Fear of Falling Intervention in Hip Fracture Geriatric Rehabilitation: a Cluster Randomised Controlled Trial

Recruiting

Conditions: orthopedisch (heupfractuur) en als toevoeging bij psychische stoornis: verandering in lichamelijke activiteit
concerned to fall
fear of falling
10002861

Registration Number: NL-OMON43792

Lead Sponsor: eids Universitair Medisch Centrum, afdeling Public Health en Eerstelijnsgeneeskunde (PHEG)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 150

Inclusion Criteria

- Aged 65 years or older
- Admitted to a geriatric rehabilitation unit for rehabilitation due to a hip fracture
- Concerned to fall. This is measured by the one item fear of falling question (answering *positively* in the category sometimes, often or very often)

Exclusion Criteria

- The patient has a condition interfering with learning ability, such as:
1.A diagnosis of dementia or score on the 'hetero-anamnesis list cognition' > 1, suggesting
pre-morbid cognitive problems
2.A major psychiatric disease
3. Insufficient mastery of Dutch language
- The patient has a limited life expectancy
- The patient has a pathological hip fracture
- Pre-fracture Barthel-index score < 15 (as a measure of ADL dependency)

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Effect evaluation: Reduction in the fear of falling, measured with the Falls<br /><br>Efficacy Scale International (FES-I). Improvement in mobility measured by the<br /><br>Tinetti Performance Oriented Mobility Assessment (POMA).<br /><br>Process evaluation: Within the framework of the process evaluation, fidelity;<br /><br>completeness; exposure; satisfaction; reach; recruitment and context will be<br /><br>evaluated by quantitative and qualitative analysis.<br /><br>Economic evaluation: This consists of a cost-effectiveness analysis. The health<br /><br>care costs consist of intervention costs and general health care costs such as<br /><br>costs for the rehabilitation, hospital administrations, use of physiotherapy<br /><br>and home care. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>- Functional status (activities of daily living; measured with the Barthel<br />Index and Functional Ambulation Categories),<br />- Participation (Utrechtse Schaal voor de Evaluatie van Revalidatie-<br />Participatie- subscale/ question 2)<br />- Quality of life (EQ5D)<br />- Fall frequency (measured by self registration fall calendars)<br />- Discharge destination </p>