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The Effect of Training Prepared in Line With Fracture Liaison Service Model on Frailty in Hip Surgery Patients

Primary Purpose

Geriatric Patients

Status
Recruiting
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Training Prepared in Line with the Fracture Liaison Service Model
Sponsored by
Aydin Adnan Menderes University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Geriatric Patients focused on measuring Nursing, Frailty, Education, Fracture Liaison Services

Eligibility Criteria

65 Years - undefined (Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 65 years of age or older Being diagnosed with osteoporosis Being conscious and able to answer questions Not having a problem that would prevent communication Exclusion Criteria: Under 65 years of age with fractures Patients with Parkinson's disease Patients with visual and hearing impairment Patients undergoing hip surgery for the second time

Sites / Locations

  • Aydin Adnan Menderes ÜniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Intervention Group

Control group

Arm Description

On the 3rd postoperative day, patient information form, patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in the patient room. Afterwards, the training prepared in line with the fracture liaison service model will be verbally explained to the patients and then the booklet prepared by taking expert opinion will be given to the patients. 3rd week patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in orthopedics and traumatology outpatient clinic. 3rd month patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied at home visit.

On the 3rd postoperative day, patient information form, patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in the patient room. Week 3 patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in orthopedics and traumatology outpatient clinic. 3rd month patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied at home visit. Afterwards, the training prepared in line with the fracture liaison service model will be verbally explained to the patients and then the booklet prepared by taking expert opinion will be given to the patients.

Outcomes

Primary Outcome Measures

Personal Information Collection Form
The form prepared by the researchers with the support of the literature includes questions about the sociodemographic characteristics of the patients (gender, age, height, weight, educational status, etc.). This form will be used in the first interview with the patients.
Patient Follow-up Form
With this form, complications and problems that patients may experience in the postoperative period will be evaluated and the observed complications and problems will be marked on the patient follow-up form. Patients will be followed up for 3 months with this form
Patient Follow-up Form
With this form, complications and problems that patients may experience in the postoperative period will be evaluated and the observed complications and problems will be marked on the patient follow-up form. Patients will be followed up for 3 months with this form
Patient Follow-up Form
With this form, complications and problems that patients may experience in the postoperative period will be evaluated and the observed complications and problems will be marked on the patient follow-up form. Patients will be followed up for 3 months with this form
Edmonton Frailty Scale
Edmonton Frailty Scale was developed by Rolfson et al. (2006) to assess frailty in elderly individuals. The scale consists of 9 frailty dimensions included in the Comprehensive Geriatric Assessment and accepted as determinants of frailty. These frailty dimensions include cognitive status, general health status, functional independence, social support, medication use, nutrition, mood, continence and functional status. The scale consists of 11 items in total. The 'clock test' is used to assess cognitive status and the 'Timed Up and Go test' is used to assess functional performance.
Edmonton Frailty Scale
Edmonton Frailty Scale was developed by Rolfson et al. (2006) to assess frailty in elderly individuals. The scale consists of 9 frailty dimensions included in the Comprehensive Geriatric Assessment and accepted as determinants of frailty. These frailty dimensions include cognitive status, general health status, functional independence, social support, medication use, nutrition, mood, continence and functional status. The scale consists of 11 items in total. The 'clock test' is used to assess cognitive status and the 'Timed Up and Go test' is used to assess functional performance.
Edmonton Frailty Scale
Edmonton Frailty Scale was developed by Rolfson et al. (2006) to assess frailty in elderly individuals. The scale consists of 9 frailty dimensions included in the Comprehensive Geriatric Assessment and accepted as determinants of frailty. These frailty dimensions include cognitive status, general health status, functional independence, social support, medication use, nutrition, mood, continence and functional status. The scale consists of 11 items in total. The 'clock test' is used to assess cognitive status and the 'Timed Up and Go test' is used to assess functional performance.
Causes of Kinesiophobia Scale
The Causes of Kinesiophobia Scale (CNS) is a 20-question questionnaire developed by Kocjan and Knapik (2015) to diagnose and determine the causes of motor inactivity. The CNS consists of a total of 20 questions and two subscales.
Causes of Kinesiophobia Scale
The Causes of Kinesiophobia Scale (CNS) is a 20-question questionnaire developed by Kocjan and Knapik (2015) to diagnose and determine the causes of motor inactivity. The CNS consists of a total of 20 questions and two subscales.
Causes of Kinesiophobia Scale
The Causes of Kinesiophobia Scale (CNS) is a 20-question questionnaire developed by Kocjan and Knapik (2015) to diagnose and determine the causes of motor inactivity. The CNS consists of a total of 20 questions and two subscales.
Care Dependency Scale
The Care Dependency Scale is a scale based on Virginia Henderson's human needs and developed to assess the care dependency status of patients. The Care Dependency Scale includes various physical and psychological aspects and provides a comprehensive assessment of the patient's care dependency. This scale was developed by Dijkstra in 1998. The items included in the scale are nutrition, continence, body posture, mobility, day/night cycle, dressing and undressing, body temperature, body cleanliness, avoiding hazards, communication, communicating with others, worshipping, following rules, daily activities, recreational activities and learning ability.
Care Dependency Scale
The Care Dependency Scale is a scale based on Virginia Henderson's human needs and developed to assess the care dependency status of patients. The Care Dependency Scale includes various physical and psychological aspects and provides a comprehensive assessment of the patient's care dependency. This scale was developed by Dijkstra in 1998. The items included in the scale are nutrition, continence, body posture, mobility, day/night cycle, dressing and undressing, body temperature, body cleanliness, avoiding hazards, communication, communicating with others, worshipping, following rules, daily activities, recreational activities and learning ability.
Care Dependency Scale
The Care Dependency Scale is a scale based on Virginia Henderson's human needs and developed to assess the care dependency status of patients. The Care Dependency Scale includes various physical and psychological aspects and provides a comprehensive assessment of the patient's care dependency. This scale was developed by Dijkstra in 1998. The items included in the scale are nutrition, continence, body posture, mobility, day/night cycle, dressing and undressing, body temperature, body cleanliness, avoiding hazards, communication, communicating with others, worshipping, following rules, daily activities, recreational activities and learning ability.

