orthopedisch (heupfractuur) en als toevoeging bij psychische stoornis: verandering in lichamelijke activiteit concerned to fall fear of falling
Conditions
Interventions
The control group receives care as usual, as embedded in the care pathway
geriatric rehabilitation for hip fracture patients. The intervention group
receives the FIT-HIP intervention integrated in t
Sponsors
Leids Universitair Medisch Centrum, afdeling Public Health en Eerstelijnsgeneeskunde (PHEG)
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Aged 65 years or older - Admitted to a geriatric rehabilitation unit for rehabilitation due to a hip fracture - Concerned to fall. This is measured by the one item fear of falling question (answering *positively* in the category sometimes, often or very often)
Exclusion criteria
Exclusion criteria: - The patient has a condition interfering with learning ability, such as: 1.A diagnosis of dementia or score on the 'hetero-anamnesis list cognition' > 1, suggesting pre-morbid cognitive problems 2.A major psychiatric disease 3. Insufficient mastery of Dutch language - The patient has a limited life expectancy - The patient has a pathological hip fracture - Pre-fracture Barthel-index score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect evaluation: Reduction in the fear of falling, measured with the Falls Efficacy Scale International (FES-I). Improvement in mobility measured by the Tinetti Performance Oriented Mobility Assessment (POMA). Process evaluation: Within the framework of the process evaluation, fidelity; completeness; exposure; satisfaction; reach; recruitment and context will be evaluated by quantitative and qualitative analysis. Economic evaluation: This consists of a cost-effectiveness analysis. The health care costs consist of intervention costs and general health care costs such as costs for the rehabilitation, hospital administrations, use of physiotherapy and home care. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Functional status (activities of daily living; measured with the Barthel Index and Functional Ambulation Categories), - Participation (Utrechtse Schaal voor de Evaluatie van Revalidatie- Participatie- subscale/ question 2) - Quality of life (EQ5D) - Fall frequency (measured by self registration fall calendars) - Discharge destination | — |
Countries
Netherlands
Outcome results
None listed