Clinical Trial: Self-management of Chronic Mobility Limitations in MUHC Seniors

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Promotion of Self-management of Chronic Mobility Limitations Among Vulnerable Seniors at the MUHC: Training the New Generation of Canadian Physiotherapists for This Role.

Brief Summary:

The population is aging and chronic conditions, which are major causes of pain and mobility limitations, are on the rise, however, current access to physiotherapy is difficult. Knowledge on managing disability is substantial, but methods to translate into action are lacking. This project is designed to test a novel method of promoting function in vulnerable seniors and simultaneously develop awareness in the new generation of physiotherapists that they can have a proactive role in health promotion. The investigators are proposing a pilot project targeting both students and patients.

The research question are (1) What are the needs of vulnerable patients at the MUHC? Two groups will be targeted; newly discharged seniors (who will be eligible for an intervention) and cancer outpatients who will be surveyed only);(2) For a senior population at risk for physical deterioration, to what extent is a personalized mentoring approach to optimizing function and preventing disability through developing self-management skills more effective in improving outcomes than the provision of written material covering the same general content? (3) Does a mentoring experience with vulnerable seniors through development and teaching of a self-management program (comprised of education and support) produce meaningful positive changes in future clinicians' knowledge, skills and attitude towards modes of delivering physiotherapy services and promoting self-management in Canadian seniors?

There are two phases to this study: a survey and randomized controlled trial (RCT). The survey phase will identify mobility needs of two groups, newly discharged seniors and cancer outpatients. The needs assessment for newly discharged seniors will identify people eligible for the (RCT) component; the needs assessment for cancer outpatients will inform the developme

Detailed Summary:
Sponsor: McGill University

Current Primary Outcome:

  • Brief Pain Questionnaire [ Time Frame: 2 time points (baseline and 6 months) ]
  • DASH [ Time Frame: 2 time points (baseline and 6 months) ]
  • LEFS [ Time Frame: 2 time points (baseline and 6 months) ]
  • RAND-MOS36 [ Time Frame: 2 time points (baseline and 6 months) ]
  • Short Self Efficacy scale [ Time Frame: 2 time points (baseline and 6 months) ]


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Health care utilization [ Time Frame: 2 time points (baseline and 6 months) ]
  • Medication management [ Time Frame: 2 time points (baseline and 6 months) ]


Original Secondary Outcome: Same as current

Information By: McGill University

Dates:
Date Received: May 3, 2012
Date Started: February 2013
Date Completion:
Last Updated: December 18, 2015
Last Verified: December 2015