NCT02879396|Completed
Preventing Avoidable Admissions Among Assisted Living Elders
PA4LE
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PA4LE
Sponsor study identifier
interventional
10
1 country
1
Study Start
August 2016
Actual (reported)Primary Completion
August 2018
Actual (reported)Study Completion
August 2018
Actual (reported)Saint Luke Home (SLH) is a home for low-income seniors who are ≥ 55 years and in need of basic living help in Tucson, Arizona. Reports shows that emergency calls are made from SLH (64 residents) around 60 times each year with emergency department (ED) visits and hospital admissions that follow. In 2014, a total of 70 calls were made, and in 2015, 49 calls. The Director, who is a nurse by training, and staff report that many of these calls are related to medications and may be avoidable. Therefore, we believe we can make a difference and decrease emergency calls, ED visits and hospitalizations that can be avoided with a program to teach the elders and staff at SLH. The program is called Preventing Avoidable Admissions Among Assisted Living Elders (PA4LE) and will consist of a 2-hour session every two weeks including home or clinic visits (elder preference), educational sessions, and staff training.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
August 2018
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
August 2016
Actual (reported)August 22, 2016
Actual (reported)August 25, 2016
Actual (reported)August 2018
Actual (reported)August 2018
Actual (reported)EMS calls
Reduce the number of EMS calls from avoidable causes by high-utilizers (≥ 4 calls) by 50%
12 months
ED visits
12 months
Beers criteria medications
12 months
A maximum of 50 participants will be enrolled in the study per the inclusion and exclusion criteria. The participants will be residents of SLH who are 55 years old or older. They will have had one or more EMS calls made, ED visit or hospital admission in the past year, as determined by the incidence report at SLH. The study participants will receive PA4LE program.
1. Medication self-management including medication reconciliation, therapy recommendations, and education by pharmacist (chronic conditions and medications including Beers Criteria) 2. Use of a patient-centered health record that helps guide patients through the care process (portable, health and medication record for elders) 3. Primary care provider and specialist follow-up (patient awareness of discharge action plan and follow-up) 4. Patient understanding of "red flag" indicators of worsening condition and appropriate next steps 5. Behavioral interventions - Adherence, Lifestyle modifications, Mindfulness \& Lovingkindness meditations to combat anxiety, insomnia and other behavioral symptoms
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
St. Luke's Home
Tucson, Arizona, 85705, United States
Jeannie K Lee, PharmD
University of Arizona
10 participants (actual enrollment reported by the registry).
First Submitted
August 22, 2016
First Posted
August 25, 2016
Study Start
August 2016
Actual (reported)Nutritional Strategies to Augment the Postprandial Muscle Protein Synthetic Response to the Ingestion of a Low Dose of Protein in Middle-aged Women
Contact the study team to confirm eligibility.
Primary Completion
August 2018
Actual (reported)Study Completion
August 2018
Actual (reported)Last Updated
November 1, 2018
Record last verified: 2018-10
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Source: ClinicalTrials.gov.
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