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Trial registered on ANZCTR
Registration number
ACTRN12609000242224
Ethics application status
Approved
Date submitted
20/02/2009
Date registered
11/05/2009
Date last updated
5/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does the addition of Functional Incidental Training to standard Physiotherapy treatment affect function, depression and quality of life for bed based Transition Care Program clients in regional Victoria
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Scientific title
Does the addition of Functional Incidental Training to standard Physiotherapy treatment affect destination, function, depression and quality of life for bed based Transition Care Program clients in regional Victoria
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Secondary ID [1]
280149
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New secondary ID. Please modify.
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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:
Medically stable, over 65 year olds who accept a bed based Transition Care Program place
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Older people who have completed an acute or subacute episode in hospital and are assessed as being able to benefit from short term additional therapy and support to maximise their functional return and prevent premature admission to residential care.
4637
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Condition category
Condition code
Physical Medicine / Rehabilitation
4610
4610
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Functional Incidental Training (FIT) which is defined as ‘Care processes that are designed to increase activity and functional ability with emphasis placed on the repetition of exercises that are specific to the functional skills involved with toileting and other activities of daily living’. For this study FIT will be instituted to be undertaken four times daily from Monday to Friday and on weekends if possible. The FIT exercise component will be designed to fit the individual abilities of the participant. For the standard physiotherapy plus FIT group this will mean weekly physiotherapy treatments, an additional visit from a physiotherapy assistant, encouragement to exercise from the Activity workers and residence staff and a written list of individualised exercises on the wall in their room. The intervention will take place while the participant is occupying a Transition Care Program bed which averages approximately six weeks but may be up to 18 weeks.
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Intervention code [1]
4097
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Rehabilitation
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Comparator / control treatment
Standard physiotherapy will be tailored to the person but may include a standing balance exercise class weekly, a chair based exercise class weekly, endurance walking, a chair based or standing exercise program, hydrotherapy or a gym program. Standard physiotherapy takes place while the participant is occupying a Transition Care Program bed which averages approximately six weeks but may be up to 18 weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Destination following discharge from Transiton Care Program. Each person will be reassessed at discharge, three and six months at which time their residence will be noted on the assessment sheet.
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Assessment method [1]
5483
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Timepoint [1]
5483
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Participants were assessed at admission to the Transition Care Program, at discharge, three and six months.
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Secondary outcome [1]
9238
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Function as measured by the deMorton Mobility Index (DEMMI), Five times sit to stand and Berg Balance Scale
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Assessment method [1]
9238
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Timepoint [1]
9238
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Measured at admission, discharge, three and six months
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Secondary outcome [2]
9239
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Depression as measured on the Geriatric Depression Scale
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Assessment method [2]
9239
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Timepoint [2]
9239
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Measured at admission, discharge, three and six months.
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Secondary outcome [3]
9240
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Quality of life as measured by the EuroQol (EQ5D)
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Assessment method [3]
9240
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Timepoint [3]
9240
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Measured at admission, discharge, three months and six months.
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Eligibility
Key inclusion criteria
Accepted into a bed based Transition Care Program place (this means that the person has completed their episode of care, are medically stable, would be assessed by the Aged Care Assessment Team for at least a low level of permanent residential care and able to benefit from additional services and a period to assess their long term opportunities)
Resident in the Bendigo area
Consent to be part of the study
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Minimum age
65
Years
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Maximum age
No limit
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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
Not on Transition Care Program
On Transition Care Program but in a community place
Not resident in Bendigo
Does not consent
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Study design
Purpose of the study
Treatment
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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)
The Transition Care Program assessor will give the potential participant information regarding the project. If they agree to talk to the researcher a referral will be made. The researcher will then contact the potential participant and explain the project. If they agree to take part a consent form will then be signed. The demographic and outcome measures will then take place prior to randomisation. Allocation will be concealed as central randomisation will take place by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The excel randomisation feature will be used to randomise to the standard physiotherapy or standard physiotherapy plus FIT groups.
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
1/04/2009
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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
50
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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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Recruitment postcode(s) [1]
1521
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3552
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Carol Parker
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Address [1]
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Collaborative Health, Education and Research Centre (CHERC),
Bendigo Health
PO Box 126
Bendigo VIC 3552
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Country [1]
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Australia
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Primary sponsor type
University
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Name
La Trobe University
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Address
Edwards Road
Bendigo VIC 3552
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Country
Australia
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Secondary sponsor category [1]
4101
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None
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Name [1]
4101
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Address [1]
4101
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Country [1]
4101
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bendigo Health Human Research Ethics Committee
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Ethics committee address [1]
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Bendigo Health PO Box 126 Bendigo Victoria 3552 Australia
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Ethics committee country [1]
6870
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Australia
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Date submitted for ethics approval [1]
6870
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Approval date [1]
6870
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02/04/2009
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Ethics approval number [1]
6870
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002/2009
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Summary
Brief summary
After a hospital stay some older people will be accepted on the Transition Care Program into a bed based place. They may go to a hostel or nursing home for a few weeks after completing their inpatient stay. These people may receive physiotherapy treatment while they are staying there with the aim of helping them to assist them to get as well as possible. As part of this study some of these people will be offered more physical activity and additional supervision whilst exercising. The aim of this project is to see whether this will make any difference to where the people go at the end of their stay - to their home or long term in residential care. Approximately 50 people will take part in this study over a period of two years. The study will take place in Bendigo.
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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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Carol Parker
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Address
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Collaborative Health, Education and Research Centre
Bendigo Health
PO Box 126
Bendigo VIC 3552
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Country
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Australia
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Phone
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+61 3 5454 6413
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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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Helen McBurney
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Address
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School of Physiotherapy
Level 5, East Wing
Anne Caudle Centre
PO Box 126
Bendigo VIC 3552
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Country
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Australia
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Phone
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+61 3 5454 7021
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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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