S72.0 S72.1 S72.2
Conditions
Interventions
Group 1: Intervention group: Patients undergo a digitally guided therapy and training program. The intervention period is 12 weeks and consists of the following three components:
- Training to introdu
once a week for the first three weeks, then once every three weeks thereafter
- Therapy and training program with the web-based application/app:
o Training that includes the following components: In
Sponsors
Hochschule Bochum
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: - Surgery after femur fracture S72.0, S72.1 , S72.2 ICD-10. - Possession of a digital device (smartphone, tablet, laptop or computer) - Ability to operate the device independently - Access to internet at home - Release into the home environment - Signed declaration of consent - DEMMI 44, Tinetti 18 - Ability to speak and write German
Exclusion criteria
Exclusion criteria: - People whose fracture has been caused by malignancies - People who have contraindications (loss of consciousness and cardiovascular disease) for physical activity without medical supervision. If there is any uncertainty regarding suitability for physical training, a medical assessment will be requested. - Presence of the following secondary diagnoses: - Serious psychological illness: e.g. moderate and severe depressive episode, generalized anxiety disorder, schizophrenia or similar - Unstable health condition: e.g. requiring dialysis, chemotherapy at the time of recruitment, red flags for serious illness (nocturnal pain, severe muscle cramps, involuntary weight loss, unexplained symptoms) or similar - Moderately severe cognitive impairment (Mini Mental State Status <19)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Four measurement time points are planned: 1. T0 assessment = after study inclusion and before randomization/start of the intervention; 2. T1 assessment = before imminent discharge from inpatient rehabilitation; 3. T2 assessment = 12 weeks after the start of the intervention; 4. T3 = 24 weeks after the start of the intervention. Functional independence using the Functional Independence Measure (FIM) at T0-T3 | — |
Secondary
| Measure | Time frame |
|---|---|
| - Mobility (De Morton Mobility Index (DEMMI)) measured T0-T3 - Mobility and fall risk (Tinetti test and Timed-Up-and-Go (TUG) measured T0-T3 - Functionality (Short Physical Performance Battery Test (SPPBT) measured T0-3 - Subjective pain perception (Numeric Rating Scale (NRS)) measured T0-T3 - Walking time (6-minute walking test (6MGT)) measured T0-T3 - Health-related quality of life (European Quality of Life 5 Dimensions 5 Level Version (EuroQol-5-5L)) measured T0-T3 - Muscle mass (bioelectrical impedance analysis (BIA)) measured T0-T3 - Utilization of treatments in addition to the intervention (intervention group) or at all (control group) after discharge from inpatient rehabilitation (logbook) measured T1 and T3 - User satisfaction with the app (System Usability Scale (SUS)) measured T2 - Patient satisfaction with the intervention (Patient Satisfaction Questionnaire (ZUF-8)) measured T2 - Use of the app (app usage data) measured T2 | — |
Countries
Germany
Contacts
Public ContactChristian Grüneberg
Hochschule Bochum
Outcome results
None listed