Assessing Patient Care Through Routine Use of Patient-Reported Outcomes
Study Details
Study Description
Brief Summary
Patient reported outcome measures (PROMs) are assessments of health status or health-related quality of life. The EuroQol-5D (EQ5D) is an example of a generic instrument to assess health-related quality of life. The investigators will use the EQ5D in the Falls Prevention Clinic as part of routine clinical assessment at baseline, 6 months and 12 months to track patient care in a cohort of 300 older adults who are at high-risk of falls.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
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Purpose: We will use the EQ5D in the Falls Prevention Clinic as part of routine clinical assessment at baseline, 6-months and 12-months to track patient care in a cohort of 300 older adults who are at high-risk of falls.
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Objectives:
O1: Our primary objective is to use a routinely administered patient reported outcomes measure, the EuroQol-5D (EQ-5D), in older adults at high risk of falls to determine patients self-reported health status over a 12-month followup period.
O2: Our secondary objective is to develop an explanatory model and a predictive model of covariates that explain significant gains or losses in health related quality of life.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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Referred to falls clinic for assessment by general practitioner or emergency department physician.
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Index fall presentation not due to overwhelming force resulting in presentation to Emergency Department or general practitioner (including syncopal presentation, see below).
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At least 70 years of age.
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No progressive neurological disorder (e.g. Dementia, Parkinson's, Alzheimer's).
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Community dwelling (within Vancouver and Burnaby only).
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Mini Mental State Examination Score of at least 24.
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Walk at least 3 meters.
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Has at least one of the following 'high-risk' criteria:
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At least one other non-syncopal fall in the past 12 months
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PPA of at least 1.0 (using dominant score for strength test)
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TUG of at least 15 seconds
- Life expectancy of greater than 12 months as determined by the geriatrician.
Exclusion Criteria:
- Any patients who do not meet the inclusion criteria specified above will be excluded from assessment at the Falls Prevention Clinic.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Vancouver General Hospital | Vancouver | British Columbia | Canada |
Sponsors and Collaborators
- University of British Columbia
Investigators
- Study Director: Karim Khan, University of British Columbia
- Study Director: Teresa Liu-Ambrose, University of British Columbia
- Principal Investigator: Stirling Bryan, University of British Columbia
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- H09-01655