Hip Fracture
Conditions
Keywords
Femoral Fractures, Hip Fractures, Frail older adults, Quality of Life, Feasibility Studies
Brief summary
The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.
Detailed description
The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.
Interventions
BEHAVIORALTelephone Support and Coaching
The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements: * Health Status * Medication Management * Activity/Exercise Prescription and Goal-Setting * Falls Prevention * Clarification of Appointments * Coordination of Post-Discharge Home Services * What To Do If a Problem Arises
BEHAVIORALEducation Only
An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture
Sponsors
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
60 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Adults (men and women) over 60 years of age * Fall related hip fracture * Community dwelling * English speaking
Exclusion criteria
* Dementia * Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.) * Profound hearing loss
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of study recruitment and retention | 1 year | Feasibility will be measured by recruitment rate (30%), and retention rate (\<10% attrition) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life EQ5D-5L | 4 months | The EQ5D-5L Quality of Life outcome measure is a self reported questionnaire measure, and has been extensively investigated in the hip fracture population, with well established sensitivity, reliability and validity properties. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Gait (Walking) speed | 4 months | Gait speed is a reliable, valid and sensitive measure likened to a vital sign. |
| Falls FES-1 | 4 months | Falls self efficacy questionnaire will be used. |
| Quality of Life ICECAP-O | 4 months | — |
| Falls self report diary | 4 months | Participants will record Falls in a check box format daily |
| The Hospital Anxiety and Depression Scale (HADS) | 4 months | The HADS is a 14 item self reported questionnaire designed to assess anxiety and depression |
| Pain: Visual Analogue Scale (VAS) | 4 months | — |
| de Morton Mobility Index (DEMMI) | 4 months | The DEMMI is a clinical instrument for measuring mobility in older adults. Interval levels are obtained from 0 (poor mobility) to 100 (excellent mobility) |
Countries
Canada
Outcome results
None listed