Secondary Outcome Measures

Full Information

First Posted
April 16, 2023
Last Updated
June 9, 2023
Sponsor
Aydin Adnan Menderes University
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1. Study Identification

Unique Protocol Identification Number
NCT05900804
Brief Title
The Effect of Training Prepared in Line With Fracture Liaison Service Model on Frailty in Hip Surgery Patients
Official Title
The Effect of Training Prepared in Line With the Fracture Liaison Service Model in Patients Undergoing Hip Surgery on Patients' Fragility Level, Care Dependence, and Fear of Movement: A Randomized Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 15, 2022 (Actual)
Primary Completion Date
July 15, 2023 (Anticipated)
Study Completion Date
January 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Aydin Adnan Menderes University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a randomized controlled experimental research with pretest-posttest control group. The aim of this study is to evaluate the effect of the training prepared in line with the fracture liaison service model on the level of frailty, care dependency and fear of movement in patients undergoing hip surgery. The main questions it aims to answer are as follows: Does the training provided to patients undergoing hip surgery in line with the fracture liaison service model have an effect on the level of frailty of patients? Does the training provided to patients undergoing hip surgery in line with the fracture liaison service model have an effect on patients' care dependency? Does the education given to patients undergoing hip surgery in line with the fracture liaison service model have an effect on patients' fear of movement? It is very important to prevent secondary fractures that may occur in patients undergoing hip surgery. Therefore, the most appropriate prevention interventions to reduce fractures in patients depend on the risk profile and the place of education for hospitalized patients is very important. In this study, Personal Information Collection Form, Patient Follow-up Form, Edmonton Frailty Scale, Causes of Kinesiophobia Scale and Care Dependency Scale will be applied to control and intervention group patients. It is planned to provide training to the intervention group patients in line with the fracture liaison service model. This study will evaluate the effect of the training on patients' level of frailty, care dependency and fear of movement.
Detailed Description
The frail patient is a more complex patient group that is difficult for healthcare professionals to monitor and treat. These patients are more prone to undesirable outcomes such as hospitalization and death. The risk of frailty increases even more in the elderly population who experience more health problems, especially in the later stages of old age. In the care of the frail elderly, the nurse, together with the healthcare team, should be able to detect the complications that may develop in the elderly at an early stage, take the necessary precautions and provide services according to the needs. With the education given in line with the risk factors that occur in frail patients, individuals will be informed about frailty, and at the same time, environmental arrangements, exercises, etc. It is thought that the immobilization of the patient and the occurrence of secondary fractures will be minimized with such activities. In order to minimize or prevent possible postoperative complications and to prevent falls and secondary fractures; this study was planned to evaluate the effect of the training prepared in line with the fracture liaison service model on the level of frailty, care dependency and fear of movement in patients undergoing hip surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Geriatric Patients
Keywords
Nursing, Frailty, Education, Fracture Liaison Services

