Discharge PlanningDROPNCT06903832
Discharge Recommendations for Older Adults Using Physical Outcome Measure
An observational study of Discharge Planning and Older Adults (65 Years and Older), run by National University Hospital, Singapore at 1 site in Singapore.
Trial summary
The aim of this study is to explore if the use of Sit to Stand Test and Gait speed Test could assist physiotherapist with discharge planning decisions for older adults who are admitted to an acute hospital. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Discharge Planning, Older Adults (65 Years and Older), Acute Hospitalization
- How many people
- 60 participants
- Where
- 1 siteSingapore
- Study dates
- 1 Apr 2025to 30 Sep 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Study population: Older adults admitted to inpatient wards in the National University Hospital (Singapore).
Who may be able to join
- Aged 65 years and older
- Able to ambulate without physical assistance with or without walking aids as per premorbid status for at least 5 metres
- Clinical Frailty Scale (CFS) of ≤ 5
- Able to follow instructions (Abbreviated Mental Test (AMT) ≥ 5)
Who cannot join
- Admitted for acute orthopaedic or neurological conditions with physical deficits that affect functional mobility
- Requires physical assistance for functional mobility from ≥ 1 person
- Clinical Frailty Scale (CFS) of > 5
- AMT < 5 (Lack capacity to consent to study)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Singapore1 site, 1 recruiting
- Recruiting
National University Hospital, Singapore
Singapore, 119074
Hui Ying Koh
About this study
Official title: Discharge Recommendations for Older Adults Using Physical Outcome Measure (DROP)
The aim of this study is to explore if the use of Sit to Stand Test and Gait speed Test could assist physiotherapist with discharge planning decisions for older adults who are admitted to an acute hospital.
Read the detailed description
Older adults are susceptible to acute illnesses which could predispose them to hospital admissions, with some of the common reasons for admission being infections, exacerbations of chronic conditions, and falls. This higher likelihood of older adults admitted to hospitals can be seen from the statistics from Ministry of Health in 2021 whereby older adults aged 65 years and older constitute up to 287.3 admissions per 1000 resident population, which is the highest among all age groups. In a study exploring the trend of injuries sustained by older adults presented to the Emergency Department of an acute hospital, 85.3% of all injuries sustained by older adults were due to falls. Common physical injuries sustained by older adults after a fall are fractures, bruises, and soft tissue injuries. Functional decline after a fall was also relatively common in older adults. Additionally, it has also been well recognized that hospitalisation may cause older adults to experience deconditioning. Therefore, older adults who are admitted to an acute hospital, especially those who are admitted due to falls or have a history of falls, are generally at high risk of having a change in their functional status. For the older adults with a change in functional status and have been assisted by a caregiver prior to their hospital admission, one of the main aims usually would be to make sure that their caregivers are still competent in caring for them after discharge. However, for older adults whose premorbid physical functional status are relatively independent, it is pertinent to establish if they are still safe to manage their own care after discharge from hospital. Proper discharge planning for this group of older adults is important to make sure that those who are discharge home will not experience functional decline or at increased risk of falls. Older adults who are admitted in an acute hospital are commonly referred to physiotherapists for assessment to determine are ready to return home or if they need further rehabilitation. However, to manage high workload in the acute hospital and space constraints in the wards, these older adults' readiness for home are frequently based on physiotherapists' clinical judgement, which may differ based on their clinical experience. Discharge planning is predominantly based on the comparisons between the older adults' self-reported functional mobility before hospital admission and the level of assistance they require during assessment by inpatient physiotherapists. Without the use objective outcome measures, there may be disagreement by medical team or family members on physiotherapist's recommendations. Furthermore, there is no venue to track the older adult's improvement objectively. STS and GST are two functional outcome measures that are validated to measure different physical aspects of older adults. STS has been shown to be able to assess lower limb strength, balance control and falls risk. This can be seen from the recommended use of STS in the acute setting for the assessment of lower limb strength and physical performance by a Singapore multidisciplinary consensus recommendation on muscle health in older adults by Chew et al. (2021). As for GST, it is reflective of a person's functional mobility whereby a study by Ostir et al., (2015) has demonstrated that GST can be used as a simple and quick screening tool for hospitalised older adults who may require further intervention with their mobility. As these two measures are easy to administer, less time-consuming and do not require much space, they may be suitable outcome measures to facilitate discharge planning. However, there is no literature demonstrating that they have been used to facilitate discharge planning for older adults in acute hospitals. Therefore, the primary aim of this study is to explore if the two outcome measures are useful in facilitating discharge planning for older adults who are admitted to an acute hospital. Our secondary aim is to determine if the discharge recommendations for participants to discharge home are accurate by looking for any change in the basic activity of living (ADL), self-reported fear of falls and activity confidence post-discharge
- Conditions
- Discharge Planning, Older Adults (65 Years and Older), Acute Hospitalization, OUTCOME MEASURES
- Keywords
- Discharge planning, Acute Hospitalization, Physical outcome measure, older adults, Gait Speed Test, Five Times Sit to Stand Test
What is being measured
The primary outcome is the main question the study is designed to answer.
