Feasibility of a Multicomponent Frailty Intervention During Post-acute Rehabilitation in Skilled Nursing Facilities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Feasibility of the Intervention
研究概览
简要总结
The goal is to test feasibility of a frailty intervention, including exercises and nutritional supplementation.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Feasibility of the Intervention
时间窗: 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).
Feasibility of the Intervention
时间窗: 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).
次要结局
- Gait Speed(Discharge (on average between 2-3 weeks))
- Adherence to supplementation(Entire study period (on average over 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))
- 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))
研究者
Sandra Shi
Instructor of Medicine
Hebrew SeniorLife