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
56 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention Group
Arm Type
Experimental
Arm Description
On the 3rd postoperative day, patient information form, patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in the patient room. Afterwards, the training prepared in line with the fracture liaison service model will be verbally explained to the patients and then the booklet prepared by taking expert opinion will be given to the patients. 3rd week patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in orthopedics and traumatology outpatient clinic. 3rd month patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied at home visit.
Arm Title
Control group
Arm Type
No Intervention
Arm Description
On the 3rd postoperative day, patient information form, patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in the patient room. Week 3 patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied in orthopedics and traumatology outpatient clinic. 3rd month patient follow-up form, Edmonton frailty scale, kinesiophobia causes scale and care dependency scale will be applied at home visit. Afterwards, the training prepared in line with the fracture liaison service model will be verbally explained to the patients and then the booklet prepared by taking expert opinion will be given to the patients.
Intervention Type
Other
Intervention Name(s)
Training Prepared in Line with the Fracture Liaison Service Model
Intervention Description
The Effect of Education Prepared in Line with Fracture Liaison Service Model on Patients' Frailty Level, Care Dependency and Fear of Movement in Hip Surgery Patients
Primary Outcome Measure Information:
Title
Personal Information Collection Form
Description
The form prepared by the researchers with the support of the literature includes questions about the sociodemographic characteristics of the patients (gender, age, height, weight, educational status, etc.). This form will be used in the first interview with the patients.
Time Frame
Baseline
Title
Patient Follow-up Form
Description
With this form, complications and problems that patients may experience in the postoperative period will be evaluated and the observed complications and problems will be marked on the patient follow-up form. Patients will be followed up for 3 months with this form
Time Frame
3 days after the operation
Title
Patient Follow-up Form
Description
With this form, complications and problems that patients may experience in the postoperative period will be evaluated and the observed complications and problems will be marked on the patient follow-up form. Patients will be followed up for 3 months with this form
Time Frame
3 weeks after the operation
Title
Patient Follow-up Form
Description
With this form, complications and problems that patients may experience in the postoperative period will be evaluated and the observed complications and problems will be marked on the patient follow-up form. Patients will be followed up for 3 months with this form
Time Frame
3 months after the operation
Title
Edmonton Frailty Scale
Description
Edmonton Frailty Scale was developed by Rolfson et al. (2006) to assess frailty in elderly individuals. The scale consists of 9 frailty dimensions included in the Comprehensive Geriatric Assessment and accepted as determinants of frailty. These frailty dimensions include cognitive status, general health status, functional independence, social support, medication use, nutrition, mood, continence and functional status. The scale consists of 11 items in total. The 'clock test' is used to assess cognitive status and the 'Timed Up and Go test' is used to assess functional performance.
Time Frame
3 days after the operation
Title
Edmonton Frailty Scale
Description
Edmonton Frailty Scale was developed by Rolfson et al. (2006) to assess frailty in elderly individuals. The scale consists of 9 frailty dimensions included in the Comprehensive Geriatric Assessment and accepted as determinants of frailty. These frailty dimensions include cognitive status, general health status, functional independence, social support, medication use, nutrition, mood, continence and functional status. The scale consists of 11 items in total. The 'clock test' is used to assess cognitive status and the 'Timed Up and Go test' is used to assess functional performance.
Time Frame
3 weeks after the operation
Title
Edmonton Frailty Scale
Description
Edmonton Frailty Scale was developed by Rolfson et al. (2006) to assess frailty in elderly individuals. The scale consists of 9 frailty dimensions included in the Comprehensive Geriatric Assessment and accepted as determinants of frailty. These frailty dimensions include cognitive status, general health status, functional independence, social support, medication use, nutrition, mood, continence and functional status. The scale consists of 11 items in total. The 'clock test' is used to assess cognitive status and the 'Timed Up and Go test' is used to assess functional performance.
