Feasibility of a Multicomponent Frailty Intervention During Post-acute Rehabilitation in Skilled Nursing Facilities
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Frailty
- Sponsor
- Hebrew SeniorLife
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Feasibility of the Intervention
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
The goal is to test feasibility of a frailty intervention, including exercises and nutritional supplementation.
Detailed Description
The frailty intervention includes frequent short exercise sessions incorporating balance, resistance training, and walking to accommodate diminished endurance, with synergistic protein and nutritional supplementation, delivered on top of usual care in the post-acute Skilled Nursing Facility (SNF) setting. There is no control group.
Investigators
Sandra Shi
Instructor of Medicine
Hebrew SeniorLife
Eligibility Criteria
Inclusion Criteria
- •Community-dwelling before hospitalization
- •Age ≥ 65 years
- •Admitted to SNF directly from inpatient hospitalization
- •English speaking
- •Mild Frailty or worse, as measured by a Clinical Frailty Scale
Exclusion Criteria
- •Discharged from Emergency Department
- •Non-community discharge plan on admission (e.g. plan to discharge to hospice)
- •Nothing per oral (NPO) dietary status
- •Presence of any feeding tube
- •Chronic kidney disease stage IV or worse
- •Clinician refusal
- •Inability or refusal to consume intervention products (e.g. allergies to protein supplement)
- •Inability to consent to study procedures
Outcomes
Primary Outcomes
Feasibility of the Intervention
Time Frame: Estimated average <1 month
Feasibility will be determined by assessing 1) the proportion of eligible patients enrolled, and 2) the proportion of participants adherent to the intervention Range: 0-100% (higher values indicate higher feasibility).
Secondary Outcomes
- Adherence to supplementation(Entire study period (on average over 2-3 weeks))
- Gait Speed(Discharge (on average between 2-3 weeks))
- Grip Strength(Discharge (on average at 2-3 weeks))
- The Patient Reported Outcomes Measurement Information System (PROMIS Global Health v1.2)(Discharge (on average at 2-3 weeks))
- Modified Barthel Index(Discharge (on average at 2-3 weeks))
- Adherence to exercise(Entire study period (on average over 2-3 weeks))