Growing Old at Home

Aging Clinical Trial

Official title:

Growing Old at Home - Effectiveness and Cost-effectiveness of Preventive Home Visits to Reduce Nursing Home Admissions in the Elderly

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00644826
• Other study ID #: PfVMS-T5
• Status: Completed
• Phase: N/A
• First received: March 26, 2008
• Last updated: June 1, 2010
• Start date: September 2007
• Est. completion date: March 2010

Study information

• Verified date: January 2010
• Source: Martin-Luther-Universität Halle-Wittenberg
• Contact: n/a
• Is FDA regulated: No
• Health authority: Germany: Federal Ministry of Education and Research
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether preventive home visits for people aged 80 and over are effective in the prevention of nursing home admission in Germany.

Description:

Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention by a randomized controlled trial in Germany.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 336
• Est. completion date: March 2010
• Est. primary completion date: March 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 80 Years and older

Eligibility

Inclusion Criteria:

• older than 80

• fluent German speaker

• resident of Leipzig or Halle

• living at home (i.e. no nursing home resident)

Exclusion Criteria:

• cognitive impairment

• not able to give informed consent

• care level higher than 1 according to German long term care insurance

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Aging

Intervention

Behavioral:
• preventive home visit
A multidimensional geriatric assessment within the dimensions: cognition, health related functioning, risk of falling, nutritional status, social situation, economic situation, mood. Two more home visits: (1) home counseling visit 2-3 weeks after assessment (2) booster session 1 month after home counseling visit

Locations

Country	Name	City	State
Germany	Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg	Halle	SAN
Germany	Klinik und Poliklinik für Psychiatrie, Universitätsklinikum Leipzig AöR	Leipzig	SA

Sponsors (2)

Lead Sponsor	Collaborator
Martin-Luther-Universität Halle-Wittenberg	German Federal Ministry of Education and Research

Country where clinical trial is conducted

Germany, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	nursing home admission rate		18 months	No
Secondary	health care service utilization and costs		18 months	No
Secondary	incremental cost-effectiveness and cost- utility ratio		18 months	No
Secondary	health related functioning		18 months	No
Secondary	health related quality of life		18 months	No
Secondary	prevalence of falls		18 months	No
Secondary	time to nursing home admission		18 months	No