Clinical trial NCT05837728: Health Determinants in Older Adults Living At Home
Official title: More Good Days At Home: Advancing Health-promoting Practices in Municipal Healthcare Services for Older Recipients of Home Care
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Frailty
Vision and Hearing Loss
Cognitive Function, Social 1
Mental Health Issue
Social Functioning
Alcohol Use, Unspecified
Healthy Aging
Lead sponsor: University of Stavanger
Sponsor class: OTHER
Collaborators: name: Stavanger Municipality, Norway
First posted: 2023-05-01
Enrollment: 40
Sex: ALL
Minimum age (years): 75
Maximum age (years): 105
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Home-living older adults applying for municipal health services.

Brief summary: The observational study will conduct interprofessional assessments by registered nurses, physiotherapists, and occupational therapists of health determinants (i.e., frailty, physical, cognitive, and sensory function, mental and social health, and alcohol use) in older adults (≥75) living at home and applying for a municipal health service. The participants will take part in two assessments, baseline and 5 months. Based on the baseline assessment healthcare professionals will identify factors that can affect older adults' health, provide tailored information, offer measures, and link with proper health services. The aim is that older adults maintain health, function, and self-care and thus can continue aging at home. The main research question is:) How can interprofessional assessments of older adults living at home reduce the risk of impaired function, maintain health and ensure that the elderly receive tailored services?

Detailed description: The population of older adults is rapidly increasing worldwide and in Norway. A present and future challenge is to provide adequate health and care services to older persons. It is imperative to organize the services in a manner that is both adequate for the older persons in need of help and sustainable for health and care services and society. A way to ensure this is to facilitate and promote measures allowing older adults to age well at home. Accordingly, it is of great importance to enable older adults to engage with health determinants that influence their daily life actively. One area of importance is assessing health determinants and acting upon indications of functional decline, cognitive and sensory impairments, and frailty.

The observational study will assess how interprofessional assessments of health determinants in older adults living at home can promote health and reduce the risk of functional decline. The study participants will take part in two assessments of health determinants including frailty, physical, cognitive, and sensory function, mental and social health, and alcohol use. Based on results from the baseline assessment healthcare personnel will identify factors that can affect the older adult's health, provide tailored information to strengthen health literacy, and offer measures available in the health services in the municipality. The second assessment 5 months after baseline will reveal if tailoring measures and services have contributed to maintaining and supporting the older person's health and reduced the risk of functional decline. The aim of the project is that the elderly living at home maintains health, function, and self-care and thus can have more good days at home.

Eligibility criteria: Inclusion Criteria:

* Older adults, age ≥75, live at home, being cognitively able to give informed consent, apply for a public health and care service from the municipality, and have a service need for more than two weeks approved by the municipality

Exclusion Criteria:

* \<75 years, cognitive impairment, in need of palliative services

Primary outcomes:
measure: Measure of Physical function
timeFrame: Baseline and 5 Months
measure: Measure of cognitive function
timeFrame: Baseline and 5 Months
measure: Measure of clinical frailty
timeFrame: Baseline and 5 Months
measure: Measure of lonliness
timeFrame: Baseline and 5 Months
measure: Measure of depression
timeFrame: Baseline and 5 Months
measure: Measure of alcohol use
timeFrame: Baseline and 5 Months
measure: Measure of vision
timeFrame: Baseline and 5 Months
measure: Measure of hearing
timeFrame: Baseline and 5 Months
Secondary outcomes:
Other outcomes:
Locations:
city: Stavanger
country: Norway
facility: Stavanger kommune
state: Rogaland
Study officials:
affiliation: Universitetet i Stavanger
name: Marianne Storm, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of South-Eastern Norway
name: Grethe Eilertsen, PhD
role: PRINCIPAL_INVESTIGATOR
References: