Enhanced Medical Rehabilitation in Older Adults
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 229
- Locations
- 3
- Primary Endpoint
- Change in Barthel Index Score
Study Overview
Brief Summary
The purpose of this study is to provide evidence that Enhanced Medical Rehabilitation is an effective treatment for older adults after disabling medical events.
Detailed Description
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •65 and older
- •Admitted to a skilled nursing facility for post-acute care from PT and OT for 2 weeks or more.
Exclusion Criteria
- •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.
Arms & Interventions
Standard of Care Rehabilitation
Intervention: Standard of Care Rehabilitation (Behavioral)
Enhanced Medical Rehabilitation
Intervention: Enhanced Medical Rehabilitation (Behavioral)
Outcomes
Primary Outcomes
Change in Barthel Index Score
Time Frame: Baseline and Discharge, an average of 24 days.
Barthel Index scores range from 0 to 100, with higher scores indicating greater levels of function.
Secondary Outcomes
- 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)
- Discharge Disposition(Discharge, an average of 24 days after baseline.)
- 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)
Investigators
Eric Lenze
Professor of Psychiatry
Washington University School of Medicine