Continuum of Care for Frail Elderly People

NCT01260493 | Completed Results

• 1 other identifier: VårdkedjaVårdal
• Study Type: interventional
• Target: 181
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Frail Elderly People

Keywords

very frail; case manager; integrated care; multiprofessional; intervention

Outcome Measures

Primary Outcomes (3)

• Health Care Consumption

  Number of hospital days and admission will be analysed

  1 year

• Dependence in Activities of Daily Living

  Changes in number of person dependent in one or more daily activity from baseline to follow-up.

  1 year

• Satisfaction With Health and Social Care

  1 year

Study Arms (2)

Conventional care, controlgroup

NO INTERVENTION

conventional care, control group

integrated health care chain

EXPERIMENTAL

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

Interventions

integrated health care chain OTHER

Geriatric assessment at ED, case manager with multiprofessional team in the community, support for informal caregivers

integrated health care chain

Eligibility Criteria

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

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Vardalinstitutet The Swedish Institute for Health Sciences: lead
• VinnVård: collaborator

Study Sites (1)

University of Gothenburg

Gothenburg, 405 30, Sweden

Location

Related Publications (3)

• Eklund K, Wilhelmson K, Gustafsson H, Landahl S, Dahlin-Ivanoff S. One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial: "Continuum of care for frail older people". BMC Geriatr. 2013 Jul 22;13:76. doi: 10.1186/1471-2318-13-76.

  PMID: 23875866 DERIVED

• Hasson H, Blomberg S, Duner A. Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care. Implement Sci. 2012 Mar 22;7:23. doi: 10.1186/1748-5908-7-23.

  PMID: 22436121 DERIVED

• Wilhelmson K, Duner A, Eklund K, Gosman-Hedstrom G, Blomberg S, Hasson H, Gustafsson H, Landahl S, Dahlin-Ivanoff S. Design of a randomized controlled study of a multi-professional and multidimensional intervention targeting frail elderly people. BMC Geriatr. 2011 May 14;11:24. doi: 10.1186/1471-2318-11-24.

  PMID: 21569570 DERIVED

Results Point of Contact

• Title: Professor Synneve Dahlin-Ivanoff ( Research leader)
• Organization: Vårdalinstitute, University of Gothenburg

synneve.dahlin-ivanoff@gu.se

+46 31 7865733

Study Officials

• Katarina Wilhelmson, MD,PhD

  Göteborg University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 30, 2010
• First Posted: December 15, 2010
• Study Start: October 1, 2008
• Primary Completion: June 1, 2010
• Study Completion: October 1, 2011
• Last Updated: July 15, 2014
• Results First Posted: July 15, 2014

Record last verified: 2014-06

Locations

SE (1)