Activating Older People After a Hip Fracture (ActiveHip)

University of Granada (UGR)

Status: Unknown

Conditions: Hip Fractures

Treatments: Behavioral: ActiveHip+ mobile application; Procedure: Standard care in a hip fracture

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT04859309

Andalusian Health System

Details and patient eligibility

About

The main aim of this study is to determine if the ActiveHip tele-rehabilitation mobile application improves the functional level and the quality of life of patients who undergone hip surgery after a fracture.

The second aim is to determine if the ActiveHip intervention reduce the anxiety, stress and burden of the caregivers.

Enrollment: 104 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Have hip fracture surgery
• Age equal to or greater than 65 years
• Are allowed weight-bearing at 48 hours after surgery
• Had a high pre-fracture functional level the week before the fracture (Functional Independence Measure [FIM] index scored more than 90 points)
• Have an informal or family caregiver who has the ability to access the Internet to use the app ActiveHip+
• Basic management of the mobile phone
• Have signed an informed consent.

Exclusion criteria

• Presence of low cognitive level (Pfeiffer test score lower than 4 points)
• Being dependent on the activities of daily living before the hip (Functional Independence Measure [FIM] index scored less than 60 points)
• Being institutionalized
• Post-surgery complications
• Terminal disease
• Age under 65 years

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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104 participants in 2 patient groups

ActiveHip Intervention

Experimental group

Description:

The ActiveHip tele-rehabilitation mobile application. The program consists of a multidisciplinary home-based tele-rehabilitation program delivered through a mobile application. It is comprised by an occupational therapy program and a physical exercise program. The intervention group have the opportunity to perform three online-based sessions per week (two sessions of physical exercise and one of occupational therapy), each lasting 30-60 min. It is able to realize a fourth session, called "bonus session". In addition, the intervention group will receive the educational program, which has a total of 7 modules. 5 modules are for patients and caregivers, and 2 modules are specific for caregivers.

Treatment:

Behavioral: ActiveHip+ mobile application

Standard care

Active Comparator group

Description:

Participants of this group will receive the standard care for hip fracture patients at hospital discharge.

Treatment:

Procedure: Standard care in a hip fracture