Stronger at Home: Improving Outcomes for Older Adults After Hip Fracture (S@H)
Hip Fractures
About this trial
This is an interventional treatment trial for Hip Fractures focused on measuring Hip Fracture, Exercise program, Recovery, Physical therapy
Eligibility Criteria
Inclusion Criteria: Hip fracture patients who are 65 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 25km 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
Sites / Locations
- Queen's UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention (Stronger at Home model)
Control (usual care)
This study implements a 14-week home-based rehabilitation program for older adults after hip fractures. Participants will receive 8 home visits by a Physiotherapist (PT) and/or Physio assistant(PTA), focusing on individualized exercise programs and pain self-management. The intervention aims to improve functional recovery and includes PT-led assessments, exercise adjustments, and discharge assessments. PTAs support exercise delivery and education. The clinical team comprises PTs and PTAs, receiving training on exercise principles, pain education, and goal setting. The program emphasizes progressive strengthening, balance, and functional exercises, adhering to evidence-based principles. The intervention aims to enhance efficiency, reduce wait times, and promote adherence.
The control group will receive usual home care provided by the healthcare system, which could vary between cases. We'll document their received care during follow-ups as it is inconsistent and poorly recorded. Regular check-in calls by the study coordinator will remind them of assessments, reducing attrition.