- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02905383
The Effect of Exercise on Physical Function and Health in Older People After Discharge From Hospital (OLPADIS)
August 3, 2020 updated by: Sylvia Sunde, Oslo Metropolitan University
Effect of a Multi-Component Exercise Program on Function and Health in Older People Recently Discharged From Hospital. A Randomized Controlled Clinical Trial.
The aim of this study is to investigate the effect of a multi-component exercise program on physical function, physical activity and health-related quality of life (HRQOL) in older people recently discharged from hospital.
The intervention consists of 32 group-based exercise sessions, performed twice a week.
In addition the participants in the intervention group will be encouraged to perform an exercise program on their own, at least once weekly.
The participants in the control group will be encouraged to exercise on their own, according to the World Health Organization (WHO) recommendations on physical activity for adults aged 65 and above.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
Older people who have been hospitalized often experience loss of function, increased risk of falls and reduced health-related quality of life (HRQOL) in the post-discharge period.
The reason for this is the cumulative effect of illness, bedrest during hospital stay and inactivity after discharge.
Previous research indicates that exercise therapy should be an integrated part of the post-hospital treatment to prevent or postpone this functional decline and improve HRQOL.
Therefore, the investigators will conduct a randomized controlled trial to investigate the effect of a multi-component exercise program consisting of high intensity exercises on physical function, physical activity and HRQOL among older people living at home after discharge from hospital after treatment of an acute medical event.
Study Type
Interventional
Enrollment (Actual)
88
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Oslo, Norway, 0370
- Diakonhjemmet Hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
65 years and older (Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- 65 years or older, live in their own home, consent to participate in the program three times a week (twice a week outside their home), manage to walk with or without assistive device, and assessed by a doctor as able to tolerate the intervention.
Exclusion Criteria:
- Severe cognitive impairment (Mini-Mental State Examination (MMSE) score less than 20), have an expected lifespan less than one year, exercise more than twice a week, and score above nine points on the Short Physical Performance Battery.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exercise
This group will perform a multi-component exercise program twice a week for 16 weeks.
The multi-component exercise program consists of endurance training, progressive strength exercises and balance exercises.
The intervention will be individualised, but performed in groups of four to ten patients.
The participants are also expected to do exercises on their own, at least once weekly.
|
A multi-component exercise program that consists of endurance training, progressive strength exercises and balance exercises.
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No Intervention: Control
The participants in the control group will be encouraged to exercise on their own, according to the World Health Organization recommendations on physical activity for adults aged 65 and above.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in physical function
Time Frame: Baseline, 4 months and 8 months
|
Changes in physical function will be measured with The Short Physical Performance Battery (SPPB).
This test evaluates balance, mobility and muscle strength by examining an individual's ability to stand with feet together side-by side, semitandem and tandem positions, time to walk 8ft and time to rise from a chair and return to the seated position five times.
Each of the three tests is scored, based on performance between 0 and 4, leaving a maximum score of 12 for those individuals performing at the highest levels.
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Baseline, 4 months and 8 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Berg Balance Scale
Time Frame: Baseline, 4 months and 8 months
|
Berg Balance Scale is a measure of performance-based balance.
It comprises 14 observable tasks frequently encountered in everyday life.
|
Baseline, 4 months and 8 months
|
Health-related quality of life (HRQOL)
Time Frame: Baseline, 4 months and 8 months
|
HRQOL measured by the Medical Outcome Study 36 Item Short-Form Health Survey (SF-36)
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Baseline, 4 months and 8 months
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Physical Activity measured by the short form of the International Physical Activity Questionnaire (IPAQ-SF)
Time Frame: Baseline, 4 months and 8 months
|
The IPAQ-SF includes seven questions about the time spent in vigorous- and moderate intensity activities, walking and sedentary activity.
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Baseline, 4 months and 8 months
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Muscle mass
Time Frame: Baseline, 4 months and 8 months
|
Muscle mass will be measured by bioimpedance
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Baseline, 4 months and 8 months
|
Compliance to the intervention
Time Frame: Eight months from baseline
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Participants will complete an activity diary where they are asked to report completion of exercise, non-protocol activity and any adverse events related to the exercise.
Patients are considered non-compliant if they have undertaken less than 50% of the prescribed exercise.
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Eight months from baseline
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Feasibility of the intervention
Time Frame: Four months from baseline
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Adverse events will be registered as outlined by Oryet al. (2005) in the following four categories: falls, cardiovascular events, musculoskeletal injuries and health care utilization.
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Four months from baseline
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Amount of home-help services received
Time Frame: Baseline, 4 months and 8 months
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If they receive any home care
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Baseline, 4 months and 8 months
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Handgrip strength
Time Frame: Baseline, 4 months and 8 months
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Handgrip strength in kilograms measured using a hydraulic dynamometer
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Baseline, 4 months and 8 months
|
Height
Time Frame: Baseline
|
Height will be measured in meters
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Baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Therese Brovold, Phd, Oslo University College of Applied Science
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Sunde S, Hesseberg K, Skelton DA, Ranhoff AH, Pripp AH, Aaronaes M, Brovold T. Associations between health-related quality of life and physical function in older adults with or at risk of mobility disability after discharge from the hospital. Eur Geriatr Med. 2021 Dec;12(6):1247-1256. doi: 10.1007/s41999-021-00525-0. Epub 2021 Jun 9.
- Sunde S, Hesseberg K, Skelton DA, Ranhoff AH, Pripp AH, Aaronaes M, Brovold T. Effects of a multicomponent high intensity exercise program on physical function and health-related quality of life in older adults with or at risk of mobility disability after discharge from hospital: a randomised controlled trial. BMC Geriatr. 2020 Nov 11;20(1):464. doi: 10.1186/s12877-020-01829-9.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
September 29, 2016
Primary Completion (Actual)
January 30, 2020
Study Completion (Actual)
January 30, 2020
Study Registration Dates
First Submitted
September 5, 2016
First Submitted That Met QC Criteria
September 13, 2016
First Posted (Estimate)
September 19, 2016
Study Record Updates
Last Update Posted (Actual)
August 4, 2020
Last Update Submitted That Met QC Criteria
August 3, 2020
Last Verified
August 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2015/2432
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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