Five Times Sit To Stand Test (STS)
STS will be used to test the lower limb strength, balance control and falls risk. Participants will have to stand up and sit down five times started from a seated position, with arms across their chest. The test will have to be conducted as fast as possible using a chair with a backrest. The time taken to complete 5 repetitions will be recorded. Two trials will be performed. A cut-off score of ≥ 12s will be considered at risk of falling.
Measured: During Enrollment while admitted in acute hospital
Gait Speed Test
A 4m walk test will be used to measure gait speed. Participant will walk through a 4-metre distance at comfortable speed. The time taken to complete the distance will be recorded. Two trials will be performed. Gait speed of ≤ 0.6m/s would be termed as dismobility according to Cummings et al., (2014) which would be reflected of having poor mobility and will require intervention.
Measured: During Enrollment while admitted in acute hospital
Secondary outcomes (9)
Calf Circumference
Calf circumference is a surrogate marker of muscle mass for older adults. It can be measured in sitting with the knee and ankle bent at a right angle and the feet flat on the floor. Using a measuring tape, the widest part of the part can be measured by applying the tape flat on the skin and parallel to the floor. Two measurements will be performed. A cut- off score of < 34cm in men and < 33cm in women will be consider as having low muscle mass and a higher risk of sarcopenia.
Measured: During Enrollment while admitted in acute hospital
Hand grip strength
Hand grip strength measured by a hand dynamometer will be used to gauge frailty. Participant will sit in a chair with back support and asked to hold on to the dynamometer using maximum strength with the shoulder adducted and neutrally rotated, elbow flexed at 90 degrees, forearm neutral. The tested arm is not supported by examiner or armrest and the dynamometer is presented vertically and in line with the forearm. Three measurements will be performed. A cut off score of < 28kg in male and < 18kg in female is considered as having low handgrip strength.
Measured: During Enrollment while admitted in acute hospital
Lower limb muscle strength using hand-held dynamometer
Reduction in quadriceps muscles strength were the most affected with aging. Muscle strength of lower limb will be assessed with knee extension strength using an electronic push/pull dynamometer. Participants would be seated with knee flexed to 90 degrees. Isometric knee strength will be measured with an electronic dynamometer attached to lower leg. A cut off score of < 23.64kg in male and < 15.24kg in female is considered as having low knee extension strength.
Measured: During Enrollment while admitted in acute hospital
Modified Barthel Index (MBI)
The modified barthel index (MBI) consist of 10 items of ADLS modified from Barthel index (Shah et al, 1989). This includes transfers, walking, navigating stairs, grooming, bathing, dressing, feeding, toilet transfer, bladder and bowel control. It has been validated for older adults living at home and hospitalised older adults. MBI is also commonly used to assess physical function for hospitalised older adults at admission and discharge. MBI is positively associated with functional performance even for older adults who are hospitalised. In addition, older adults with higher MBI scores and ADL independence were more likely to be discharged home post hospitalisation as well. MBI score of 0 to 24 points suggest total ADL dependency, score of 25 to 49 points suggest severe ADL dependency, score of 50 to 74 suggest moderate ADL dependency and scores above 75 suggest mild ADL dependency.
Measured: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Short Falls Efficacy Scale International (Short FES-I)
The Short FES-I measures the individual's concerns about falling. Seven questions were answered with a four-grade scale (1-4) of 'not at all concerned,' 'somewhat concerned,' 'fairly concerned' and 'very concerned.' The total score, which ranged from 7 to 28, was recorded. A higher score reflected a greater level of concern about falling. The Short FES-I have excellent psychometric properties and requires less time to conduct compared to the FES-I.
