Prevention Focused Home-Based Physical Therapy Utilizing Community Partnership Referrals

Oakland University

Status: Completed

Conditions: Risk Reduction; Fall

Treatments: Other: HOP-UP-PT Program

Study type: Interventional

Funder types: Other

Identifiers

NCT04814459

912215-18

Details and patient eligibility

About

This novel study supports the positive benefits of Home Based Older Persons Upstreaming Physical Therapy (HOP-UP-PT) to older adults identified as "at-risk" by their local senior center after participating in a prevention-focused multimodal program provided by physical therapists in their home.

Full description

The purpose of this study was to describe the outcomes of Home Based Older Persons Upstreaming Physical Therapy (HOP-UP-PT) program participants and then to compare these outcomes to non-participants. 144 participants (n=72 per group) will be randomized to either the HOP-UP-PT intervention group or the Normal level of activity group. Six Michigan senior centers will refer adults ≥ 65 years who were at-risk for functional decline or falls. Licensed physical therapists will deliver physical, environmental, and health interventions within their approved scope of practice to the HOP-UP-PT intervention group during nine encounters (six in-person, three telerehabilitation) delivered over seven months. The Normal level of activity group participants are told to continue their usual physical activity routines during the same timeframe. Baseline and re-assessments are conducted at 0-, 3-, and 7-months for both the HOP-UP-PT intervention group and Normal level of activity group. Descriptions and comparisons from each assessment encounter will be analyzed.

Enrollment: 144 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Greater than or equal to 65 years of age
• Senior Community Center staff identified them as 'at-risk' for decline in community dwelling status due to physical, social, economic, or community-related barriers
• Willingness to participate

Exclusion criteria

• Received physical therapy services within the prior two months in any setting
• Had been hospitalized within the prior two months
• Were currently receiving palliative or hospice care
• Mini Cog score less than 4 and Trail Making Part B score greater than 273 seconds
• Outcomes American College of Sports Medicine exercise pre-participation health screening indicating physician clearance needed for participation and after evaluation the physician will not clear

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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144 participants in 2 patient groups

HOP-UP-PT Program

Experimental group

Description:

HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program

Treatment:

Other: HOP-UP-PT Program

Normal Level of Activity

No Intervention group

Description:

Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program