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Enhanced Medical Rehabilitation in Older Adults (EMR)

The Washington University logo

The Washington University

Status

Completed

Conditions

Disabled
Disabling Medical Events
Depression

Treatments

Behavioral: Enhanced Medical Rehabilitation
Behavioral: Standard of Care Rehabilitation

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT02114879
5R01MH099011-02 (U.S. NIH Grant/Contract)
R01 MH099011A1

Details and patient eligibility

About

The purpose of this study is to provide evidence that Enhanced Medical Rehabilitation is an effective treatment for older adults after disabling medical events.

Full description

The intervention involves physical and occupational therapy for patients who have been admitted to a skilled nursing facility for therapy following a disabling medical event.

Participants in this study will be randomly assigned to receive either Enhanced or standard of care therapy, meaning they will either receive their PT (Physical Therapy)& OT(Occupational Therapy) from therapists who have been specially trained in the study intervention or from therapists with normal training. Participants will be assessed at baseline, 30, 60, and 90 days after baseline, and at the date of their discharge from the skilled nursing facility.

Enrollment

229 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 65 and older
  • Admitted to a skilled nursing facility for post-acute care from PT and OT for 2 weeks or more.

Exclusion criteria

  • Language, visual or hearing barriers to participation
  • Medical illness preventing study participation or accurate data collection
  • Moderate-severe dementia (demonstrated by chart diagnosis and/or short blessed score greater than 13)
  • Progressive neurological condition such that recovery of function is not feasible
  • Patient did not have the ability to walk prior to hospitalization (e.g. paraplegic)
  • Schizophrenia or other chronic or current psychotic disorder.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

229 participants in 2 patient groups

Standard of Care Rehabilitation
Active Comparator group
Treatment:
Behavioral: Standard of Care Rehabilitation
Enhanced Medical Rehabilitation
Experimental group
Treatment:
Behavioral: Enhanced Medical Rehabilitation

Trial documents
2

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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