Measured: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Balance Recovery Confidence scale (BRC)
The BRC aims to measure the balance recovery confidence in community-dwelling older adults. A list of fall-related situations commonly experienced by older adults are presented to determine how certain the respondent can recover their balance to prevent a fall if the situation was to occur in the last three weeks by recording a number from 0 to 10 with 10 indicating "Highly certain can do" and 0 refers to "Cannot do at all".
Measured: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Mulitdimensional Falls Efficacy Scale (MdFES)
The MdFES was developed in collaboration between NUH and SIT (ITO Ref 2024-0720). The 4-item scale measures the perceived ability to prevent and manage falls. Participants will report their confidence levels on four items: (1) "How confident are you to walk steadily?"; (2) "How confident are you to stop yourself from falling when you lose balance?"; (3) "How confident are you to protect yourself if you fall?"; and (4) "How confident are you in getting up (from the ground) after a fall?" using a 5-point rating scale from 0 for "not at all confident" to 4 "Extremely confident". The scale has a high face and content validity and good internal consistency (α = .84).
Measured: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Activities Balance Confidence scale (ABC)
The ABC scale assesses older adults' confidence that they will not fall or lose their balance when performing several progressively challenging balance and mobility tasks. This scale provides a broad continuum of activity difficulty and contains situation-specific questions to determine the level of confidence in completing a task without falling or losing balance. The ABC Scale has 16 items, with answers ranging from 0% (no confidence) to 100% (complete confidence)
Measured: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Physical Activity Scale for the Elderly (PASE)
The PASE measures the level of self-reported physical activity in individuals aged 65 years or older. The scale has 12 items regarding occupational, household, and leisure activities during the previous 7-day period. The overall PASE score ranges from 0 to 400 or more with a higher score indicating greater level of physical activity.
Measured: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Apr 2025
- Study start1 Apr 2025
- Primary completion31 Mar 2026 (estimated)
- Study completion30 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (29)Papers the sponsor has linked to this study.
- Other trials for Discharge PlanningStudies of the same condition, open and under way.
- More trials run by National University Hospital, SingaporeThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National University Hospital, Singapore
- Sponsor type
- University, hospital or other
- Collaborators
- Singapore Institute of Technology
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06903832
- Sponsor's protocol ID
- 2024/3331
- Acronym
- DROP
- Status last verified
- Mar 2025
- First submitted
- 28 Mar 2025
- Last updated
- 30 Apr 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006 May;54(5):743-9. doi: 10.1111/j.1532-5415.2006.00701.x.
PubMed 16696738Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993 Feb;46(2):153-62. doi: 10.1016/0895-4356(93)90053-4.
PubMed 8437031Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 Jan;50A(1):M28-34. doi: 10.1093/gerona/50a.1.m28.
PubMed 7814786Soh SLH, Ting HXT, Ho JY, Tan SL, Kayambu G, Koh KCGK, Low LL, Tan CYF. Assessing Falls Efficacy in Seniors: Important Insights in Hospital and Community Settings. J Frailty Sarcopenia Falls. 2025 Mar 1;10(1):48-53. doi: 10.22540/JFSF-10-048. eCollection 2025 Mar.
PubMed 40035087Soh SL, Tan CW, Xu T, Yeh TT, Bte Abdul Rahman F, Soon B, Gleeson N, Lane J. The Balance Recovery Confidence (BRC) Scale. Physiother Theory Pract. 2024 Mar 3;40(3):658-669. doi: 10.1080/09593985.2022.2135420. Epub 2022 Oct 19.
PubMed 36259660Kempen GI, Yardley L, van Haastregt JC, Zijlstra GA, Beyer N, Hauer K, Todd C. The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age Ageing. 2008 Jan;37(1):45-50. doi: 10.1093/ageing/afm157. Epub 2007 Nov 20.
PubMed 18032400Shah S, Muncer S. Sensitivity of Shah, Vanclay and Cooper's modified Barthel Index. Clin Rehabil. 2000 Oct;14(5):551-2. doi: 10.1191/0269215500cr360oa. No abstract available.
PubMed 11043883Hang JA, Francis-Coad J, Naseri C, Jacques A, Waldron N, Purslowe K, Hill AM. Identifying the Association Between Older Adults' Characteristics and Their Health-Related Outcomes in a Transition Care Setting: A Retrospective Audit. Front Public Health. 2021 Jun 28;9:688640. doi: 10.3389/fpubh.2021.688640. eCollection 2021.
