Clinical trial NCT01743495: CAPABLE for Frail Dually Eligible Older Adults
Official title: CAPABLE for Frail Dually Eligible Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Muscle Weakness
Keywords: Medical Costs
improved IADLs
and/or ADL's
decreased nursing home admissions
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: Centers for Medicare and Medicaid Services
name: Baltimore City Health Department
First posted: 2012-12-06
Enrollment: 281
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: * 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

Eligibility criteria: 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

Primary outcomes:
measure: Cost Effective
timeFrame: one year after intervention
measure: Cost Effective
timeFrame: two years after intervention
measure: Cost Effective
timeFrame: one year after intervention
measure: Cost Effective
timeFrame: two years after intervention
Secondary outcomes:
measure: Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire
timeFrame: four months post intervention
measure: Quality of Life as assessed by the ADL Questionnaire
timeFrame: eight months post intervention
measure: Quality of Life as assessed by the ADL Questionnaire
timeFrame: twelve months post intervention
measure: Quality of Life as assessed by the Instrumental Activities of Daily Living (IADL) Questionnaire
timeFrame: four months post intervention
measure: Quality of Life as assessed by the IADL Questionnaire
timeFrame: eight months post intervention
measure: Quality of Life as assessed by the IADL Questionnaire
timeFrame: twelve months post intervention
Other outcomes:
Locations:
city: Baltimore
country: United States
facility: Johns Hopkins University School of Nursing
state: Maryland
Study officials:
affiliation: Johns Hopkins University
name: Sarah Szanton
role: PRINCIPAL_INVESTIGATOR
References:
citation: Szanton SL, Alfonso YN, Leff B, Guralnik J, Wolff JL, Stockwell I, Gitlin LN, Bishai D. Medicaid Cost Savings of a Preventive Home Visit Program for Disabled Older Adults. J Am Geriatr Soc. 2018 Mar;66(3):614-620. doi: 10.1111/jgs.15143. Epub 2017 Nov 22.
citation: Waldersen BW, Wolff JL, Roberts L, Bridges AE, Gitlin LN, Szanton SL. Functional Goals and Predictors of Their Attainment in Low-Income Community-Dwelling Older Adults. Arch Phys Med Rehabil. 2017 May;98(5):896-903. doi: 10.1016/j.apmr.2016.11.017. Epub 2016 Dec 19.