The CareWell-programme for Community-dwelling Frail Elderly Persons.
CareWell
Towards a CARE AND WELFARE STANDARD for Community-dwelling Frail Elderly People With Complex Health Problems
1 other identifier
interventional
536
1 country
10
Brief Summary
The purpose of this study is to investigate the effect of the CareWell-programme on overall functioning of community-dwelling frail elderly persons. Furthermore, the total costs and the cost-effectiveness of the CareWell-programme, in comparison with regular medical care, will be studied.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2011
Typical duration for not_applicable
10 active sites
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
January 1, 2011
CompletedFirst Submitted
Initial submission to the registry
October 20, 2011
CompletedFirst Posted
Study publicly available on registry
December 26, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedJune 7, 2013
October 1, 2011
2 years
October 20, 2011
June 6, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Overall functioning
Overall functioning is measured with the Katz-15 questionnaire. Katz-15 is embedded in the minimal data set (MDS). This MDS is used by all research projects of the Dutch National Program on Elderly Care
18 months
Incremental cost-effectiveness ratio (ICER)
18 months
Secondary Outcomes (7)
Perceived quality of life
18 months
Psychological well-being
18 months
Social functioning
18 months
Perceived health
18 months
Utility
18 months
- +2 more secondary outcomes
Study Arms (2)
regular medical care
NO INTERVENTIONIdentified community dwelling frail elderly people receiving regular medical care in their primary care setting
The CareWell programme
EXPERIMENTALIdentified community dwelling frail elderly people receiving care in line with the CareWell programme
Interventions
The CareWell programme contains the following components: * multidisciplinary primary care teams * working with proactive care plans integrating cure, care and welfare * advanced care planning (e.g. recording limitations of treatment, non-resuscitation decisions) * medication review * case-management * guidelines for consultation of in-hospital geriatric experts * guidelines for transfers from primary care to home-based facilities and hospital and back * practice guidelines for management of common geriatric conditions
Eligibility Criteria
You may qualify if:
- Frail community dwelling elderly patients aged 70 years or above. Frailty is determined with a two-phase screening instrument.
You may not qualify if:
- Non-frail elders
- Patients in palliative or end-of-life stages of disease
- Patients residing in long-term care facilities (care homes and nursing homes)
- Patients already enrolled in specific dementia-related case-management programmes who lack other health-related problems
- Patients not speaking or understanding the Dutch language
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Radboud University Medical Centerlead
- ZonMw: The Netherlands Organisation for Health Research and Developmentcollaborator
- Dutch Healthcare Authoritycollaborator
- Health insurances CZcollaborator
- Health insurances UVITcollaborator
- City of Nijmegencollaborator
Study Sites (10)
Huisartsengroep Milbergen (van der Ligt/ Krijgsman), Oude Gracht 16
Beek-Ubbergen, 6573 BR, Netherlands
Gezondheidscentrum de Kroonsteen, Schoolstraat 8
Malden, 6581 BG, Netherlands
Gezondheidscentrum de Vuursteen, Prinsenweg 6
Molenhoek, 6584 AZ, Netherlands
Medisch Centrum Brakkenstein, Kanunnik Boenenstraat 8
Nijmegen, 6525WJ, Netherlands
Gezondheidscentrum Hazenkamp, Vossenlaan 76
Nijmegen, 6531 SN, Netherlands
Huisartsenpraktijk Jacobslaan (Dreijerink/ van der Laan-Evers), Jacobslaan 345
Nijmegen, 6533 VD, Netherlands
Huisartsenpraktijk de Haterse HOED, Couwenbergstraat 34-36
Nijmegen, 6535RZ, Netherlands
Huisartsenpraktijk Danielsplein, Danielsplein 4
Nijmegen, 6543 NA, Netherlands
Medipark (Graat), Hyacinthstraat 3a
Uden, 5402 ZG, Netherlands
Huisartsenpraktijk Ubachs/Vogels, Huissteden 1450
Wijchen, 6605 HL, Netherlands
Related Publications (2)
Ruikes FGH, Adang EM, Assendelft WJJ, Schers HJ, Koopmans RTCM, Zuidema SU. Cost-effectiveness of a multicomponent primary care program targeting frail elderly people. BMC Fam Pract. 2018 May 16;19(1):62. doi: 10.1186/s12875-018-0735-4.
PMID: 29769026DERIVEDRuikes FG, Meys AR, van de Wetering G, Akkermans RP, van Gaal BG, Zuidema SU, Schers HJ, van Achterberg T, Koopmans RT. The CareWell-primary care program: design of a cluster controlled trial and process evaluation of a complex intervention targeting community-dwelling frail elderly. BMC Fam Pract. 2012 Dec 5;13:115. doi: 10.1186/1471-2296-13-115.
PMID: 23216685DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Raymond Koopmans, Professor
Radboud University Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 20, 2011
First Posted
December 26, 2011
Study Start
January 1, 2011
Primary Completion
January 1, 2013
Study Completion
March 1, 2013
Last Updated
June 7, 2013
Record last verified: 2011-10