PubMed 34307282Pournajaf S, Pellicciari L, Proietti S, Agostini F, Gabbani D, Goffredo M, Damiani C, Franceschini M. Which items of the modified Barthel Index can predict functional independence at discharge from inpatient rehabilitation? A secondary analysis retrospective cohort study. Int J Rehabil Res. 2023 Sep 1;46(3):230-237. doi: 10.1097/MRR.0000000000000584. Epub 2023 Jun 16.
PubMed 37334818Aminalroaya R, Mirzadeh FS, Heidari K, Alizadeh-Khoei M, Sharifi F, Effatpanah M, Angooti-Oshnari L, Fadaee S, Saghebi H, Hormozi S. The Validation Study of Both the Modified Barthel and Barthel Index, and Their Comparison Based on Rasch Analysis in the Hospitalized Acute Stroke Elderly. Int J Aging Hum Dev. 2021 Oct;93(3):864-880. doi: 10.1177/0091415020981775. Epub 2020 Dec 18.
PubMed 33336587Ohura T, Hase K, Nakajima Y, Nakayama T. Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients. BMC Med Res Methodol. 2017 Aug 25;17(1):131. doi: 10.1186/s12874-017-0409-2.
PubMed 28841846Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. doi: 10.1016/0895-4356(89)90065-6.
PubMed 2760661Menant JC, Weber F, Lo J, Sturnieks DL, Close JC, Sachdev PS, Brodaty H, Lord SR. Strength measures are better than muscle mass measures in predicting health-related outcomes in older people: time to abandon the term sarcopenia? Osteoporos Int. 2017 Jan;28(1):59-70. doi: 10.1007/s00198-016-3691-7. Epub 2016 Jul 9.
PubMed 27394415Abdalla PP, Dos Santos Carvalho A, Dos Santos AP, Venturini ACR, Alves TC, Mota J, de Sousa Oliveira A, Ramos NC, Marini JAG, Machado DRL. Cut-off points of knee extension strength allometrically adjusted to identify sarcopenia risk in older adults: A cross-sectional study. Arch Gerontol Geriatr. 2020 Jul-Aug;89:104100. doi: 10.1016/j.archger.2020.104100. Epub 2020 May 12.
PubMed 32470897Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146.
PubMed 11253156
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Discharge Recommendations for Older Adults Using Physical Outcome Measure (DROP)
- ClinicalTrials.gov ID
- NCT06903832
- Acronym / sponsor ID
- DROP / 2024/3331
- Conditions
- Discharge Planning, Older Adults (65 Years and Older), Acute Hospitalization, OUTCOME MEASURES
- Keywords
- Discharge planning, Acute Hospitalization, Physical outcome measure, older adults, Gait Speed Test, Five Times Sit to Stand Test
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- National University Hospital, SingaporeUniversity, hospital or other
- Collaborators
- Singapore Institute of Technology
- Study start
- 1 Apr 2025 (actual)
- Primary completion
- 31 Mar 2026 (estimated)
- Study completion
- 30 Sep 2026 (estimated)
- First posted
- 1 Apr 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to explore if the use of Sit to Stand Test and Gait speed Test could assist physiotherapist with discharge planning decisions for older adults who are admitted to an acute hospital.
