CAPABLE for Frail Dually Eligible Older Adults

Study Overview
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Brief Summary
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The Johns Hopkins School of Nursing offers this research study which aims to learn more about whether services that help with medications, muscle strengthening, pain management and changes to houses can help improve older adults' ability to, walk, and take care of themselves while saving costs by reducing hospitalizations and nursing home admissions.

Detailed Description
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65yrs or older Be able to stand (with or without assistance) Have some difficulty with getting dressed, or preparing food, bathing Receive a low monthly income Have no plans to move in the next year NOT be receiving home nursing or other therapy right now

Official Title
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CAPABLE for Frail Dually Eligible Older Adults

Conditions
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Muscle Weakness

Intervention / Treatment
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* Behavioral: 10 home-based functional services sessions over 4 months.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 65 or older Cognitively intact (≥ 10 on Brief Interview of Mental Status) Difficulty with ≥ 2 IADLS or ≥ 1 ADL ≤ 199% of Federal Poverty level Exclusion Criteria: Terminally ill --Active cancer treatment Hospitalized > 3 times in last 3 years Receiving home nursing, Occupational Therapy or Physical Therapy Don't have phone or do plan to move in less than a year

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Functional Services<br>The program consists of up to 10 home-based functional services sessions over 4 months. | Behavioral: 10 home-based functional services sessions over 4 months.<br>* The program consists of up to 10 home-based functional services sessions over 4 months.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cost Effective | Chart review to see change between cost of intervention to medicaid before and after CAPABALE | one year after intervention | 
| Cost Effective | Chart review to see change between cost of intervention to medicaid before and after CAPABALE | two years after intervention | 
| Cost Effective | Chart review to see change between cost of intervention to medicare before and after CAPABALE | one year after intervention | 
| Cost Effective | Chart review to see change between cost of intervention to medicare before and after CAPABALE | two years after intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire | The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance. | four months post intervention | 
| Quality of Life as assessed by the ADL Questionnaire | The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance. | eight months post intervention | 
| Quality of Life as assessed by the ADL Questionnaire | The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance. | twelve months post intervention | 
| Quality of Life as assessed by the Instrumental Activities of Daily Living (IADL) Questionnaire | The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance. | four months post intervention | 
| Quality of Life as assessed by the IADL Questionnaire | The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance. | eight months post intervention | 
| Quality of Life as assessed by the IADL Questionnaire | The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance. | twelve months post intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Medical Costs, improved IADLs, and/or ADL's, decreased nursing home admissions