Clinical trial NCT01829594: Case Managers to Frail Older People a Randomized Controlled Trial
Official title: Case Managers to Frail Older People a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Frail Elderly
Keywords: Case Management
Frail Elderly
Health Services Administration
Delivery of Health Care
Accidental Falls
Health Status
Health Care Economics
Lead sponsor: Lund University
Sponsor class: OTHER
First posted: 2013-04-11
Enrollment: 153
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: The aim of is to test the effects of a model for care (case management) to older people with high healthcare consumption and functional dependency on healthcare consumption, quality of life, functional ability and experiences of care.


Eligibility criteria: Inclusion Criteria:

* aged 65 or over
* need help with at least two activities of daily living
* been admitted to hospital on at least two occasions, or
* have had at least four contacts with outpatient or primary care during the previous twelve months,
* be able to communicate verbally
* have no cognitive impairment

Primary outcomes:
measure: Health care consumption
timeFrame: two years (one year before vs after baseline)
measure: Health care costs
timeFrame: two years (one year before vs after baseline)
measure: Feelings of loneliness
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Depressive symptoms
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Health Related Quality of Life
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Number of falls
timeFrame: baseline and then after 3,6,9,12,24 months
Secondary outcomes:
measure: Life Satisfaction
timeFrame: baseline and then after 6,12,24 months
measure: Health complaints
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Knowledge about prescribed drugs
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Attitudes towards prescribed drugs
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Drug use
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Activities and social participation
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Functional capacity
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Balance
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Timed up and go (TUG)
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Risk of falling
timeFrame: baseline and then after 3,6,9,12,24 months
measure: Fear of Falling
timeFrame: baseline and then after 3,6,9,12,24 months
Other outcomes:
measure: Experiences of care
timeFrame: approximately one year
Locations:
city: Lund
country: Sweden
facility: Lund University, Faculty of Medicine, Department of Health Sciences
Study officials:
affiliation: Lund University
name: Ingalill Rahm Hallberg, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kristensson J, Ekwall AK, Jakobsson U, Midlov P, Hallberg IR. Case managers for frail older people: a randomised controlled pilot study. Scand J Caring Sci. 2010 Dec;24(4):755-63. doi: 10.1111/j.1471-6712.2010.00773.x.