The Effects of a Home-based Occupational Therapy Tele-rehabilitation Via Smartphones for Outpatients After Hip Fracture Surgery in Hong Kong: A Feasibility Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 31
- 试验地点
- 2
- 主要终点
- Timed up and go test (TUG)
研究概览
简要总结
The investigators will investigate the effects of a home-based occupational therapy telerehabilitation (TR) via smartphones in enhancing functional and motor performances, and fall efficacy, for outpatients receiving day hospital rehabilitation after hip fracture surgery.
This is a feasibility randomized controlled trial with two groups - experimental and comparison groups, involving older adults after hip fracture surgery within 12 weeks attending the Geriatric Day Hospital. Patients will be assessed at baseline, immediately post 3-weeks intervention, and follow-up after 3-weeks for motor performances, daily activities functioning and fall efficacy. The experimental group will receive home program using the use of Caspar Health e-system and a mobile app in smartphones, while the comparison group will receive paper-and-pencil instructions for the home program on weekly basis, for 3 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary diagnosis of hip fracture
- •Post-hip surgery within 12 weeks
- •Aged 60 years old or above
- •Medically stable
- •With Abbreviated Mental Test scored 6 or above
- •Having at least one functional limitation in the basic activities of daily living assessments
排除标准
- •The hip fracture is the result of malignancy
- •There is risk of falls due to postural hypotension
- •Either patients or caregiver do not understand Cantonese, English or Mandarin instructions
- •They do not use a smartphone
- •They are unable to read the instructions on the screen of the smartphone because of visual difficulty
结局指标
主要结局
Timed up and go test (TUG)
时间窗: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
It measures fall risk and progress in walking speed (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Pain Visual Analogue Scale (VAS)
时间窗: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
It measures pain intensity. It consists of a 100mm horizontal line anchored with two opposite labels, i.e. labelled at the left end as 'no pain' (0mm) and at the right end as 'very severe pain' (100mm). (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
The Functional Reach Test (FR)
时间窗: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
It measures balance (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
Muscle strength (MS)
时间窗: Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks)
It will be measured using a force gauge on the strength of Quadriceps of both the affected and the non-affected legs (Change from baseline at post 3-week intervention and follow-up after 3 weeks)
次要结局
- The Fall Efficacy Scale (FES)(Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks))
- The Morse Fall Scale (MFS)(Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks))
- The Hong Kong Chinese version of the Modified Barthel index (MBI)(Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks))
- The Hong Kong Chinese version of the Lawton Instrumental Activities of Daily Living (IADL)(Measure assessing change between three time points (baseline, post 3-week intervention and follow-up after 3 weeks))
研究者
Kenneth N. K. Fong
Associate Professor
The Hong Kong Polytechnic University