HIP Fracture REhabilitation Programme

Not Applicable

Completed

• Conditions: Hip Fractures
• Interventions: Other: Usual care; Other: HIP-REP

• Registration Number: NCT04207788
• Lead Sponsor: Carsten Bogh Juhl

Brief Summary

Objectives: To evaluate the effect of a HIP-REP on the quality and independence in ADL ability (performance), measured with the Assessment of Motor and Process Skills (AMPS) and health-related Quality of Life (QoL).

Hypothesis: The HIP-REP will increase the quality and independence in ADL performance, measured with AMPS and health-related QoL measure.

Detailed Description

Little is known about the effect of an intersectoral rehabilitation intervention aiming at reducing the decrease in Activities of Daily Living (ADL) ability for elderly with hip fractures. Despite positive surgical outcomes, one-quarter dies within a year after surgery, around eight percent are readmitted to hospital, and just one-third regain their pre-fracture level of physical functioning and ADL ability. After hip fracture, the loss of independence, and further decrease in ADL ability often persists beyond three months after surgery. This increases the risk of social isolation, depression and thus a decrease in QoL. Therefore, the investigators want to evaluate whether an activity-based rehabilitation intervention across sectors is effective and influences this fragile group of patients. The investigators hope to increase the ability to safely and independently perform ADL in elderly with hip fractures, and thereby enhance their health-related QoL.

Study Timeline

• Study First Submitted: 2019-12-19
• Study First Submitted QC: 2019-12-19
• Study First Posted: 2019-12-23
• Study Start: 2020-01-28
• Primary Completion: 2021-03-01
• Study Completion: 2021-04-30
• Status Verified: 2022-03
• Last Update Submitted: 2022-03-15
• Last Update Posted: 2022-03-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Aged 65 years or older
• Recent proximal hip fracture (S 72.0 medial femur fracture, S 72.1, pertrochanteric femur fracture, S 72.2 subtrochanteric femur fracture)
• Living at home prior to hip fracture in Herlev, Gentofte, Furesoe, Rudersdal or Lyngby-Taarbæk municipalities
• Ability to give informed consent

Exclusion Criteria

• Not expected to be discharged to home or rehabilitation centers in the municipality
• Not able to speak and/or understand Danish
• Have prior severe physical and /or mental disabilities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Usual care	Usual care	The elderly with hip fracture in the control group will receive usual care.
Intervention	HIP-REP	HIP-REP programme offers elderly with hip fracture add on activity-focused interventions.

Primary Outcome Measures

Name	Time	Method
Assessment of Motor and Process Skills	Change frombaseline at motor and process skills 3 and 6 months after baseline testing	The assessment measures the quality of a person's activity of daily living task performance. An observational assessment that allows for evaluation of change in motor and process skills and their effect on the ability of an individual to perform complex or instrumental and personal activities of daily living. The instrument consists of 16 motor and 20 process skill abilities that are rated on a 4-point scale. The rating scale is based on the following criteria (Quality of performance); 4 = Competent, 3 = Questionable, 2 = Ineffective or 1 = Severely deficient. In all, 36 discrete ratings of motor and process skills are made during observation.

Secondary Outcome Measures

Name	Time	Method
Verbal Rating Scale	At baseline and 3 and 6 months after baseline testing	An assessment measuring the intensity of pain. The patient chooses one of those: none, mild, moderate or severe.
Functional Recovery Score	at baseline and 3 and 6 months after baseline testing	Functional Recovery Score assess the level of function with eleven-items comprised of three main components: basic activities of daily living assessed by four items, instrumental activities of daily living assessed by six items, and mobility assessed by one item. Basic activities of daily living comprise 44 percent of the score; instrumental activities of daily living comprise 23 percent, and mobility comprises 33 percent. Complete independence in basic and instrumental activities of daily living and mobility results in a score of 100percent.
European Quality of Life Questionnaire	At baseline and 3 and 6 months after baseline testing	A survey collecting information about health related quality of life comprising five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems.

Trial Locations

Locations (1)

Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; 🇩🇰 Copenhagen, Herlev, Denmark