Clinical trial NCT03864471: High-need Community Older Adults Care Delivery Model
Official title: Evaluation of a Care Delivery Model for the High-need Community Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: High-need Older Adults
Lead sponsor: Kaohsiung Medical University
Sponsor class: OTHER
Collaborators: name: Ministry of Science and Technology, Taiwan
First posted: 2019-03-06
Enrollment: 165
Sex: ALL
Minimum age (years): 65
Maximum age (years): 100
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study is proposed to: (1) establish a "High-need Community Older Adults Care Delivery Model" (HCOACDM) as a guide to handle complex needs of the high-need community older adults by the care managers at community care centers; and (2) evaluate the effectiveness of applying the HCOACDM to improve the functional ability, quality of life (QOL), depressive symptoms, healthcare and social service utilizations, and care delivery satisfaction of the high-need community older adults.

Detailed description: A cluster randomized controlled trial with repeated measures design will be conducted to test the effectiveness of six-month HCOACDM on the functional ability, QOL, depressive symptoms, healthcare and social service utilizations, and care delivery satisfaction of the high-need community older adults. The high-need community older adults, screened based on the "High-need Community Older Adults Screening Scale" (HCOASS), will be cluster randomized based on the community care centers, to the intervention group (4 centers) or comparison group (4 centers). Intervention group will receive six-month HCOACDM care and comparison group will receive original routine care provided by the care managers at community care centers. One pre-test and two post-tests, three months apart, of outcome measurements will be conducted on all participants. Moreover, individual semi-structured interviews will be carried out to explore opinions and suggestions toward the HCOACDM of the care managers in intervention group. It is expected that the developed HCOACDM will be useful to provide the long-term care for community older adults and enhance the quality of diverse and complex care delivery system.

Eligibility criteria: Inclusion Criteria:

* lived in the community at least three months
* over 65 years old
* fluently communicated in Mandarin or Taiwanese
* screened by the High-need Community Older Adults Screening Scale (HCOASS) as high-need older adults

Exclusion Criteria:

* diagnosed as dementia

Primary outcomes:
measure: Functional Ability measured by the Barthel Index (BI)
timeFrame: 6 months
measure: Quality of Life measured by the World Health Organization quality of life (WHOQOL-BREF)
timeFrame: 6 months
measure: Depressive Symptoms measured by the Hamilton Depression Rating Scale (HDRS)
timeFrame: 6 months
Secondary outcomes:
measure: Healthcare and Social Service Utilizations measured by the Resource Usage of the High-concerned Community Older Adults
timeFrame: 6 months
measure: Satisfaction with Care Delivery measured by the Satisfaction Questionnaire of Service Users to Care Managers
timeFrame: 6 months
Other outcomes:
Locations:
city: Kaohsiung
country: Taiwan
facility: Community Care Centers
Study officials:
affiliation: Kaohsiung Medical University
name: Kuei-Min Chen, PhD
role: PRINCIPAL_INVESTIGATOR
References: