ANZCTR - Registration

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Trial registered on ANZCTR

Registration number

ACTRN12611000788976

Ethics application status

Approved

Date submitted

27/07/2011

Date registered

27/07/2011

Date last updated

24/02/2014

Type of registration

Prospectively registered

Titles & IDs

Public title

Physical Activity for Older Home Care Clients Receiving a Restorative Care Program

Scientific title

A randomised controlled trial to test the effectiveness of two physical activity programs for older people receiving a restorative care program

Secondary ID [1]

Nil known

Universal Trial Number (UTN)

U1111-1116-4526

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Functional-mobility for older home care clients

Condition category

Condition code

Physical Medicine / Rehabilitation

Other physical medicine / rehabilitation

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

LiFE is the Lifestyle and Functional Exercise Program. The LiFE physical activity program integrates physical activity into daily tasks and routines. LiFE will be delivered by the Care Managers as part of the restorative care service in the clients home (visits are generally every 10 days to two weeks, for a total period of 8 weeks). All Care Managers are allied health specialists (OT, physio, RN) and have been trained to deliver the LiFE program. Clients will receive a manual outlining the activities (eg one leg stand for balance, sit to stand out of a chair for strength) and the Care Managers will give a number of these activities to the clients at each visit (dependent on the illness/injury stage for the client, the expertise of the Care Manager will be required to determine this). Clients will be asked to incorporate these activities into their daily routines, for example to pick something up off the floor by bending their knees and squatting rather than bending at the waist, reach up for a cup to maintain calf and ankle strength rather than placing it within easy access. The LiFE philosophy is to embed these activities into daily living and therefore not require the client to complete a set number of reps, sets or volume per week, unlike most activity programs. It is this variation that is being tested in comparison to the "current" exercise program which outlines set, reps and times per week of a number of exercises provided to the client on a doublesided piece of paper. The restorative care service is delivered for a period of 8 weeks meaning most clients will receive four sessions with their Care Manager. Each session with the Care Manager runs between 1-2 hours, dependent on the progress of the client and how much explanation is required across all components of the restorative care program (not only the physical activity component).

Intervention code [1]

Prevention

Intervention code [2]

Rehabilitation

Intervention code [3]

Lifestyle

Comparator / control treatment

The "current" physical activity program prescribed to the restorative care clients is a series of exercises (Level 1 and Level 2) provided to the client on a double sided piece of paper with number of reps, sets and times per week documented next to each diagram of the exercise. The Care Managers have delivered this activity program for a number of years and generally the reps are 5 reps, 3 sets, 3 times per week. The same number of visits described above will occur as the physical activity component of the restorative care service is one of many components and it is expected that Care Managers see their clients every 10 days to 2 weeks to monitor their progress and increase elements of the components as the client improves from their injury or illness in returning to independent living. No weights or additional equipment is required for either physical activity program.

Control group

Active

Outcomes

Primary outcome [1]

Functional mobility using a composite variable made up Timed up and go, chair sit to stand, functional reach and tandem walk and calculated using weightings

Timepoint [1]