Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2005 by C. T. Lamont Primary Care Research Centre.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborators:
Ontario Ministry of Health and Long Term Care
University of Ottawa
Information provided by:
C. T. Lamont Primary Care Research Centre
ClinicalTrials.gov Identifier:
NCT00238836
First received: October 12, 2005
Last updated: October 12, 2006
Last verified: June 2005

October 12, 2005
October 12, 2006
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Complete list of historical versions of study NCT00238836 on ClinicalTrials.gov Archive Site
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Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks
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The University of Ottawa and Élisabeth Bruyère Research Institute are conducting a study of preventive care for frail patients at risk of functional decline. At risk patients are assigned by chance to continue receiving their standard care from their family physician or receive additional care from a nurse practitioners and a pharmacist. In collaboration with the family physician, they develop an individualized care plan, a treatment and management road plan, for each patient, which they implement over the study period of one approximately year. The objective of the study is to compare the effectiveness of the model of care that includes the nurse practitioners and pharmacist against standard care in preventing functional decline, to determine the acceptability of this model of care to patients, their caregivers and the medical team, and to evaluate the cost implication of the program.

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Interventional
Phase 2
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
  • Diabetes
  • Chronic Obstructive Pulmonary Disease
  • Congestive Heart Failure
  • Hypertension
Behavioral: Self-management of chronic illness
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
240
March 2006
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Inclusion Criteria:

  • 50 years and over
  • 'At Risk' by having one or more of the following: a. Visits to emergency dept within the past 6 months; b. Admission to hospital for a medical problem in past 6 months; c. High service use profiles; d. Polypharmacy; e. Other high risk factors
  • Capable of giving informed consent
  • Able to use the Care Companion technology

Exclusion Criteria:

  • Cognitive impairment such that they cannot give informed consent
  • Unable or unwilling to use the telehomecare equipment
  • Unlikely to tolerate the intensive intervention
  • Language or cultural barriers
  • Being acutely ill or having an unstable condition on entry to the study
Both
50 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT00238836
APTCare
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C. T. Lamont Primary Care Research Centre
  • Ontario Ministry of Health and Long Term Care
  • University of Ottawa
Principal Investigator: William Hogg, MD C. T. Lamont Primary Care Research Centre
Principal Investigator: Jacques Lemelin, MD University of Ottawa
C. T. Lamont Primary Care Research Centre
June 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP