Amsterdam University of Applied Sciences
Effect of sensor monitoring in an occupational therapy rehabilitation program for older individuals after hip fracture: the SO-HIP trial A three-arm stepped wedge cluster randomized trial
Pol, Margriet; ter Riet, Gerben; van Hartingsveldt, Margo; Kröse, Ben; Buurman, Bianca
Publication date 2018
Document Version Final published version
Link to publication
Citation for published version (APA):
Pol, M., ter Riet, G., van Hartingsveldt, M., Kröse, B., & Buurman, B. (2018). Effect of sensor monitoring in an occupational therapy rehabilitation program for older individuals after hip fracture: the SO-HIP trial A three-arm stepped wedge cluster randomized trial. 1. Abstract from World Federation of Occupational Therapists Congress 2018, Cape Town, South Africa.
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Download date:26 Nov 2021
EFFECT OF SENSOR MONITORING IN AN OCCUPATIONAL THERAPY REHABILITATION PROGRAM FOR OLDER INDIVIDUALS AFTER HIP
FRACTURE: SO-HIP STUDY
Margriet Pol MSc OT
ACHIEVE Centre of Expertise Faculty of Health
Amsterdam University of Applied Sciences The Netherlands
2
THE PROBLEM
15.000 hip fractures each year in the Netherlands
Serious effects: 25% died, 20-90% experienced functional decline Fear of falling and impact on rehabilitation
THE SOLUTION:
OT-INTERVENTION COACHING AND SENSOR MONITORING
The coaching The sensor technology
1. to give information about the importance of physical activity and daily exercise
2. to ascertain the amount of movement and everyday activities during the day 3. to define realistic goals 4. to make an activity plan 5. to evaluate progress
METHODS
Three-arm stepped wedge, cluster randomized trial Three interventions: OT Usual rehabilitation , OT with
coaching based on CBT, OT with coaching based on CBT and sensor monitoring
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MEASUREMENTS AND OUTCOME MEASURE
Skilled nursing Home facility
T0 T1month T3 T6months
care as usual OT coaching/ no
OT coaching/ sensors rehabilitation sensors home visits (4x)
wk1-4 tel consult 4x wk12-16 finishing OT
Primary outcome: Perceived performance of daily functioning (measured with COPM) (at six months)
6 4
5 6 7 8
COPM-P
1 3 6
Follow-up time
0rehab 1coach
2sensor
Significant difference in perceived performance of daily functioning at six months for OT-coaching and sensors- of 1.17 [95% CI (0.47-1.87) P=0.001]
RESULTS
EXPERIENCES THERAPISTS AND PARTICIPANTS
‘The data is an objective assessment besides the subjective experience of the participant’
Mrs. M: “It motivated me to move more, for
example in the evening when I didn't want to go on my home trainer, I thought by myself: I want to do it anyway because it is good to move.
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The use of sensor monitoring in OT coaching (behavioral change training) can make a huge difference in outcome for older clients after hip fracture!
Questions? m.c.pol@hva.nl (Margriet Pol) www.sohipstudie.nl