Detailed description
Older adults are susceptible to acute illnesses which could predispose them to hospital admissions, with some of the common reasons for admission being infections, exacerbations of chronic conditions, and falls. This higher likelihood of older adults admitted to hospitals can be seen from the statistics from Ministry of Health in 2021 whereby older adults aged 65 years and older constitute up to 287.3 admissions per 1000 resident population, which is the highest among all age groups. In a study exploring the trend of injuries sustained by older adults presented to the Emergency Department of an acute hospital, 85.3% of all injuries sustained by older adults were due to falls. Common physical injuries sustained by older adults after a fall are fractures, bruises, and soft tissue injuries. Functional decline after a fall was also relatively common in older adults. Additionally, it has also been well recognized that hospitalisation may cause older adults to experience deconditioning. Therefore, older adults who are admitted to an acute hospital, especially those who are admitted due to falls or have a history of falls, are generally at high risk of having a change in their functional status. For the older adults with a change in functional status and have been assisted by a caregiver prior to their hospital admission, one of the main aims usually would be to make sure that their caregivers are still competent in caring for them after discharge. However, for older adults whose premorbid physical functional status are relatively independent, it is pertinent to establish if they are still safe to manage their own care after discharge from hospital. Proper discharge planning for this group of older adults is important to make sure that those who are discharge home will not experience functional decline or at increased risk of falls. Older adults who are admitted in an acute hospital are commonly referred to physiotherapists for assessment to determine are ready to return home or if they need further rehabilitation. However, to manage high workload in the acute hospital and space constraints in the wards, these older adults' readiness for home are frequently based on physiotherapists' clinical judgement, which may differ based on their clinical experience. Discharge planning is predominantly based on the comparisons between the older adults' self-reported functional mobility before hospital admission and the level of assistance they require during assessment by inpatient physiotherapists. Without the use objective outcome measures, there may be disagreement by medical team or family members on physiotherapist's recommendations. Furthermore, there is no venue to track the older adult's improvement objectively. STS and GST are two functional outcome measures that are validated to measure different physical aspects of older adults. STS has been shown to be able to assess lower limb strength, balance control and falls risk. This can be seen from the recommended use of STS in the acute setting for the assessment of lower limb strength and physical performance by a Singapore multidisciplinary consensus recommendation on muscle health in older adults by Chew et al. (2021). As for GST, it is reflective of a person's functional mobility whereby a study by Ostir et al., (2015) has demonstrated that GST can be used as a simple and quick screening tool for hospitalised older adults who may require further intervention with their mobility. As these two measures are easy to administer, less time-consuming and do not require much space, they may be suitable outcome measures to facilitate discharge planning. However, there is no literature demonstrating that they have been used to facilitate discharge planning for older adults in acute hospitals. Therefore, the primary aim of this study is to explore if the two outcome measures are useful in facilitating discharge planning for older adults who are admitted to an acute hospital. Our secondary aim is to determine if the discharge recommendations for participants to discharge home are accurate by looking for any change in the basic activity of living (ADL), self-reported fear of falls and activity confidence post-discharge
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
- Study population
- Older adults admitted to inpatient wards in the National University Hospital (Singapore).
Key inclusion criteria (4 listed)
- Aged 65 years and older
- Able to ambulate without physical assistance with or without walking aids as per premorbid status for at least 5 metres
- Clinical Frailty Scale (CFS) of ≤ 5
- Able to follow instructions (Abbreviated Mental Test (AMT) ≥ 5)
Key exclusion criteria (4 listed)
- Admitted for acute orthopaedic or neurological conditions with physical deficits that affect functional mobility
- Requires physical assistance for functional mobility from ≥ 1 person
- Clinical Frailty Scale (CFS) of > 5
- AMT < 5 (Lack capacity to consent to study)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Five Times Sit To Stand Test (STS)
Time frame: During Enrollment while admitted in acute hospital
STS will be used to test the lower limb strength, balance control and falls risk. Participants will have to stand up and sit down five times started from a seated position, with arms across their chest. The test will have to be conducted as fast as possible using a chair with a backrest. The time taken to complete 5 repetitions will be recorded. Two trials will be performed. A cut-off score of ≥ 12s will be considered at risk of falling.
Gait Speed Test
Time frame: During Enrollment while admitted in acute hospital
A 4m walk test will be used to measure gait speed. Participant will walk through a 4-metre distance at comfortable speed. The time taken to complete the distance will be recorded. Two trials will be performed. Gait speed of ≤ 0.6m/s would be termed as dismobility according to Cummings et al., (2014) which would be reflected of having poor mobility and will require intervention.
9 secondary outcomes
Calf Circumference
Time frame: During Enrollment while admitted in acute hospital
Hand grip strength
Time frame: During Enrollment while admitted in acute hospital
Lower limb muscle strength using hand-held dynamometer
Time frame: During Enrollment while admitted in acute hospital
Modified Barthel Index (MBI)
Time frame: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Short Falls Efficacy Scale International (Short FES-I)
Time frame: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Balance Recovery Confidence scale (BRC)
Time frame: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Mulitdimensional Falls Efficacy Scale (MdFES)
Time frame: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Activities Balance Confidence scale (ABC)
Time frame: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Physical Activity Scale for the Elderly (PASE)
Time frame: During Enrollment while admitted in acute hospital and 2 weeks post-discharge
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Apr 2025.
