ABI-aftercare in Motion: Multidisciplinary Aftercare in the Home Environment in Patients With Acquired Brain Injury; an Implementation Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Difference in proportion of patients participating in buddy support programs after rehabilitation discharge
研究概览
简要总结
The goal of this implementation study is to improve aftercare for patients with ABI receiving outpatient rehabilitation. The ABI-motion program was developed to improve and active lifestyle and to prevent persistent complaints after ABI and poor HR-QoL.The main questions it aims to answer are:
- Is the ABI-motion program feasible?
- What are the health benefits of the ABI-motion program?
Participants will receive brain education, a joint therapy session with a physical or occupational or movement therapist and a buddy from a patient support organization during outpatient rehabilitation, followed by community buddy support after discharge from outpatient rehabilitation, and follow-up by a rehabilitation physician.
详细描述
Rationale: Many people with acquired brain injury (ABI) experience difficulties in reintegration into their social life after discharge from the rehabilitation center. It is also known that people with ABI do not meet the physical activity guidelines; they have lower physical activity levels than healthy people and they have difficulty maintaining their physical fitness level reached during rehabilitation. An inactive lifestyle may lead to persistent complaints, such as fatigue, anxiety or depression, and may result in a poor health-related quality of life (HR-QoL).
Objective: To improve aftercare for patients with ABI receiving outpatient rehabilitation, aimed at promoting an active lifestyle to prevent persistent complaints after ABI and poor HR-QoL.
Study design: Care improvement study using a prospective mono-center cohort with a pre-post implementation study design.
Study population: Patients with ABI receiving outpatient rehabilitation therapy.
Intervention (if applicable): Implementation of an aftercare program that strengthens the cooperation between rehabilitation center and local patient support organisations in the community. The aftercare program integrates standard outpatient rehabilitation and community services, including: 1) brain education regarding long-term consequences of ABI, physical activity guidelines, and patient support organizations in the area; 2) a joint physical/ occupational/ movement therapy session with a buddy from a patient support organisation during outpatient rehabilitation; 3) buddy support (max 8 hrs) in the community towards an active lifestyle after rehabilitation discharge; 4) follow-up by the rehabilitation physician.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with ABI
- •Follows an outpatient rehabilitation program for ABI in Rijndam Rehabilitation
排除标准
- •Having a contra-indication for participation in moderate to vigorous exercise
- •Life expectancy < 1 year
- •Incapacitated persons
结局指标
主要结局
Difference in proportion of patients participating in buddy support programs after rehabilitation discharge
时间窗: 3, 6, 12 months
Proportion of patients in the ABI-motion group that continues community buddy support after rehabilitation discharge compared with standard care
Mean rating of satisfaction with the ABI-motion program
时间窗: 12 months
Satisfaction with the ABI-motion program is rated on a rating scale, ranging from 0 (worst) to 10 (best).
次要结局
- Change in Montreal Cognitive Assessment (MoCA) score at 6 and 12 months compared with controls.(0, 6,12 months)
- Change in handgrip strength at 6 and 12 months compared with controls(0, 6, 12 months)
- Change in physical and mental components of health-related quality of life at 3, 6, and 12 months compared with controls(0, 3, 6, 12 months)
- Change in health care use at 3, 6, 12 months compared with controls(0, 3, 6, 12 months)
- Change in medical consumption at 3, 6, 12 months compared with controls(0, 3, 6, 12 months)
- Change in Walking Speed at 6 and 12 months compared with controls(0, 6, 12 months)
- Change in fatigue at 3, 6, and 12 months compared with controls(0, 3, 6, and 12 months)
- Change in coping style at 3, 6, and 12 months compared with controls(0, 3, 6, and 12 months)
- Change in fitness at 3, 6,12 months compared with controls(0, 3, 6, 12 months)
- Change in social participation and health care use at 3, 6, 12 months compared with controls(0, 3, 6, 12 months)
- Change in total minutes of physical activity/week at 6 and 12 months compared with controls(0, 6, 12 months)
- Change in functional exercise capacity at 6 and 12 months compared with controls(0, 6, 12 months)
- Change in health-related quality of life at 3, 6, and 12 months compared with controls(0, 3, 6, 12 months)
- Change in physical activity at 3, 6,12 months compared with controls(0, 3, 6, 12 months)
- Change in anxiety and depression at 3, 6, and 12 months compared with controls(0, 3, 6, and 12 months)
- Change in cognitive failures at 3, 6, and 12 months compared with controls(0, 3, 6, and 12 months)
研究者
Majanka H. Heijenbrok-Kal, PhD
Clinical epidemiologist
Erasmus Medical Center