HIP Mobile: A Community-based Monitoring, Rehabilitation and Learning e-System for Patients Following a Fracture

McGill University

Status: Completed

Conditions: Hip Fractures

Treatments: Device: HIP Mobile e-Monitoring support; Other: Workbook support

Study type: Interventional

Funder types: Other

Identifiers

NCT03153943

15-248-MUHC

Details and patient eligibility

About

Approximately 30,000 adults in Quebec over the age of 50 suffer a fragility fracture each year. Fractures can affect a person's health, well-being and autonomy. Personal costs of these fractures are high, with as many as 50% of hip fracture patients being unable to return their pre-fracture level of autonomy.

Homecare and community services provide customary rehabilitation support immediately following discharge from acute-care, though this contribution can be limited by lack of resources. For those patients at risk of negative outcomes, we have demonstrated clinically important benefits of extended exercise rehabilitation programs offered beyond the regular rehabilitation period on improving physical function.

Through advances in sensor and telecommunication technology, eHealth solutions incorporated within homecare services as an integral part of the continuum of care can lead to better patient and health professional experience, improve clinical outcomes and reduce costs to the healthcare system.

The purpose of this study is to determine if the implementation of a 3-month community-based extended-rehabilitation e-Monitoring and Coaching support program is more effective at improving mobility in community-dwelling elderly patients who have sustained a fracture than a printed material support program, and if these effects persist 6 months after discontinuation.

Enrollment: 63 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Community dwelling men and women aged ≥ 60 years
• Treated for any fracture excluding hands, feet, patella, cervical spine, skull, ribs, or clavicle, at any of the 3 participating sites, within the previous 8 weeks.

Exclusion criteria

• Upper limb fractures that do not meet the criteria of gait frailty
• Multiple traumas
• Open fractures
• Pathological fractures
• Inability to communicate adequately in either French or English
• Inability to give written informed consent
• Discharge to a long-term care institution

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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63 participants in 2 patient groups

Workbook support group

Experimental group

Description:

Printed educational workbook and pedometer.

Treatment:

Other: Workbook support

HIP Mobile e-Monitoring support group

Experimental group

Description:

Remote monitoring via smart shoe insoles and a coaching with enabling educational electronic program accessed through a tablet.

Treatment:

Device: HIP Mobile e-Monitoring support