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Trial registered on ANZCTR
Registration number
ACTRN12606000213549
Ethics application status
Approved
Date submitted
30/05/2006
Date registered
30/05/2006
Date last updated
1/09/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Hospital versus home-based pre-discharge occupational therapy consultations for older people: a pilot study
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Scientific title
Occupational Therapy consultations to improve rehabilitation and reintegration back to normal living of hospitalised older people who will return to community living post-discharge.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hospitalised older people who will return to community living post-discharge.
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Condition category
Condition code
Physical Medicine / Rehabilitation
1276
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0
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Occupational therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1. Home-based pre-discharge occupational therapy assessment and education: Participants will receive a single home-based occupational therapy assessment, one-on-one education about safe performance of activities in and around their home, recommendations for home modifications, and observation of use of prescribed equipment. The home visit will occur at the address that the participant is to be discharged to after hospital.
2. Hospital-based pre-discharge occupational therapy assessment and education: Participants will receive a single hospital-based occupational therapy consultation (initial assessment and interview addressing self-care, home duties, home and community mobility, social and leisure activities; observation, practice and education about safe performance where appropriate inside the hospital, and provision of equipment and information about available community services). Participants will not receive a home visit assessment from any member of staff prior to discharge.
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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Reintegration to Normal Living Index
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, and at 2-weeks, 1-month, and 2-months post-discharge
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Primary outcome [2]
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Functional Independence Measure ™
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Assessment method [2]
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Timepoint [2]
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Measured at baseline, and at 2-weeks, 1-month, and 2-months post-discharge
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Secondary outcome [1]
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Performance-Oriented Mobility Assessment
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, and at 2-weeks, 1-month, and 2-months post-discharge.
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Secondary outcome [2]
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EuroQoL
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Assessment method [2]
3077
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Timepoint [2]
3077
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Measured at baseline, and at 2-weeks, 1-month, and 2-months post-discharge.
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Secondary outcome [3]
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Falls Efficacy Scale (FES-I)
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Assessment method [3]
3078
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Timepoint [3]
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Measured at baseline, and at 2-weeks, 1-month, and 2-months post-discharge.
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Eligibility
Key inclusion criteria
Mild or no cognitive impairment, and who are community dwelling prior to current hospital admission and plan to return to same dwelling on discharge (non-institutional).
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Minimum age
65
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Medical contraindications that would require strict adherence to equipment recommendations.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation with opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Excel software was used to generate the study randomisation sequence.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
27/02/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Royal Rehabilitation Centre, Sydney
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Address [1]
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PO Box 6
Ryde NSW 1680
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Rehabilitation Studies Unit, University of Sydney
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Address
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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School of Biomedical and Health Sciences, University of Western Sydney
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Address [1]
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Locked Bag 1797
Penrith South DC NSW 1797
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Rehabilitation Centre
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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11/01/2006
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Ethics approval number [1]
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05/14
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Summary
Brief summary
The aim of this study is to evaluate the feasibility of a randomised controlled trial comparing two types of pre-discharge occupational therapy consultations for older adults: home-based versus hospital-based consultations. In particular the study will test the feasability of trial procedures consent rates, and the acceptability of both forms of consultation. Individuals who are aged over 65 years and living in the community prior to admission will be asked to participate. Study participants (n=10) will be randomly assigned to receive either a hospital-based or a home-based pre-discharge occupational therapy assessment and education. The home-based consultations are more time-consuming and costly than hospital-based consultations, however it is unknown if patient outcomes differ. Participants will be tested before and during the study using standardised outcome measures by a qualified occupational therapist who is blind to group allocation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Natasha Lannin
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Address
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Rehabilitation Studies Unit
Royal Rehabilitation Centre
PO Box 6
Ryde NSW 2112
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Country
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Australia
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Phone
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+61 2 98089236
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Christine Lin
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Address
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Rehabilitation Studies Unit
Royal Rehabilitation Centre
PO Box 6
Ryde NSW 2112
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Country
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Australia
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Phone
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+61 2 98089236
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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