Continuum of Care for Frail Elderly People

The recruitment status of this study is unknown because the information has not been verified recently.
Verified December 2010 by Vardalinstitutet The Swedish Institute for Health Sciences.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
VinnVård
Information provided by:
Vardalinstitutet The Swedish Institute for Health Sciences
ClinicalTrials.gov Identifier:
NCT01260493
First received: November 30, 2010
Last updated: December 23, 2010
Last verified: December 2010
  Purpose

The present study "Continuum of care for frail elderly people" form part of the research programme "Support for frail elderly persons - from prevention to palliation" (www.vardalinstitutet.net) which comprises research into three interventions. The program comprises interventions addressing frail elderly people in different phases of the disablement process, from elderly people who are beginning to develop frailty to very frail elderly people receiving palliative care.

The intervention "Continuum of care for frail elderly people" addresses elderly people who are frail and that have a great risk of high health care consumption. The hypothesis is that an intervention program for frail elderly people can reduce the number of visits to the emergency department, increase the life satisfaction and maintain the functional ability. The intervention, including an early geriatric assessment at the emergency department, early family support, a case manager in the community with a multi-professional team and active follow-up by the case manager, contributes to early recognition of the elderly people's need of information, care and rehabilitation and of informal caregivers' need of information. It enhances the transfer of information and integrates the care between different caregivers and different care levels, thereby better recognize frail elderly people's needs. Specifically, this study is expected to show that the intervention has a positive effect on the frail elderly person's functional ability, life satisfaction, satisfaction with health and social care, and health care consumption.


Condition Intervention
Frail Elderly People
Other: integrated health care chain

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Continuum of Care, From the Emergency Ward to Living at Home - Implementation and Evaluation of an Intervention for Frail Elderly People

Resource links provided by NLM:


Further study details as provided by Vardalinstitutet The Swedish Institute for Health Sciences:

Primary Outcome Measures:
  • Health care consumption [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • functional ability [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    mobility, strength, balance, activities of daily living. Changes from baseline measured at 3 months, 6 months and 1 year.

  • satisfaction with health and social care [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Life satisfaction [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Number of participant reporting suffering fatigue/tiredness [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    Answering Yes to the question "Have you suffered any general fatigue/tiredness over the last three months"

  • physical activity [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Number of participants with impaired cognition [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    Scoring below 25 on Mini Mental State Examination

  • visual impairment [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • quality of life [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • accessibility [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • social support [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Number of participants reporting falls last thre months and fear of falling [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
    Number of falls during the last three months and Falls Efficacy Scale

  • decisional autonomy [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • The cumulative illness rating scale for geriatrics [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    The total number of categories endorsed and number of categories at level 3 and/or 4 severity on The cumulative illness rating scale for geriatrics

  • death [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    Mortality rates from The Swedish national cause of death register


Enrollment: 181
Study Start Date: October 2008
Estimated Study Completion Date: June 2011
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Conventional care, controlgroup
Experimental: integrated health care chain
integrated health care chain. Geriatric assessment at emergency department (ED), case manager with multiprofessional team in the community, support for informal caregivers
Other: integrated health care chain
Geriatric assessment at ED, case manager with multiprofessional team in the community, support for informal caregivers

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 80 years and older or 65 to 79 years and having at least one chronic disease and being dependent in at least one activity of daily living

Exclusion Criteria:

  • acute severely sick who immediately needs the assessment of a physician (within ten minutes)
  • those with diagnosis of dementia (or severe cognitive impairment)
  • patients in palliative care
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01260493

Locations
Sweden
University of Gothenburg
Gothenburg, Sweden, 405 30
Sponsors and Collaborators
Vardalinstitutet The Swedish Institute for Health Sciences
VinnVård
Investigators
Principal Investigator: Katarina Wilhelmson, MD,PhD Göteborg University
  More Information

No publications provided by Vardalinstitutet The Swedish Institute for Health Sciences

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Professor Synneve Dahlin Ivanoff, University of Gothenburg
ClinicalTrials.gov Identifier: NCT01260493     History of Changes
Other Study ID Numbers: VårdkedjaVårdal
Study First Received: November 30, 2010
Last Updated: December 23, 2010
Health Authority: Sweden: Swedish National Council on Medical Ethics

Keywords provided by Vardalinstitutet The Swedish Institute for Health Sciences:
very frail
case manager
integrated care
multiprofessional
intervention

ClinicalTrials.gov processed this record on April 23, 2014