Multidimensional Assessment and Intervention for Elder Self-Neglect

Study Overview
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Brief Summary
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This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.

Official Title
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Multidimensional Assessment and Intervention for Elder Self-Neglect

Conditions
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Self-Neglect, Cognitive Ability, General, Geriatric Disorder

Intervention / Treatment
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* Other: Comprehensive Geriatric Assessment and APS Usual Care
* Other: APS usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 65 years of age or older English Speaking Resident of Harris County, Houston Texas Community-dwelling Substantiated Self-Neglect Exclusion Criteria: No other substantiated allegations Non-community dweller No available for projected follow-up period Impaired decision-making with no available proxy Already receiving care from TEAM or within the past year Terminal Illness

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CGA plus APS Usual Care<br>Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect. | Other: Comprehensive Geriatric Assessment and APS Usual Care<br>* Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.<br>* Other names: Randomized Controlled Trial;Other: APS usual care<br>* APS usual care consists of social, medical, and legal assistance.<br>* Other names: Randomized Controlled Trial;|
| Active Comparator: APS Usual Care<br>APS usual care consisting of social, medical, and legal interventions. | Other: Comprehensive Geriatric Assessment and APS Usual Care<br>* Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.<br>* Other names: Randomized Controlled Trial;Other: APS usual care<br>* APS usual care consists of social, medical, and legal assistance.<br>* Other names: Randomized Controlled Trial;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-Neglect Severity Scale (SSS) |  | Baseline and 6-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Status |  | Baseline and 6-months | 
| Kohlman Evaluation of Living Skills (KELS) |  | Baseline and 6-months | 
| Mini-mental State Exam (MMSE) |  | Baseline and 6-months | 
| 15-item Geriatric Depression Scale |  | Baseline and 6-months | 
| Physical Performance Test (PPT) |  | Baseline and 6-months | 
| SF-36 Health Survey |  | Baseline and 6-months | 
| The Duke Social Support Index (DSSI) |  | Baseline and 6-months | 
| Client Satisfaction Questionnaire (CSQ-8) |  | Baseline and 6-months | 
| Costs of Social Services and Health Care Utilization and Costs |  | Months 1,2,3,4,5,6 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Self-Neglect, Comprehensive Geriatric Assessment (CGA), Geriatric Syndromes, Quality of Life, Basic Activities of Daily Living, Instrumental Activities of Daily Living