Ignite Creation Date:
2024-05-05 @ 11:23 AM
Last Modification Date:
2024-10-26 @ 9:06 AM
Study NCT ID:
NCT00012714
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2001-03-14
Brief Title:
Evaluation of Subacute Rehabilitative Care
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Evaluation of Subacute Rehabilitative Care
Status:
COMPLETED
Status Verified Date:
2007-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Prior rehabilitation outcome studies had many weaknesses They had a evaluated rehabilitation effects only in isolated subgroups b focused on functional ability rather than on quality of life c not used randomized control groups and d had inadequate sample sizes Differences in methodological approaches have resulted in inconsistent findings The lack of long-term benefits suggests that services may need to be continued at home or in subacute care settings to optimize their effectiveness Unfortunately prior research did not include behavioral outcomes The potential benefits of rehabilitative care could thus not be evaluated by these studies in more meaningful detail and they did not accurately reflect the psychosocial objectives of rehabilitation
Detailed Description:
Background
Prior rehabilitation outcome studies had many weaknesses They had a evaluated rehabilitation effects only in isolated subgroups b focused on functional ability rather than on quality of life c not used randomized control groups and d had inadequate sample sizes Differences in methodological approaches have resulted in inconsistent findings The lack of long-term benefits suggests that services may need to be continued at home or in subacute care settings to optimize their effectiveness Unfortunately prior research did not include behavioral outcomes The potential benefits of rehabilitative care could thus not be evaluated by these studies in more meaningful detail and they did not accurately reflect the psychosocial objectives of rehabilitation
Objectives
The goal of this study was to measure the additive effect of outpatient subacute rehabilitation as follow-up services to acute inpatient rehabilitation on adults diagnosed with a disabling disorder in four major diagnostic groups nervous circulatory musculoskeletal and injury
Methods
A randomized clinical trial was conducted to determine the effects of subacute rehabilitative care on 1 physical function 2 health and mental health 3 mortality 4 family function 5 personal adjustment and 6 use of health care resources Patients hospitalized for the first time with a disabling condition n180 were provided inpatient rehabilitation and then randomly assigned to either subacute rehabilitation at home n90 or to usual outpatient follow-up n90 in which only medical services were provided but no scheduled rehabilitative therapies were offered To compare the two groups analysis of covariance was conducted for the outcome variables The between subjects factor was subacute rehabilitative care versus usual medical services as an outpatient
Status
Complete
Prior rehabilitation outcome studies had many weaknesses They had a evaluated rehabilitation effects only in isolated subgroups b focused on functional ability rather than on quality of life c not used randomized control groups and d had inadequate sample sizes Differences in methodological approaches have resulted in inconsistent findings The lack of long-term benefits suggests that services may need to be continued at home or in subacute care settings to optimize their effectiveness Unfortunately prior research did not include behavioral outcomes The potential benefits of rehabilitative care could thus not be evaluated by these studies in more meaningful detail and they did not accurately reflect the psychosocial objectives of rehabilitation
Objectives
The goal of this study was to measure the additive effect of outpatient subacute rehabilitation as follow-up services to acute inpatient rehabilitation on adults diagnosed with a disabling disorder in four major diagnostic groups nervous circulatory musculoskeletal and injury
Methods
A randomized clinical trial was conducted to determine the effects of subacute rehabilitative care on 1 physical function 2 health and mental health 3 mortality 4 family function 5 personal adjustment and 6 use of health care resources Patients hospitalized for the first time with a disabling condition n180 were provided inpatient rehabilitation and then randomly assigned to either subacute rehabilitation at home n90 or to usual outpatient follow-up n90 in which only medical services were provided but no scheduled rehabilitative therapies were offered To compare the two groups analysis of covariance was conducted for the outcome variables The between subjects factor was subacute rehabilitative care versus usual medical services as an outpatient
Status
Complete
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None