None listed
Conditions
Brief summary
This study aims to test the feasibility and acceptability of a telehealth supported physical intervention and its effect on functional capacity of palliative care recipients in the community. Who is it for? You may be eligible to join this study if you are aged 18 years or older, living at home and are receiving community palliative care. You should be able to complete a sit-to-stand transfer without any physical assistance. Study details Participants in this study will be randomly allocated (by chance) to one of two groups. Participants in both groups will be provided with a chair with arms, and be taught by a physiotherapist or occupational therapist the most effective and safest way to move from sitting to standing rom this chair. Participants will be provided with an iPad to use for the duration of the study. It will have a video on it that shows how to safely complete ‘sit-to-stand’ using the chair provided. Participants in one group will be asked to complete 5 x Sit-To-Stand transfers five times a day or as able throughout the 5 week intervention period. Participants in the other group will not be asked to do this. All participants will be asked to complete two self-report questionnaires via an iPad once a week for 6 weeks to assess their functional capacity and quality of life. They will also be asked to wear an activity monitor for three 7 day monitoring periods. Participants may also be invited to participate in an interview about their participation in this study and their perceptions of its relationship to their activity levels and well-being. The findings from this project may have implications for the care of people receiving community palliative care and for further larger scale studies in this area.
Interventions
Training sessions: Initial training will occur at baseline and be delivered by a trained occupational or physiotherapist. Both Arm 1 (Intervention) and Arm 2 (Control) will receive a low back chair with arms and education on the safest and most effective way to complete a sit-to-stand transfer from a chair at baseline. All participants will be shown how to access to the Physitrack app on the iPad and its video demonstration of correct procedures for completing a sit-to-stand transfer.
Arm 1 (I
Training sessions: Initial training will occur at baseline and be delivered by a trained occupational or physiotherapist. Both Arm 1 (Intervention) and Arm 2 (Control) will receive a low back chair with arms and education on the safest and most effective way to complete a sit-to-stand transfer from a chair at baseline. All participants will be shown how to access to the Physitrack app on the iPad and its video demonstration of correct procedures for completing a sit-to-stand transfer. Arm 1 (Intervention) will be taught the intervention at baseline. Mode of administration: individual face-to-face session in the patient’s home Frequency and duration: Arm 1 will be asked to complete 5 repetitions of 5x Sit-to-Stand at ~ 2 hourly intervals or as able each day for 6 weeks. Research assistants who deliver the intervention at baseline will be either an occupational therapist or physiotherapist depending on recruitment. They will be trained in methods for assessing baseline and completion measures to ensure consistency (Weeks 1 and 6). An Allied Health Assistant trained in the study protocol will visit at Weeks 2-5 to monitor transfer status, apply or remove an activity monitor and prompt participants to self-report function and wellbeing via an iPad. Intervention adherence will be monitored by the activity monitor and the Allied Health Assistant who will remind participants to complete self-reports at their weekly visit.
Sponsors
Flinders University, College of Nursing and Health Sciences
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
AKPS score of 60-70 at commencement Resource Utilisation Group - Activities of Daily Living (RUG-ADL) transfer score of 1 (i.e. requires no physical assistance to complete a sit-to-stand transfer) Montreal Cognitive Assessment (MoCA) score of greater than or equal to 18 (i.e mild or no cognitive impairment) Participants will be community palliative care clients and will be reasonably familiar with or willing to use an iPad
Exclusion criteria
AKPS: 50 or below, 80 and above RUG-ADL: transfer score between 3-5 MoCA score of equal to or less than 17.
Outcome results
None listed