Health Determinants in Older Adults Living At Home

NCT05837728 | Completed DMC

• 1 other identifier: 320622
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The observational study will conduct interprofessional assessments by registered nurses, physiotherapists, and occupational therapists of health determinants (i.e., frailty, physical, cognitive, and sensory function, mental and social health, and alcohol use) in older adults (≥75) living at home and applying for a municipal health service. The participants will take part in two assessments, baseline and 5 months. Based on the baseline assessment healthcare professionals will identify factors that can affect older adults' health, provide tailored information, offer measures, and link with proper health services. The aim is that older adults maintain health, function, and self-care and thus can continue aging at home. The main research question is:) How can interprofessional assessments of older adults living at home reduce the risk of impaired function, maintain health and ensure that the elderly receive tailored services?

Conditions

Frailty; Vision and Hearing Loss; Cognitive Function, Social 1; Mental Health Issue; Social Functioning; Alcohol Use, Unspecified; Healthy Aging

Outcome Measures

Primary Outcomes (8)

• Measure of Physical function

  Change in the older adult's physical function will be measured with the "Short Physical Performance Battery". Values: 0-4. A higher score means better physical function.

  Baseline and 5 Months

• Measure of cognitive function

  Change in the older adult's cognitive function will be measured with the "MiniCog" screening tool for cognitive impairment. Values: 0-4. We use a cut-off value of \<4 points which is recommended, as this may indicate a need for further investigation of cognitive status.

  Baseline and 5 Months

• Measure of clinical frailty

  Change in frailty will be measured with the "Global Measure of frailty and fitness in elderly people". Values: 0-9. A higher score means a high level of frailty.

  Baseline and 5 Months

• Measure of lonliness

  Change in lonliness will be measured with "The Short UCLA Lonliness scale". Values: 0-3. A higher score means a high level of lonliness.

  Baseline and 5 Months

• Measure of depression

  To assess change in depression in old age, we will use the 4-item Geriatric Depression Scale (GDS).Values: 0-1. A cut-off score \>0 indicates depression

  Baseline and 5 Months

• Measure of alcohol use

  For assessment of change in alcohol consumption, we will use the Alcohol Use Disorders Identification Test (AUDIT-C) 4 items. Values:0-12.The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the person's drinking is affecting his/her health.

  Baseline and 5 Months

• Measure of vision

  Change in vision will be measured with a structured vision assessment tool called KROSS (a Norwegian acronym for Competence, Rehabilitation of Sight after Stroke) developed by the University of South-Eastern Norway in collaboration with the Vestre Viken Hospital Trust and stroke survivor organizations. The KROSS tool includes assessments of visual acuity, visual field, eye alignment and movements, and visual attention.

  Baseline and 5 Months

• Measure of hearing

  Change in hearing will be measured with the Combined Serious Sensory Impairment (Kombinert Alvorlig Sansesvikt) KAS- Screen interview guide. The questions used in our study come from the hearing and verbal communication/social life subscales.

  Baseline and 5 Months

Study Arms (1)

Older adults ≥75 living at home

Older adults ≥75 years living at home applying for a municipal health and care service for an estimated period of more than two weeks.

Behavioral: Health promoting assessment of older adults living at home

Interventions

Health promoting assessment of older adults living at home BEHAVIORAL

Based on the results of the first assessment of the older person's health determinants, healthcare professionals will recommend and tailor measures to the individual's needs to reduce the risk of functional decline and maintain their health while living at home.

Older adults ≥75 living at home

Eligibility Criteria

• Age: 75 Years - 105 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Home-living older adults applying for municipal health services.

You may qualify if:

• Older adults, age ≥75, live at home, being cognitively able to give informed consent, apply for a public health and care service from the municipality, and have a service need for more than two weeks approved by the municipality

You may not qualify if:

• \<75 years, cognitive impairment, in need of palliative services

Sponsors & Collaborators

• University of Stavanger: lead
• Stavanger Municipality, Norway: collaborator

Study Sites (1)

Stavanger kommune

Stavanger, Rogaland, 4068, Norway

Location

Related Publications (1)

• Kvalsvik F, Larsen BH, Eilertsen G, Falkenberg HK, Dalen I, Haaland S, Storm M. Health Needs Assessment in Home-Living Older Adults: Protocol for a Pre-Post Study. JMIR Res Protoc. 2024 Apr 18;13:e55192. doi: 10.2196/55192.

  PMID: 38635319 DERIVED

MeSH Terms

Conditions

Frailty; Deaf-Blind Disorders; Social Adjustment; Alcohol Drinking

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Deafness; Hearing Loss; Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Blindness; Vision Disorders; Eye Diseases; Abnormalities, Multiple; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Signs and Symptoms; Social Behavior; Behavior; Drinking Behavior

Study Officials

• Marianne Storm, PhD

  Universitetet i Stavanger

  PRINCIPAL INVESTIGATOR

• Grethe Eilertsen, PhD

  University of South-Eastern Norway

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 20, 2023
• First Posted: May 1, 2023
• Study Start: March 1, 2023
• Primary Completion: February 28, 2024
• Study Completion: December 1, 2024
• Last Updated: December 12, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)