20220507 Date Completed: 20220510 Latest Revision: 20220716 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC9077959 |
DOI: | 10.1186/s13063-022-06321-w |
PMID: | 35526010 |
قاعدة البيانات: | MEDLINE |
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