NCT01829594

Brief Summary

The aim of is to test the effects of a model for care (case management) to older people with high healthcare consumption and functional dependency on healthcare consumption, quality of life, functional ability and experiences of care.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
153

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2006

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

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, 2006

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2011

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2012

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

April 9, 2013

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 11, 2013

Completed
Last Updated

April 11, 2013

Status Verified

April 1, 2013

Enrollment Period

4.5 years

First QC Date

April 9, 2013

Last Update Submit

April 9, 2013

Conditions

Frail Elderly

Keywords

Case ManagementFrail ElderlyHealth Services AdministrationDelivery of Health CareAccidental FallsHealth StatusHealth Care Economics

Outcome Measures

Primary Outcomes (6)

  • Health care consumption

    two years (one year before vs after baseline)

  • Health care costs

    two years (one year before vs after baseline)

  • Feelings of loneliness

    baseline and then after 3,6,9,12,24 months

  • Depressive symptoms

    baseline and then after 3,6,9,12,24 months

  • Health Related Quality of Life

    baseline and then after 3,6,9,12,24 months

  • Number of falls

    baseline and then after 3,6,9,12,24 months

Secondary Outcomes (11)

  • Life Satisfaction

    baseline and then after 6,12,24 months

  • Health complaints

    baseline and then after 3,6,9,12,24 months

  • Knowledge about prescribed drugs

    baseline and then after 3,6,9,12,24 months

  • Attitudes towards prescribed drugs

    baseline and then after 3,6,9,12,24 months

  • Drug use

    baseline and then after 3,6,9,12,24 months

  • +6 more secondary outcomes

Other Outcomes (1)

  • Experiences of care

    approximately one year

Study Arms (1)

Case Management

EXPERIMENTAL
Other: Case management

Interventions

Case managementOTHER

Nurses and a physiotherapist (PT) worked as case managers (CM). The intervention lasted 12 months and comprised 4 dimensions. The first was traditional CM tasks: assessment, planning, monitoring, care coordination and evaluation. Home visits were made at least once a month. The second and third was general and specific information related to the participants' situation. The fourth part included aspects of continuity and safety. The PT also paid home visits and made an assessment regarding physical function and balance. The intervention consisted of multidimensional prevention of falls and/or consequences of falls, and supporting and motivating the participant to increased physical activity. When those in the control group had participated for 12 months they were offered the intervention.

Case Management

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • aged 65 or over
  • need help with at least two activities of daily living
  • been admitted to hospital on at least two occasions, or
  • have had at least four contacts with outpatient or primary care during the previous twelve months,
  • be able to communicate verbally
  • have no cognitive impairment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Lund University, Faculty of Medicine, Department of Health Sciences

Lund, SE-22100, Sweden

Location

Related Publications (1)

  • Kristensson J, Ekwall AK, Jakobsson U, Midlov P, Hallberg IR. Case managers for frail older people: a randomised controlled pilot study. Scand J Caring Sci. 2010 Dec;24(4):755-63. doi: 10.1111/j.1471-6712.2010.00773.x.

    PMID: 20409057RESULT

MeSH Terms

Interventions

Case Management

Intervention Hierarchy (Ancestors)

Patient Care PlanningComprehensive Health CarePatient Care ManagementHealth Services Administration

Study Officials

  • Ingalill Rahm Hallberg, PhD

    Lund University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD, Senior Lecturer

Study Record Dates

First Submitted

April 9, 2013

First Posted

April 11, 2013

Study Start

October 1, 2006

Primary Completion

April 1, 2011

Study Completion

April 1, 2012

Last Updated

April 11, 2013

Record last verified: 2013-04

Locations

SE(1)