Rehabilitation in Primary Care: A Project to Maximize the Health Status of Adults With Chronic Illness

Hamilton Health Sciences (HHS)

Status: Completed

Conditions: Hypertension; Back Pain; Chronic Disease; Arthritis; Obesity

Treatments: Behavioral: Physiotherapy; Behavioral: Occupational therapy; Behavioral: Self-management

Study type: Interventional

Funder types: Other

Identifiers

NCT00229957

G03-02572

04-052

Details and patient eligibility

About

The purpose of the study is to determine whether occupational therapy and physiotherapy delivered in a primary care setting to adults with chronic illness is effective in improving health.

Full description

Primary health care is changing so that people receive the care that they need at the front line. Rehabilitation has been identified as one service that should be offered in primary care, to address the needs of adults who have or are at risk of poor health from chronic conditions such as arthritis, heart disease and depression.

Two full time therapists (one physiotherapist and one occupational therapist) will offer rehabilitation to a sample of 170 adults with chronic illness over an 18 month period (170 people will also be enrolled in a control group) at the Stonechurch Family Health Centre. Key outcomes include health, hospital admissions and emergency room visits.

Enrollment: 303 patients

Sex: All

Ages: 44+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• At least 1 chronic condition
• 3 visits to family physician in the past year

Exclusion criteria

• None

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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303 participants in 2 patient groups

Intervention

Experimental group

Description:

Intervention

Treatment:

Behavioral: Physiotherapy

Behavioral: Self-management

Behavioral: Occupational therapy

Control

No Intervention group

Description:

Control group received usual care in primary care.