Overview

This trial is active, not recruiting.

Conditions back pain, coronary artery disease, chronic obstructive pulmonary disease, diabetes, hypertension, multiple sclerosis, osteoporosis, osteoarthritis, rheumatoid arthritis, stroke
Treatment tailored advice from a physiotherapist and/or an occupational therapist through the myoscar patient portal
Sponsor McMaster University
Collaborator Labarge Optimal Aging Initiative (Private Donor)
Start date January 2013
End date December 2016
Trial size 148 participants
Trial identifier NCT01979081, Labarge 2013-02

Summary

The Physical Functioning Inventory (PFI) is a standardized patient reported outcome measure that assesses preclinical disability. Preclinical disability is a functional state in which people are still able to complete daily living tasks (e.g., walking, bathing) but are changing the frequency or modifying the way that they complete the tasks. The investigators have done some preliminary research using the PFI as an online monitoring tool (Richardson 2012), but further study is required to examine its psychometric properties and its suitability for use as a primary outcome measure. This measurement study has been designed to identify the optimal number of items on the PFI and to determine the reliability, validity, and responsiveness of the PFI when administered to a sample of adults and older adults both with and without chronic conditions. This project will also allow us to evaluate the use of self-monitoring of physical function and the added value of rehabilitation professionals to support self-monitoring. Using the results of the PFI, the investigators aim to develop a "tailored" population-based rehabilitation self-management intervention delivered through a secure messaging system in the patient's electronic personal health record (myOSCAR) that focuses on the early detection and prevention of preclinical disability.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Observational model case control
Time perspective prospective
Arm
Participants greater than or equal to 44 years of age with a chronic disease (diabetes, heart disease, stroke, hypertension, osteoporosis, osteoarthritis, rheumatoid arthritis, chronic obstructive pulmonary disease, back pain, Multiple Sclerosis, Parkinson's Disease).
tailored advice from a physiotherapist and/or an occupational therapist through the myoscar patient portal
Participants greater than or equal to 65 years of age without a chronic disease.
tailored advice from a physiotherapist and/or an occupational therapist through the myoscar patient portal

Primary Outcomes

Measure
Physical Functioning Inventory
time frame: Baseline, 3-5 days later, 6 months, 12 months, 18 months, 3-5 days later

Secondary Outcomes

Measure
Mobility Survey
time frame: Baseline, 3-5 days later, 6 months, 12 months, 18 months, 3-5 days later
The Rapid Assessment of Physical Activity (RAPA)
time frame: Baseline, 3-5 days later, 6 months, 12 months, 18 months, 3-5 days later
Patient Specific Functional Scale (PSFS)
time frame: Baseline, 18 months

Eligibility Criteria

Male or female participants from 44 years up to 100 years old.

Inclusion Criteria: - Greater than or equal to 44 years of age - Able to communicate in English - Have had at least 3 physician visits in the last year - Are able to access an email address independently - Have a chronic disease Exclusion Criteria: - Any evidence of cognitive impairment - Unable to travel to the clinic - Awaiting long-term care - Planning to relocate - Experiencing an acute illness - Are receiving palliative care

Additional Information

Official title Detecting and Addressing Preclinical Disability
Principal investigator Julie Richardson, PhD
Trial information was received from ClinicalTrials.gov and was last updated in September 2016.
Information provided to ClinicalTrials.gov by McMaster University.