High-need Community Older Adults Care Delivery Model

NCT03864471 | Completed

• 1 other identifier: KMUHIRB-F(I)-20170070
• Study Type: interventional
• Target: 165
• Locations: 1 country
• Sites: 1

Brief Summary

This study is proposed to: (1) establish a "High-need Community Older Adults Care Delivery Model" (HCOACDM) as a guide to handle complex needs of the high-need community older adults by the care managers at community care centers; and (2) evaluate the effectiveness of applying the HCOACDM to improve the functional ability, quality of life (QOL), depressive symptoms, healthcare and social service utilizations, and care delivery satisfaction of the high-need community older adults.

Conditions

High-need Older Adults

Outcome Measures

Primary Outcomes (3)

• Functional Ability measured by the Barthel Index (BI)

  A 10-item scale that includes feeding, transfers, grooming, toilet use, bathing, mobility, stairs, dressing, and control of bladder and bowel. Score ranges from 0 to 100; the higher the score, the higher the level of self-care independence of an individual: 0-20 = complete dependence, 21-60 = severe dependence, 61-90 = moderate dependence, 91-99 = mild dependence, and 100 = total independence.

  6 months

• Quality of Life measured by the World Health Organization quality of life (WHOQOL-BREF)

  A 28-item scale with four dimensions: physical health, psychological health, social relations, and environment. The responses use a 5-point Likert scale; the higher the score, the better the QOL of an individual.

  6 months

• Depressive Symptoms measured by the Hamilton Depression Rating Scale (HDRS)

  A 17-item scale uses to assess a client's emotional and physical-psychological status during the past week through a self-report and observations. The total score ranges from 0 to 52: a score \> 18 = severe depression, 14-17 = moderate depression, 11-13 = mild depression, 8-10 = borderline depression, and \< 7 as normal.

  6 months

Secondary Outcomes (2)

• Healthcare and Social Service Utilizations measured by the Resource Usage of the High-concerned Community Older Adults

  6 months

• Satisfaction with Care Delivery measured by the Satisfaction Questionnaire of Service Users to Care Managers

  6 months

Study Arms (2)

HCOACDM

EXPERIMENTAL

The intervention, the HCOACDM, involves case screening, comprehensive assessment, and care coordination, and will be given over a 6-month period.

Other: HCOACDM

Routine care

ACTIVE COMPARATOR

The routine care services include home visits, telephone checkups, meals on the wheel, and health promotion activities.

Other: Routine care

Interventions

HCOACDM OTHER

The intervention, the HCOACDM, involves case screening, comprehensive assessment, and care coordination, and will be given over a 6-month period.

HCOACDM

Routine care OTHER

The routine care services include home visits, telephone checkups, meals on the wheel, and health promotion activities.

Routine care

Eligibility Criteria

• Age: 65 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• lived in the community at least three months
• over 65 years old
• fluently communicated in Mandarin or Taiwanese
• screened by the High-need Community Older Adults Screening Scale (HCOASS) as high-need older adults

You may not qualify if:

• diagnosed as dementia

Sponsors & Collaborators

• Kaohsiung Medical University: lead
• Ministry of Science and Technology, Taiwan: collaborator

Study Sites (1)

Community Care Centers

Kaohsiung City, Taiwan

Location

Study Officials

• Kuei-Min Chen, PhD

  Kaohsiung Medical University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: March 2, 2019
• First Posted: March 6, 2019
• Study Start: March 8, 2019
• Primary Completion: September 30, 2019
• Study Completion: September 30, 2019
• Last Updated: October 1, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)