Time Frame
3 months after the operation
Title
Causes of Kinesiophobia Scale
Description
The Causes of Kinesiophobia Scale (CNS) is a 20-question questionnaire developed by Kocjan and Knapik (2015) to diagnose and determine the causes of motor inactivity. The CNS consists of a total of 20 questions and two subscales.
Time Frame
3 days after the operation
Title
Causes of Kinesiophobia Scale
Description
The Causes of Kinesiophobia Scale (CNS) is a 20-question questionnaire developed by Kocjan and Knapik (2015) to diagnose and determine the causes of motor inactivity. The CNS consists of a total of 20 questions and two subscales.
Time Frame
3 weeks after the operation
Title
Causes of Kinesiophobia Scale
Description
The Causes of Kinesiophobia Scale (CNS) is a 20-question questionnaire developed by Kocjan and Knapik (2015) to diagnose and determine the causes of motor inactivity. The CNS consists of a total of 20 questions and two subscales.
Time Frame
3 months after the operation
Title
Care Dependency Scale
Description
The Care Dependency Scale is a scale based on Virginia Henderson's human needs and developed to assess the care dependency status of patients. The Care Dependency Scale includes various physical and psychological aspects and provides a comprehensive assessment of the patient's care dependency. This scale was developed by Dijkstra in 1998. The items included in the scale are nutrition, continence, body posture, mobility, day/night cycle, dressing and undressing, body temperature, body cleanliness, avoiding hazards, communication, communicating with others, worshipping, following rules, daily activities, recreational activities and learning ability.
Time Frame
3 days after the operation
Title
Care Dependency Scale
Description
The Care Dependency Scale is a scale based on Virginia Henderson's human needs and developed to assess the care dependency status of patients. The Care Dependency Scale includes various physical and psychological aspects and provides a comprehensive assessment of the patient's care dependency. This scale was developed by Dijkstra in 1998. The items included in the scale are nutrition, continence, body posture, mobility, day/night cycle, dressing and undressing, body temperature, body cleanliness, avoiding hazards, communication, communicating with others, worshipping, following rules, daily activities, recreational activities and learning ability.
Time Frame
3 weeks after the operation
Title
Care Dependency Scale
Description
The Care Dependency Scale is a scale based on Virginia Henderson's human needs and developed to assess the care dependency status of patients. The Care Dependency Scale includes various physical and psychological aspects and provides a comprehensive assessment of the patient's care dependency. This scale was developed by Dijkstra in 1998. The items included in the scale are nutrition, continence, body posture, mobility, day/night cycle, dressing and undressing, body temperature, body cleanliness, avoiding hazards, communication, communicating with others, worshipping, following rules, daily activities, recreational activities and learning ability.
Time Frame
3 months after the operation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 65 years of age or older Being diagnosed with osteoporosis Being conscious and able to answer questions Not having a problem that would prevent communication Exclusion Criteria: Under 65 years of age with fractures Patients with Parkinson's disease Patients with visual and hearing impairment Patients undergoing hip surgery for the second time
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Halise Cinar
Phone
+905424633771
Email
halise.cinar@adu.edu.tr
First Name & Middle Initial & Last Name or Official Title & Degree
Nurdan Gezer
Phone
05069282109
Email
ngezer@adu.edu.tr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Halise Cinar
Organizational Affiliation
Aydin Adnan Menderes University, Turkey
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Nurdan Gezer
Organizational Affiliation
Aydin Adnan Menderes University, Turkey
Official's Role
Study Chair
Facility Information:
Facility Name
Aydin Adnan Menderes Üniversity
City
Efeler
State/Province
Aydin
Country
Turkey
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Halise Cinar
Phone
+905424633771
Email
halise.cinar@adu.edu.tr
First Name & Middle Initial & Last Name & Degree
Halise Cinar
First Name & Middle Initial & Last Name & Degree
Nurdan Gezer, Phd

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

The Effect of Training Prepared in Line With Fracture Liaison Service Model on Frailty in Hip Surgery Patients

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