Detecting and Addressing Preclinical Disability

Active, not recruiting

Phase N/A Results N/A

Trial Description

The Physical Functioning Inventory (PFI) is a standardized patient reported outcome measure that assesses preclinical disability. Preclinical disability is a functional state in which people are still able to complete daily living tasks (e.g., walking, bathing) but are changing the frequency or modifying the way that they complete the tasks. The investigators have done some preliminary research using the PFI as an online monitoring tool (Richardson 2012), but further study is required to examine its psychometric properties and its suitability for use as a primary outcome measure. This measurement study has been designed to identify the optimal number of items on the PFI and to determine the reliability, validity, and responsiveness of the PFI when administered to a sample of adults and older adults both with and without chronic conditions. This project will also allow us to evaluate the use of self-monitoring of physical function and the added value of rehabilitation professionals to support self-monitoring. Using the results of the PFI, the investigators aim to develop a "tailored" population-based rehabilitation self-management intervention delivered through a secure messaging system in the patient's electronic personal health record (myOSCAR) that focuses on the early detection and prevention of preclinical disability.

Conditions

Interventions

  • Tailored advice from a physiotherapist and/or an occupational therapist through the myOSCAR patient portal Other
    ARM 1: Kind: Experimental
    Label: People with chronic disease
    Description: Participants greater than or equal to 44 years of age with a chronic disease (diabetes, heart disease, stroke, hypertension, osteoporosis, osteoarthritis, rheumatoid arthritis, chronic obstructive pulmonary disease, back pain, Multiple Sclerosis, Parkinson's Disease).
    ARM 2: Kind: Experimental
    Label: People without chronic disease
    Description: Participants greater than or equal to 65 years of age without a chronic disease.

Trial Design

  • Observation: Case Control
  • Perspective: Prospective
  • Sampling: Non-Probability Sample

Trial Population

Primary care center

Outcomes

Type Measure Time Frame Safety Issue
Primary Physical Functioning Inventory Baseline, 3-5 days later, 6 months, 12 months, 18 months, 3-5 days later No
Secondary Mobility Survey Baseline, 3-5 days later, 6 months, 12 months, 18 months, 3-5 days later No
Secondary The Rapid Assessment of Physical Activity (RAPA) Baseline, 3-5 days later, 6 months, 12 months, 18 months, 3-5 days later No
Secondary Patient Specific Functional Scale (PSFS) Baseline, 18 months No

Sponsors