'Home Sweet Home' Programme-2
Geriatric Hip Fracture
About this trial
This is an interventional supportive care trial for Geriatric Hip Fracture focused on measuring Empowerment, Telerehabilitation, Geriatric Hip Fractures, Functional outcomes
Eligibility Criteria
Inclusion Criteria: Have provided informed consent to be included in the study Geriatrics ≥ 65 years of age Suffered hip fracture accompanied by successful surgery Less than 2 weeks following patient discharge from rehabilitation Less than four months post-operation Patients capable of walking on fracture without endangering their fracture fixation, Patients have been taught how to walk in the rehabilitation centre Caretaker/family has the ability to conduct the TUG test patient's residence is spacious enough to safely perform TUG test Video calling showing the performance of the TUG test should be supported Caretaker should have basic technological competency Caretaker should have sufficient cognitive ability to understand the TUG test Caretaker should have the ability to supervise patient during the TUG test Patients should have similar post-surgery recovery progress Record at the start if each patient requires assistance - with or without aid, e.g. walking frame etc Should at least have the potential to walk Exclusion Criteria: Patients with multiple fractures affecting mobility chair-bound or bed-bound Patients with severe cognitive impairment Assessed based on: unable to follow command to walk unable to identify time, person and space Presence of terminal illnesses/diseases Presence of multiple medical illnesses Determined by the Charleson comorbidity score Patients excluded if the score is larger or equal to 6
Sites / Locations
- Queen Mary Hospital, The University of Hong KongRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Standard Group
Intervention Group
Usual clinical protocol is followed, the caregiver is given verbal training and assistive instructions by therapists and clinicians before patient discharge. Brief pamphlets are provided on post-operative care of patients. Patients are encouraged to perform rehabilitative exercises according to "what they have learned" during the in-patient stay. "Remote-TUG" app is only used in the first and final assessment at day 30.
A recruitment assessment videoconference is scheduled at the 1st post-discharge week providing clear instructions on how to perform daily TUG test. The TUG test is to be performed at least twice in the morning and twice afternoon and complimented by other specific training exercises as specified in HSH1. Training instructions and assessment is performed by videoconference to ascertain that both the patient and the caregiver can follow instructions in using the "remote-TUG" smartphone app and safety measures are understood and applied when assisting the patients in exercises. Clear video instructions and multimedia for review will be provided. Interim videoconference will be conducted again after week 2 to ascertain adherence. Non-adherence can be immediately detected by remote data collection from the "remote-TUG" server interface. Non-adherence will trigger phone calls and videoconferences serving as reminders and performing troubleshooting.