Feasibility of an app-supported care concept for geriatric patients after a proximal femur fracture

Not Applicable

Conditions: S72.0
S72.1
S72.2
Fracture of neck of femur
Pertrochanteric fracture
Subtrochanteric fracture

Registration Number: DRKS00034496

Lead Sponsor: Hochschule für Gesundheit

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 29

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

- 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)

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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 = 18 weeks after the start of the intervention.<br><br>Functional independence using the Functional Independence Measure (FIM) at T0-T3

Secondary Outcome Measures

Name	Time	Method
- Mobility (De Morton Mobility Index (DEMMI)) measured T0-T3<br>- Mobility and fall risk (Tinetti test and Timed-Up-and-Go (TUG) measured T0-T3<br>- Functionality (Short Physical Performance Battery Test (SPPBT) measured T0-3<br>- Subjective pain perception (Numeric Rating Scale (NRS)) measured T0-T3<br>- Walking time (6-minute walking test (6MGT)) measured T0-T3<br>- Health-related quality of life (European Quality of Life 5 Dimensions 5 Level Version (EuroQol-5-5L)) measured T0-T3<br>- Muscle mass (bioelectrical impedance analysis (BIA)) measured T0-T3<br>- 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<br>- User satisfaction with the app (System Usability Scale (SUS)) measured T2<br>- Patient satisfaction with the intervention (Patient Satisfaction Questionnaire (ZUF-8)) measured T2<br>- Use of the app (app usage data) measured T2