Enhanced Medical Rehabilitation in Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 229
- 试验地点
- 6
- 主要终点
- Change in Barthel Index Score
研究概览
简要总结
The purpose of this study is to provide evidence that Enhanced Medical Rehabilitation is an effective treatment for older adults after disabling medical events.
详细描述
The intervention involves physical and occupational therapy for patients who have been admitted to a skilled nursing facility for therapy following a disabling medical event.
Participants in this study will be randomly assigned to receive either Enhanced or standard of care therapy, meaning they will either receive their PT (Physical Therapy)& OT(Occupational Therapy) from therapists who have been specially trained in the study intervention or from therapists with normal training. Participants will be assessed at baseline, 30, 60, and 90 days after baseline, and at the date of their discharge from the skilled nursing facility.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •65 and older
- •Admitted to a skilled nursing facility for post-acute care from PT and OT for 2 weeks or more.
排除标准
- •Language, visual or hearing barriers to participation
- •Medical illness preventing study participation or accurate data collection
- •Moderate-severe dementia (demonstrated by chart diagnosis and/or short blessed score greater than 13)
- •Progressive neurological condition such that recovery of function is not feasible
- •Patient did not have the ability to walk prior to hospitalization (e.g. paraplegic)
- •Schizophrenia or other chronic or current psychotic disorder.
结局指标
主要结局
Change in Barthel Index Score
时间窗: Baseline and Discharge, an average of 24 days.
Barthel Index scores range from 0 to 100, with higher scores indicating greater levels of function.
次要结局
- Discharge Disposition(Discharge, an average of 24 days after baseline.)
- Gait Speed (Determined by 4 or 10 Meter Walk Test)(Discharge, an average of 24 days after baseline.)
- Self-reported Barthel Index(30, 60, and 90 Days Post Admission to the SNF)
- Distance Ambulated in 6-Minute Walk Test(Discharge, an average of 24 days after baseline.)
- Rehospitalizations(Days 30, 60, and 90 post admission to a SNF as well as at Discharge)
研究者
Eric Lenze
Professor of Psychiatry
Washington University School of Medicine