Clinical trial NCT00877058: SUPPORT FOR FRAIL ELDERLY PERSONS - From Prevention to Palliation
Official title: Elderly Persons at the Risk Zone - a Randomized Controlled Trial of a Community Based Preventive Multiprofessional Program for Old Persons at Risk of Frailty
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Frail Elderly Persons
Keywords: Frailty
health promotion
prevention
self management
intervention
Lead sponsor: Vardalinstitutet The Swedish Institute for Health Sciences
Sponsor class: OTHER
First posted: 2009-04-07
Enrollment: 459
Sex: ALL
Minimum age (years): 80
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The present study "Elderly person in the risk zone" form part of the research programme "Support for frail elderly persons - from prevention to palliation" (www. Vardalinstitutet.net) which comprises research into three interventions. A fundamental principle in the research programme is that it comprises interventions addressing frail elderly person in different phases of the disablement process, from elderly persons who are beginning to develop frailty to very frail elderly persons receiving palliative care in the final period of their lives. The interventions also address the different requirements that arise with regard to professional contributions during the various phases of the ageing and disease process, ranging from health promotion to a need for an increasing degree of medical care, nursing, special care and rehabilitation, and finally, efforts that promote symptom relief, quality of life, security and satisfaction with care during the final period of life. The intervention "Elderly persons in the risk zone" addresses elderly persons that are on the point of developing frailty ("pre-frail") and are beginning to feel that they are being hindered from taking part in everyday activities. The hypothesis is that if an intervention is made when the persons are not so frail, it is possible to prevent/delay deterioration.

1. Can a health-promoting and preventive intervention for "prefrail" elderly persons:

   * prevent frailty, activity limitations and morbidity,
   * be a supportive factor in the social and physical environment,
   * affect life satisfaction
   * have an impact on the consumption of care
   * be cost-effective?
2. How do the frail elderly persons experience the intervention and its importance to health?


Eligibility criteria: Inclusion Criteria:

* 80 years of age or older living in the community.
* The participants should live in their ordinary housing
* Independent on formal support
* Independent on informal support
* Cognitive intact defined as a Mini Mental Test score \> 25

Primary outcomes:
measure: Dependence in Two or More Activities of Daily Living (ADL)
timeFrame: 1 year
measure: Number of Partipants Measured Frail at 1-year Follow up
timeFrame: 1 year
measure: Self Rated Health
timeFrame: 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Göteborg
country: Sweden
facility: Gothenburg University
Study officials:
affiliation: Göteborg University
name: Synneve Dahlin Ivanoff, Professor
role: PRINCIPAL_INVESTIGATOR
References:
citation: Dahlin-Ivanoff S, Eklund K, Wilhelmson K, Behm L, Haggblom-Kronlof G, Ziden L, Landahl S, Gustafsson S. For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently. BMC Geriatr. 2016 Oct 6;16(1):171. doi: 10.1186/s12877-016-0345-8.
citation: Dahlin-Ivanoff S, Gosman-Hedstrom G, Edberg AK, Wilhelmson K, Eklund K, Duner A, Ziden L, Welmer AK, Landahl S. Elderly persons in the risk zone. Design of a multidimensional, health-promoting, randomised three-armed controlled trial for "prefrail" people of 80+ years living at home. BMC Geriatr. 2010 May 26;10:27. doi: 10.1186/1471-2318-10-27.