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Stronger at Home: Improving Outcomes for Older Adults After Hip Fracture

Hip Fractures

The goal of this clinical trial is to compare the effectiveness of a new 14-week individually-tailored home-based rehabilitation program called "Stronger at Home" with usual care in improving functional recovery in community-dwelling older adults after hip fractures.

The main question this trial aims to answer are:

• Is the Stronger at Home program more effective than usual care in improving functional recovery at the end of the 14-week intervention?

secondary questions include:

* What is the cost-utility of the Stronger at Home program compared to usual care at 3.5 months, 6 months, and 12 months after discharge?
* Does the program have a sustained impact on functional recovery at 6 months and 12 months post-discharge?

Participants in the trial will be asked to engage in the following tasks:

* Participate in the Stronger at Home program, which includes using a self-directed toolkit consisting of educational resources and an illustrated exercise program.
* Follow the guidelines provided in the toolkit for gradually increasing exercise intensity and incorporating different types of exercises into their daily life.

The effects of the Stronger at Home program will be compared to those of usual care.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    55 and up

Participation Criteria

Inclusion Criteria:

* Hip fracture patients who are 55 years or older,
* Currently living in the community, and
* Either being discharged to their home or a retirement home
* Fall from a standing height or less
* Live within 45km radius of recruitment site

Exclusion Criteria:

* Came from long term care or discharged to long term care
* Not a hip fracture (e.g., pelvic fracture)
* Unable to give consent and no proxy
* Fracture due to pathological disease (e.g., cancer, Paget's disease).
* Does not speak English and no translator
* Fracture sustained at hospital
* Terminal illness or exercise contraindications
* Discharged with other services not eligible

Study Location

Queen's University
Queen's University
Kingston, Ontario
Canada

Contact Study Team

Primary Contact

Mohammad Auais

[email protected]
(613) 533-2000
Study Sponsored By
Queen's University
Participants Required
More Information
Study ID: NCT05972005