Aging Clinical Trial
Official title:
Anticipatory Care Planning Intervention for Older Adults at Risk of Functional Decline: A Primary Care Feasibility Study
NCT number | NCT03902743 |
Other study ID # | B18/46 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | March 12, 2019 |
Est. completion date | August 2020 |
The purpose of this study is to explore the feasibility of delivering anticipatory care planning provided by nurses through a series of home visits. Many people with long-term health conditions can benefit from an anticipatory care plan as it helps them feel more in control of their life and allows them to manage changes in their health and well-being. The purpose of this study is to find out if effect of home visits by specially trained nurses for people aged 70 years and over who have been identified as being 'at risk' of developing frailty would be beneficial. Half of the patients in this study will receive home visits from trained nurses in addition to their usual care. Nurses will work with their GP, other healthcare providers and possibly family caregivers to plan and arrange any additional services that the participants require. The other half of patients in the study will receive usual care.
Status | Recruiting |
Enrollment | 64 |
Est. completion date | August 2020 |
Est. primary completion date | February 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 70 Years and older |
Eligibility |
Inclusion Criteria: - Aged =70 years - In receipt of a valid general medical services (GMS) card in the Republic of Ireland, or for Northern Ireland registered for NHS primary care services - ability to complete a postal questionnaire Exclusion Criteria: - receiving specialist palliative care - record of assessed cognitive impairment at the level that would impact their ability to complete screening postal questionnaire, outcome measures and participate in a patient care conference(s) (defined as Mini Mental State Examination (MMSE) =20) - experiencing a psychotic episode at the time of recruitment - hospitalised long-term, in a nursing home, homeless or in sheltered accommodation |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Queens University Belfast | Belfast |
Lead Sponsor | Collaborator |
---|---|
Queen's University, Belfast | National University of Ireland, Galway, Ireland, Royal College of Surgeons, Ireland |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | EQ-5D-5L | Is a widely used self-reported generic measure of health reported quality of life that has been validated in different patient populations. The five-level version contains the same dimensions as the earlier three-level version but has been designed to provide greater reliability and sensitivity. | 10 minutes | |
Primary | Center for Epidemiological Studies Depression Scale (CES-D) | This 20- item scale has been used extensively with older adults. Respondents use a four choice scale to rate how they have felt in the past week expressing depressed mood. | 10 minutes | |
Secondary | Patient Assessment of Chronic Illness Care (PACIC) Scale | This 20 item scale was designed to assess from the patient perspective the receipt of patient-centered care and self-management behaviors. | 15 minutes | |
Secondary | Health Economic Evaluation | The health economic analysis will consist of trial-based economic evaluation and will incorporate both cost effectiveness analysis and cost utility analysis to compare the alternative treatment strategies: (1) the Anticipatory Care Planning (ACP) Intervention; and (2) usual care in general practice. | 15 minutes |
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