- Results publication: PubMed 16696738Perera S, Mody SH, Woodman RC, Studenski SA. Meaningful change and responsiveness in common physical performance measures in older adults. J Am Geriatr Soc. 2006 May;54(5):743-9. doi: 10.1111/j.1532-5415.2006.00701.x.
- Results publication: PubMed 8437031Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993 Feb;46(2):153-62. doi: 10.1016/0895-4356(93)90053-4.
- Results publication: PubMed 7814786Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 Jan;50A(1):M28-34. doi: 10.1093/gerona/50a.1.m28.
- Results publication: PubMed 40035087Soh SLH, Ting HXT, Ho JY, Tan SL, Kayambu G, Koh KCGK, Low LL, Tan CYF. Assessing Falls Efficacy in Seniors: Important Insights in Hospital and Community Settings. J Frailty Sarcopenia Falls. 2025 Mar 1;10(1):48-53. doi: 10.22540/JFSF-10-048. eCollection 2025 Mar.
- Results publication: PubMed 36259660Soh SL, Tan CW, Xu T, Yeh TT, Bte Abdul Rahman F, Soon B, Gleeson N, Lane J. The Balance Recovery Confidence (BRC) Scale. Physiother Theory Pract. 2024 Mar 3;40(3):658-669. doi: 10.1080/09593985.2022.2135420. Epub 2022 Oct 19.
- Results publication: PubMed 18032400Kempen GI, Yardley L, van Haastregt JC, Zijlstra GA, Beyer N, Hauer K, Todd C. The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age Ageing. 2008 Jan;37(1):45-50. doi: 10.1093/ageing/afm157. Epub 2007 Nov 20.
- Results publication: PubMed 11043883Shah S, Muncer S. Sensitivity of Shah, Vanclay and Cooper's modified Barthel Index. Clin Rehabil. 2000 Oct;14(5):551-2. doi: 10.1191/0269215500cr360oa. No abstract available.
- Results publication: PubMed 34307282Hang JA, Francis-Coad J, Naseri C, Jacques A, Waldron N, Purslowe K, Hill AM. Identifying the Association Between Older Adults' Characteristics and Their Health-Related Outcomes in a Transition Care Setting: A Retrospective Audit. Front Public Health. 2021 Jun 28;9:688640. doi: 10.3389/fpubh.2021.688640. eCollection 2021.
- Results publication: PubMed 37334818Pournajaf S, Pellicciari L, Proietti S, Agostini F, Gabbani D, Goffredo M, Damiani C, Franceschini M. Which items of the modified Barthel Index can predict functional independence at discharge from inpatient rehabilitation? A secondary analysis retrospective cohort study. Int J Rehabil Res. 2023 Sep 1;46(3):230-237. doi: 10.1097/MRR.0000000000000584. Epub 2023 Jun 16.
- Results publication: PubMed 33336587Aminalroaya R, Mirzadeh FS, Heidari K, Alizadeh-Khoei M, Sharifi F, Effatpanah M, Angooti-Oshnari L, Fadaee S, Saghebi H, Hormozi S. The Validation Study of Both the Modified Barthel and Barthel Index, and Their Comparison Based on Rasch Analysis in the Hospitalized Acute Stroke Elderly. Int J Aging Hum Dev. 2021 Oct;93(3):864-880. doi: 10.1177/0091415020981775. Epub 2020 Dec 18.
- Results publication: PubMed 28841846Ohura T, Hase K, Nakajima Y, Nakayama T. Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients. BMC Med Res Methodol. 2017 Aug 25;17(1):131. doi: 10.1186/s12874-017-0409-2.
- Results publication: PubMed 2760661Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. doi: 10.1016/0895-4356(89)90065-6.
- Individual participant dataSharing planned: No
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Not yet recruiting
Digital Discharge Planning to Improve Self-Management in Patients With Diabetes Mellitus
Diabetes (DM)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Discharge Planning and Older Adults (65 Years and Older), run by National University Hospital, Singapore at 1 site in Singapore.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 30 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Hui Ying Koh ((65) 67725256, hui_ying_koh@nuhs.edu.sg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Five Times Sit To Stand Test (STS) (time frame: During Enrollment while admitted in acute hospital). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06903832, which also lists 29 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2025.