基于多学科团队决策干预的老年失动管理的多中心随机对照研究

注册号:

Registration number:

ChiCTR2200056756 

最近更新日期:

Date of Last Refreshed on:

2022-02-18 22:24:54 

注册时间:

Date of Registration:

2022-02-13 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于多学科团队决策干预的老年失动管理的多中心随机对照研究

Public title:

a multicenter, randomized controlled trial assessing multidisciplinary interventions on older inpatients with mobility limitation(M-MobiLE study)

注册题目简写:

M-MobiLE

English Acronym:

研究课题的正式科学名称:

基于多学科团队决策干预的老年失动管理的多中心随机对照研究

Scientific title:

a multicenter, randomized controlled trial assessing multidisciplinary interventions on older inpatients with mobility limitation(M-MobiLE study)

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

王冠珍 

研究负责人:

李耘 

Applicant:

Wangguan Zhen 

Study leader:

Yun Li 

申请注册联系人电话:

Applicant telephone:

18435148659

研究负责人电话:

Study leader's
telephone:

13601307723

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

wangguanzhen1105@163.com

研究负责人电子邮件:

Study leader's E-mail:

liy_xw@sina.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京市西城区长椿街45号

研究负责人通讯地址:

北京市西城区长椿街45号

Applicant address:

45 Changchun Street, Xicheng District,Beijing

Study leader's address:

45 Changchun Street, Xicheng District,Beijing

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

首都医科大学宣武医院

Applicant's institution:

Xuanwu Hospital, Capital Medical University

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

临研审[2021] 060号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

首都医科大学宣武医院伦理委员会

Name of the ethic committee:

Ethics Committee of Xuanwu Hospital,Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-04-12 00:00:00

伦理委员会联系人:

胡晓

Contact Name of the ethic committee:

Xiao Hu

伦理委员会联系地址:

北京市西城区长椿街45号

Contact Address of the ethic committee:

45 Changchun Street, Xicheng District,Beijing

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

首都医科大学宣武医院

Primary sponsor:

Xuanwu Hospital, Capital Medical University

研究实施负责(组长)单位地址:

北京市西城区长椿街45号

Primary sponsor's address:

45 Changchun Street, Xicheng District,Beijing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

西城区

Country:

China

Province:

Beijing

City:

Xicheng District

单位(医院):

首都医科大学宣武医院

具体地址:

北京市西城区长椿街45号

Institution
hospital:

Xuanwu Hospital, Capital Medical University

Address:

45 Changchun Street, Xicheng District,Beijing

经费或物资来源:

国家重点研发计划专项课题(项目编号:2020YFC2008604)

Source(s) of funding:

National Key R&D Program of China (Project No.: 2020YFC2008604)

研究疾病:

失动  

Target disease:

Mobility Limitation

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究目的是评估多学科团队决策模式对老年失动住院患者提供多重干预的效果。我们假设多学科团队干预策略可以改善老年失动患者活动能力、生活质量和营养状况,减少抑郁、失能、虚弱和跌倒的发生,缩短住院时间,并降低死亡率。  

Objectives of Study:

The purpose of this study was to evaluate the effect of a multidisciplinary team decision-making model in providing multiple interventions for elderly patients with Mobility Limitation in hospital. We hypothesized that a multidisciplinary team intervention strategy could improve mobility, quality of life, and nutritional status, reduce depression, disability, frailty, and falls, shorten hospital stays, and reduce mortality.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 运动禁忌症或终末期疾病;
2. 严重的认知和精神障碍(MMSE<10分);
3. 患者或家属无法配合评估和干预随访;
4. 诊断为中度至重度失能。

Exclusion criteria:

1. Exercise contraindications or end-stage disease;
2. Severe cognitive and psychiatric disorders (MMSE <10 points);
3. Patients or family members are unable to cooperate with assessment and intervention follow-up;
4. Diagnosed with moderate to severe disability.

研究实施时间:

Study execute time:

From 2022-02-01 00:00:00 To 2024-01-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-02-02 00:00:00 To 2024-01-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

250

Group:

experimental group

Sample size:

干预措施:

根据循证指南和共识对患者进行失动教育、运动方案咨询、家庭环境改良、营养强化、共病治疗为一体的多学科团队管理策略

干预措施代码:

Intervention:

A multidisciplinary team management strategy integrating Mobility Limitation education, exercise program consultation, home environment improvement, nutritional intensification, and comorbidity treatment for patients based on evidence-based guidelines and consensus.

Intervention code:

组别:

对照组

样本量:

250

Group:

control

Sample size:

干预措施:

常规护理及治疗管理模式

干预措施代码:

Intervention:

Routine nursing and treatment management mode

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学宣武医院 

单位级别:

三级甲等 

Institution
hospital:

Xuanwu Hospital, Capital Medical University

Level of the institution:

Tertiary A Hospital

国家:

中国

省(直辖市):

湖南 

市(区县):

 

Country:

China

Province:

Hunan

City:

单位(医院):

中南大学湘雅医院 

单位级别:

三级甲等 

Institution
hospital:

Xiangya Hospital Central South University

Level of the institution:

Tertiary A Hospital

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江医院 

单位级别:

三级甲等 

Institution
hospital:

Zhejiang hospital

Level of the institution:

Tertiary A Hospital

国家:

中国

省(直辖市):

福建 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

福建医科大学附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Fujian Medical University Union Hospital

Level of the institution:

Tertiary A Hospital

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院 

单位级别:

三级甲等 

Institution
hospital:

West China Hospital Sichuan University

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

简易体能状况量表

指标类型:

主要指标

Outcome:

Short-Physical Performance Battery (SPPB)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

起立行走实验

指标类型:

主要指标

Outcome:

Timed up & go(TUG)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

日常生活能力量表

指标类型:

次要指标

Outcome:

Activities of Daily Living (ADL)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

老年抑郁简易量表

指标类型:

次要指标

Outcome:

Geriatric Depression Scale (GDS-15)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生活质量评定量表

指标类型:

次要指标

Outcome:

Short Form 12 (SF-12)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

简易精神智能状况量表

指标类型:

次要指标

Outcome:

Mini-Mental State Examination (MMSE)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

衰弱表型评估

指标类型:

次要指标

Outcome:

Fried's Frailty Phenotype

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

跌倒风险评估量表

指标类型:

次要指标

Outcome:

Morse

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌少症评估

指标类型:

次要指标

Outcome:

SARC-CalF

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

营养状态评估

指标类型:

次要指标

Outcome:

Mini Nutritional Assessment short-form (MNA-SF)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血常规

指标类型:

次要指标

Outcome:

Routine blood test

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血生化

指标类型:

次要指标

Outcome:

Biochemical indexes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

炎症标志物

指标类型:

次要指标

Outcome:

Inflammatory markers

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清 25-羟基维生素 D

指标类型:

次要指标

Outcome:

Serum 25 hydroxyvitamin D

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 60 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

统计师采用R语言软件产生随机序列,研究者可申请得到随机结果

Randomization Procedure (please state who generates the random number sequence and by what method):

Statisticians use R software to generate random sequences. Researchers apply for random results from statisticians

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

开放标签

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

待课题结束,数据全部完成后共享

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

/

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

所有数据采用纸质CRF记录,数据录入采用Epidate3.1

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

All the data will be recorded in paper CRF and Epidate3.1 is used for data entry

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-02-13 11:33:16