Dutch EASYcare Study

NCT00105378 | Completed

• 2 other identifiers: GEREASYEFF014-91-055014-91-055
• Study Type: interventional
• Target: 155
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to study the effects of nursing home visits in independently living elderly people on their functional performance and health-related quality of life. The general practitioner (GP) can refer elderly people to this intervention model after identification of a problem in cognition, mood, behavior, mobility, or nutrition. A specialist geriatric nurse visits the patients at home up to six times and coaches the patient in cooperation with the GP and geriatrician.

Conditions

Cognition Disorders; Mood Disorder; Gait Disorder, Neurologic; Malnutrition

Keywords

health care services research; frail elderly; intermediate care; patient centered care; comprehensive health care; geriatric nursing; Behavioral symptoms

Outcome Measures

Primary Outcomes (3)

• Functional performance (independent) activities of daily living measured using Groningen Activity Restriction Scale

  3 months

• Mental health using subscale mental health MOS-20

  3 months

• Informal caregiver burden using Zarit Burden Interview

  3 months

Secondary Outcomes (10)

• Type of residence (independent, home for the elderly, nursing home)

  3 months

• Cost effectiveness

  6 months

• Mobility using Timed Up and Go test

  3 months

• Overall health related Quality of life using MOS-20

  3 months

• Well-being using Cantril Self-anchoring ladder and Dementia Quality of Life

  3 months

Interventions

Dutch EASYcare Study Geriatric Intermediate Care Programme BEHAVIORAL

Eligibility Criteria

• Age: 70 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• years of age and over
• The patient lives independently or in a home for the aged
• The patient has a health problem that was recently presented to the GP by the patient or informal caregiver
• The request for help is related to the following problem fields: cognitive disorders, behavioral and psychological symptoms of dementia, mood disorders, mobility disorders and falling, or malnutrition
• The patient/informal caregiver and GP have determined a goal they want to achieve
• Fulfill one or more of these criteria: MMSE (Mini Mental State Examination) equal to or less than 26, GARS (Groningen Activity Restriction Scale) equal to or greater than 25 or MOS-20/subscale mental health equal to or less than 75

You may not qualify if:

• The problem or request for help has an acute nature, urging for action (medical or otherwise) within less than one week
• The problem or request for help is merely a medical diagnostic issue, urging for action only physicians (GP or specialist) can offer
• MMSE \< 20 or proved moderate to severe dementia (Clinical Dementia Rating scale \[CDR\] \> 1, 0) and no informal caregiver (no informal caregiver is defined as: no informal caregiver who meets the patient for at least once a week on average)
• The patient receives other forms of intermediate care or health care from a social worker or community-based geriatrician
• The patient is already on the waiting list for a nursing home because of the problem the patient is presented with in our study
• Predicted prognosis \< 6 months because of terminal illness

Sponsors & Collaborators

• Radboud University Medical Center: lead
• ZonMw: The Netherlands Organisation for Health Research and Development: collaborator

Study Sites (1)

Radboud University Nijmegen Medical Centre

Nijmegen, Gelderland, nl-6500 HB, Netherlands

Location

Related Publications (3)

• Borm GF, Melis RJ, Teerenstra S, Peer PG. Pseudo cluster randomization: a treatment allocation method to minimize contamination and selection bias. Stat Med. 2005 Dec 15;24(23):3535-47. doi: 10.1002/sim.2200.

  PMID: 16007575 BACKGROUND

• Richardson J. The Easy-Care assessment system and its appropriateness for older people. Nurs Older People. 2001 Oct;13(7):17-9. doi: 10.7748/nop.13.7.17.s15. No abstract available.

  PMID: 12008559 BACKGROUND

• Melis RJ, Adang E, Teerenstra S, van Eijken MI, Wimo A, van Achterberg T, van de Lisdonk EH, Rikkert MG. Cost-effectiveness of a multidisciplinary intervention model for community-dwelling frail older people. J Gerontol A Biol Sci Med Sci. 2008 Mar;63(3):275-82. doi: 10.1093/gerona/63.3.275.

  PMID: 18375876 DERIVED

MeSH Terms

Conditions

Cognition Disorders; Mood Disorders; Gait Disorders, Neurologic; Malnutrition; Behavioral Symptoms

Condition Hierarchy (Ancestors)

Neurocognitive Disorders; Mental Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Nutrition Disorders; Nutritional and Metabolic Diseases; Behavior

Study Officials

• Marcel G. Olde Rikkert, MD PhD

  Radboud University Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: March 11, 2005
• First Posted: March 14, 2005
• Study Start: April 1, 2003
• Study Completion: July 1, 2005
• Last Updated: November 18, 2023

Record last verified: 2007-08

Locations

NL (1)