NCT03662945

Brief Summary

Objective To perform a prospective, controlled and randomized evaluation of the effectiveness of Mobile Geriatric Teams (MGT). Method Community-dwelling, frail elderly people were randomized to intervention group (n=31, mean age 84) and control group (n=31, mean age 86). Two-year retrospective data and prospective one-year follow up, were analyzed using non-parametric and difference-in-difference (DiD) analyses. Qualitative interviews, were analyzed using content analysis.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
62

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2015

Shorter than P25 for not_applicable

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2015

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 20, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 20, 2015

Completed
2.6 years until next milestone

First Submitted

Initial submission to the registry

August 10, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 10, 2018

Completed
Last Updated

September 11, 2018

Status Verified

September 1, 2018

Enrollment Period

10 months

First QC Date

August 10, 2018

Last Update Submit

September 10, 2018

Conditions

Frail Elderly Syndrome

Outcome Measures

Primary Outcomes (1)

  • Health care utilization including EMR, hospital admissions, care days, out patient hospital or primary care

    No. of EMR visits, Out patient visits to hospital, Hospital admissions, Care days, Primary care visits

    Change from 1 year before inclusion to 1 year follow up

Secondary Outcomes (2)

  • Health care utilization including EMR, hospital admissions, care days, out patient hospital or primary care

    Change from 2 year before inclusion to 1 year follow up

  • Health care utilization including EMR, hospital admissions, care days, out patient hospital or primary care

    Change from inclusion to 3 year follow up

Other Outcomes (1)

  • Patient and next-of-kin satisfaction assessed by Qualitative interviews

    Changes from inclusion to 15 week follow-up

Study Arms (2)

Intervention group

EXPERIMENTAL

Mobile Geriatric Team intervention including physicians and nurses with the aim of developing person-centered, safe, sustainable and coordinated care plans. These care plans are developed in collaboration with the patient, his/her relatives and staff from the municipality. Among the main ambitions of this concept are improved communication flows between patients, their relatives and healthcare providers in combination with the delivery of medical as well as care measures. Other ambitions are to avoid unnecessary traditional healthcare utilization in the form of inpatient care and EMR visits, for example.

Other: Mobile Geriatric Team intervention

Control group

NO INTERVENTION

Standard care including primary care units, home care and home help.

Interventions

Mobile Geriatric Team interventionOTHER

Person-centred intervention based on Comprehensive Geriatric Assessment

Intervention group

Eligibility Criteria

Age75 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • community-dwelling persons aged \> 75 years,
  • having more than three chronic diagnoses,
  • prescribed six or more pharmaceutical drugs for continuous use and
  • with at least three hospital stays (\> 24 hours in hospital) during the last six months.
  • Since these criteria were broad in order to capture relevant individuals, but also likely to generate persons of no relevance to the MGT intervention, identification of the study sample was conducted in three steps, in turn, repeated in three waves.

You may not qualify if:

  • Persons not able to take part in qualitative interviews

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Fristedt S, Nystedt P, Skogar O. Mobile Geriatric Teams - A Cost-Effective Way Of Improving Patient Safety And Reducing Traditional Healthcare Utilization Among The Frail Elderly? A Randomized Controlled Trial. Clin Interv Aging. 2019 Nov 5;14:1911-1924. doi: 10.2147/CIA.S208388. eCollection 2019.

    PMID: 31806947DERIVED

Study Officials

  • Sofi Fristedt, Ph D

    Jonkoping University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: 1 intervention group and 1 control group
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Ph D, Senior lecturer

Study Record Dates

First Submitted

August 10, 2018

First Posted

September 10, 2018

Study Start

March 1, 2015

Primary Completion

December 20, 2015

Study Completion

December 20, 2015

Last Updated

September 11, 2018

Record last verified: 2018-09