Back to the Future: Bridging the Hospital to Home Continuum After Hip Fracture (B2F)

A Feasibility Study Investigating Telephone Supported Discharge From Acute Care to the Community After Hip Fracture

The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.

Study Overview

• Status: Completed
• Conditions: Hip Fracture
• Intervention / Treatment: Behavioral: Education Only; Behavioral: Telephone Support and Coaching

Detailed Description

The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.

• Study Type: Interventional
• Enrollment (Anticipated): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • British Columbia
    • North Vancouver, British Columbia, Canada, V7L 2L7
      • Lions Gate Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Adults (men and women) over 60 years of age
• Fall related hip fracture
• Community dwelling
• English speaking

Exclusion Criteria:

• Dementia
• Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.)
• Profound hearing loss

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Education Only; A 1 hour education session in the acute setting; A toolkit with education, exercise and self management instructions for after hip fracture	Behavioral: Education Only; An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture
Experimental: Education + Telephone Follow-up; A 1 hour education session in the acute setting; A telephone delivered self management program , including a toolkit (education, exercise and self management instructions for after hip fracture), support to take an active role in recovery, including setting and monitoring goals, problem solving mobility barriers, and guidance on the recovery process following a hip fracture.	Behavioral: Education Only; An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture; Behavioral: Telephone Support and Coaching; The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements: Health Status; Medication Management; Activity/Exercise Prescription and Goal-Setting; Falls Prevention; Clarification of Appointments; Coordination of Post-Discharge Home Services; What To Do If a Problem Arises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility of study recruitment and retention	Feasibility will be measured by recruitment rate (30%), and retention rate (<10% attrition)	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of Life EQ5D-5L	The EQ5D-5L Quality of Life outcome measure is a self reported questionnaire measure, and has been extensively investigated in the hip fracture population, with well established sensitivity, reliability and validity properties.	4 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of Life ICECAP-O		4 months
de Morton Mobility Index (DEMMI)	The DEMMI is a clinical instrument for measuring mobility in older adults. Interval levels are obtained from 0 (poor mobility) to 100 (excellent mobility)	4 months
Gait (Walking) speed	Gait speed is a reliable, valid and sensitive measure likened to a vital sign.	4 months
Falls FES-1	Falls self efficacy questionnaire will be used.	4 months
Pain: Visual Analogue Scale (VAS)		4 months
Falls self report diary	Participants will record Falls in a check box format daily	4 months
The Hospital Anxiety and Depression Scale (HADS)	The HADS is a 14 item self reported questionnaire designed to assess anxiety and depression	4 months

Collaborators and Investigators

• Sponsor: University of British Columbia
• Investigators: Principal Investigator: Dolores P Langford, Msc., Vancouver Coastal Health; Study Director: Maureen C Ashe, PhD, Centre for Hip Health and Mobility

Study record dates

Study Major Dates

• Study Start: November 1, 2013
• Primary Completion (Actual): September 1, 2014
• Study Completion (Actual): January 1, 2015

Study Registration Dates

• First Submitted: July 31, 2013
• First Submitted That Met QC Criteria: August 23, 2013
• First Posted (Estimate): August 28, 2013

Study Record Updates

• Last Update Posted (Actual): October 27, 2017
• Last Update Submitted That Met QC Criteria: October 25, 2017
• Last Verified: October 1, 2017

More Information

Terms related to this study

• Keywords: Quality of Life; Feasibility Studies; Femoral Fractures; Hip Fractures; Frail older adults
• Additional Relevant MeSH Terms: Wounds and Injuries; Leg Injuries; Femoral Fractures; Hip Injuries; Fractures, Bone; Hip Fractures
• Other Study ID Numbers: H13-01810