NCT01107119

Brief Summary

The ambition of this study is to raise the quality of care for old and chronically ill patients by establishing a sustainable, systematic prevention and integrated care model for users of home care services. In this cluster randomized study the intervention will be carried through in five municipalities and three general hospitals. The home care units in every municipality will be randomized to either intervention og control units.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
304

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2009

Typical duration for not_applicable

Geographic Reach
1 country

7 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2009

Completed
7 months until next milestone

First Submitted

Initial submission to the registry

April 18, 2010

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 20, 2010

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2012

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2012

Completed
Last Updated

April 20, 2017

Status Verified

April 1, 2017

Enrollment Period

2.4 years

First QC Date

April 18, 2010

Last Update Submit

April 19, 2017

Conditions

Chronic Illness

Keywords

Frail elderlyChronic illnessIntegrated care modelClinical pathwaysHome care services

Outcome Measures

Primary Outcomes (2)

  • activities of daily living (ADL)

    Individbasert pleie- og omsorgsstatistikk (IPLOS) scale, and Nottingham Extended ADL Scale

    6 and 12 months

  • Institutional health care at primary and secondary level

    Readmission (30 days)and inpatient hospital stays, number and length of stay (EPJ hospitals) Number and length of stay in municipal nursing homes (EPJ municipals) Days before permanent stay in municipal nursing homes

    1 year

Secondary Outcomes (1)

  • Achieve better collaboration within primary care and between primary- and secondary health care providers

    1 year

Study Arms (2)

Integrated care pathway

EXPERIMENTAL

program for 1. communication and information flow aimed at collaboration between hospitals, general practitioners and home care services 2. systematic patient follow-up in home care services by using checklists

Other: integrated care pathway

usual care

ACTIVE COMPARATOR

usual care

Other: usual care

Interventions

integrated care pathwayOTHER

communication and follow-up program for integrated care

Integrated care pathway
usual careOTHER
usual care

Eligibility Criteria

Age70 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Person 70 years or above being discharged from the general hospital
  • Will receive home care services within four weeks after being discharges from the hospital.

You may not qualify if:

  • Do not agree or are not able to agree to participate
  • Is already involved in other research studies affecting the home care services.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Fræna Municpality

Fræna, Norway

Location

Molde hospital

Molde, Norway

Location

Orkdal Municipality

Orkdal, Norway

Location

Sunndal Municiplaity

Sunndal, Norway

Location

Surnadal Municipality

Surnadal, Norway

Location

St Olav's University hospital

Trondheim, 7006, Norway

Location

Trondheim municiplaity

Trondheim, Norway

Location

Related Publications (3)

  • Rosstad T, Garasen H, Steinsbekk A, Sletvold O, Grimsmo A. Development of a patient-centred care pathway across healthcare providers: a qualitative study. BMC Health Serv Res. 2013 Apr 1;13:121. doi: 10.1186/1472-6963-13-121.

    PMID: 23547654BACKGROUND

  • Rosstad T, Garasen H, Steinsbekk A, Haland E, Kristoffersen L, Grimsmo A. Implementing a care pathway for elderly patients, a comparative qualitative process evaluation in primary care. BMC Health Serv Res. 2015 Mar 4;15:86. doi: 10.1186/s12913-015-0751-1.

    PMID: 25888898RESULT

  • Rosstad T, Salvesen O, Steinsbekk A, Grimsmo A, Sletvold O, Garasen H. Generic care pathway for elderly patients in need of home care services after discharge from hospital: a cluster randomised controlled trial. BMC Health Serv Res. 2017 Apr 17;17(1):275. doi: 10.1186/s12913-017-2206-3.

    PMID: 28412943RESULT

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Anders Grimsmo, md phd

    Norwegian University of Science and Technology

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 18, 2010

First Posted

April 20, 2010

Study Start

October 1, 2009

Primary Completion

March 1, 2012

Study Completion

October 1, 2012

Last Updated

April 20, 2017

Record last verified: 2017-04

Locations

NO(7)