Outcome of Rehabilitation of Older People in Primary Health Care

Completed

• Conditions: Stroke; Hip Fractures; Osteoarthritis; Chronic Disease
• Interventions: Other: Rehabilitation

• Registration Number: NCT01457300
• Lead Sponsor: University of Oslo

Brief Summary

The Outcome of Multi-Disciplinary, Structured Rehabilitation of Older People in a District Inpatient Rehabilitation Centre is better than in a Standard Primary Health Care Rehabilitation Programme in Short Term Beds in Nursing Homes.

Detailed Description

Not available

Study Timeline

• Study Start: 2006-06
• Primary Completion: 2009-04
• Study Completion: 2010-10
• Status Verified: 2011-10
• Study First Submitted: 2011-10-12
• Study First Submitted QC: 2011-10-19
• Study First Posted: 2011-10-21
• Last Update Submitted: 2011-10-24
• Last Update Posted: 2011-10-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 302

Inclusion Criteria

• Both Genders
• Age=>65 Years
• Diagnoses: Stroke, Hip Fractures, Osteoarthritis, Chronic, slowly progressing Diseases, Functional Decline due to Old Age, Functional Decline due to Long Hospital Stay
• Assessed to have a Rehabilitation Potential

Exclusion Criteria

• Age<65 Years
• Patietns with Highly Progressive Diseases
• Sunnaas ADL Index<10
• MMSE<18
• Deeply Depressed Patients with no Initiative
• Patients with Speech Dyspnoea
• Patients with unstable Angina Pectoris
• Patients with not diagnosed Cardiac Arrythmias

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
District Rehabilitation Centre (Model 1)	Rehabilitation	Patients admitted to Primary Health Care Rehabilitation, either Post-Acute from the Same District General Hospital or Directly from their Homes. They were recruited continuously at Entrance to the Rehabilitation Centre.

Primary Outcome Measures

Name	Time	Method
Change in Sunnaas ADL Index	Change from Baseline in Sunnaas ADL Index at End of Rehabilitation. Change from End of Rehabilitation in Sunnaas ADL Index at 3 months. Change from End of Rehabilitation in Sunnaas ADL Index at 18 Months	Sunnaas ADL Index measures 12 Activities of Daily Life. Each Activity has a Score from 0-3, where 0=totally dependent and 3=independent. The Total Max Score of 36 means Totally Independent.

Secondary Outcome Measures

Name	Time	Method
Change in Umea Life Satisfaction Checklist	Change from End of Rehabilitation in Umea Life Satisfaction Checklist at 3 Months after Rehabilitation.	A Simple and Validated Questionnaire, testing Life Satisfaction. We chose Two of the Questions: LSCa: How satisfied are you with your Life in general? LSCb: How satisfied are you with your Ability to manage your Self-Care? The Scores are 1-3=not satisfied and 4-6=satisfied
Mini Mental Status Evaluation=MMSE	MMSE Recorded Two Weeks into Rehabilitation	MMSE measures Cognitive Function. Scores are from 0-30, where 30 indicates no Cognitive Problems.
Symptom Check List 10=SCL10	SCL10 recorded at two Weeks into Rehabilitation	SCL10 is a Questionnaire mapping Emotional Health during the Previous Week, particularly Anxiety and Depression. SCL-10 comprises Ten Questions with Scores from 1-4. The Final Score is the Total Score sum divided by Ten. Scores\>1.85 indicate Severe Emotional Problems
Home Care Services	Change from End of Rehabilitation in Home Care Services at Three Months after Rehabilitation	The care scores were: 1:0 hour/week, 2:\>0-3 hours/week, 3:\>3-6 hours/week, 4:\>6-9 hours/week, and 5:\>9 hours/week.
Informal Care from Relatives	Change in Informal Care from relatives from End of Rehabilitation at Three Months after Rehabilitation	Care Scores: 1:0 Hour/Week, 2:\>0-3 Hours/Week, 3:\>3-6 Hours/Week, 4:\>6-9 Hours/Week, and 5:\>9 Hours/Week.

Trial Locations

Locations (2)

Department of General Practice/General Practice Research Unit, Institute of Health and Society, University of Oslo; 🇳🇴 Oslo, Norway

Prestelokka Rehabilitation Centre; 🇳🇴 Stavern, Vestfold, Norway