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Rehabilitation of older patients: day hospital compared to rehabilitation at home
ISRCTN ISRCTN71801032
DOI 10.1186/ISRCTN71801032
ClinicalTrials.gov identifier
EudraCT number
Public title Rehabilitation of older patients: day hospital compared to rehabilitation at home
Scientific title
Acronym N/A
Serial number at source HTA 97/26/01
Study hypothesis The principal objective of this project is to carry out a pragmatic randomised controlled trial to address the question: what is the effectiveness and cost effectiveness of day hospitals compared with home based rehabilitation for elderly patients? In the first phase of the project, lasting 1 year, the validity of the research question and the feasibility of the proposed study will be examined through scoping analysis, comparison of national survey data recently collected by members of the research group and a pilot study. Potential clinical partners for the second phase of the study will be systematically identified and recruited, during this stage using the survey analyses to provide clinical sites with co-incident day hospital and community rehabilitation services. Provided that the scoping analyses and pilot study confirm that the research question can be adequately addressed in the current NHS and sufficient appropriate clinical partners can be identified and recruited then the second phase, lasting 3 years, will begin. In the second phase a pragmatic randomised controlled trial will be carried out in which 680 patients will be randomised to receive either community based rehabilitation or day hospital based rehabilitation.

Protocol can be found at http://www.hta.ac.uk/protocols/199700260001.pdf
More details can be found at http://www.hta.ac.uk/1218
Lay summary
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Not applicable
Participants - inclusion criteria Not provided at time of registration.
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/09/2002
Anticipated end date 31/10/2007
Status of trial Completed
Patient information material
Target number of participants 680
Interventions Please note that, as of 16 January 2008, the start and end date of this trial have been updated from 1 May 2001 and 30 April 2005 to 1 September 2002 and 31 October 2007, respectively.

Interventions:
Day hospital rehabilitation vs rehabilitation at home
Primary outcome measure(s) The primary outcome will be functional health status measured using the Nottingham extended ADL scale. Subjects will be stratified according to level of handicap and source of referral. Health economic analysis is built into the trial, some condition specific health status outcomes will be used and quality of life issues will be addressed.
Secondary outcome measure(s) Not provided at time of registration.
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website
Publications 2009 results in http://www.ncbi.nlm.nih.gov/pubmed/19712593
Contact name Prof  Stuart  Parker
  Address Sheffield Institute for Studies on Ageing (SISA)
Community Sciences Centre
Northern General Hospital
Herries Road
  City/town Sheffield
  Zip/Postcode S5 7AU
  Country United Kingdom
  Tel +44 (0)114 271 5891
  Fax +44 (0)114 271 5771
  Email s.g.parker@sheffield.ac.uk
Sponsor Department of Health (UK)
  Address Quarry House
Quarry Hill
  City/town Leeds
  Zip/Postcode LS2 7UE
  Country United Kingdom
  Tel +44 (0)1132 545 843
  Email Sheila.Greener@doh.gsi.gov.uk
  Sponsor website: http://www.dh.gov.uk/en/index.htm
Date applied 25/04/2003
Last edited 17/12/2009
Date ISRCTN assigned 25/04/2003
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