The Effect of Case Conferencing in Nursing Homes

Dementia Clinical Trial

Official title:

The Effect of Comprehensive Geriatric Assessment and Case Conferencing on Neuropsychiatric Symptoms Among Patients in Norwegian Nursing Homes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02790372
• Other study ID #: 2014/1642
• Status: Completed
• Phase: N/A
• Start date: April 2015
• Est. completion date: April 5, 2017

Study information

• Verified date: April 2017
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study evaluates the effect of using comprehensive geriatric assessment in combination with case conferences on the prevalence of neuropsychiatric symptoms (also known as behavioral and psychological symptoms of dementia) in Norwegian nursing homes

Description:

Long-term care patients in nursing homes (NH) are characterized by frailty and having multiple health problems and reduced quality of life. Some of these issues relates to the quality of care and do therefore possess a potential for improvement. There is a need for approaches enabling nurses to carry out effective interventions that can promote health related to sustain or improve the nursing home patients health status. Integrating a comprehensive geriatric assessment (CGA) and case conferencing (CC) might be an effective method to individualize care plans in order to improve quality of care.

The intervention nursing homes will implement CGA, using the International resident instrument suite for Long Term Care Facilities (InterRai LTCF) and CC. The patients will be included and assessed three times during a 12-month period (control and intervention NHs). In the intervention NHs the results from the CGA will be reviewed in monthly CCs. The CCs are structured and consist of four main steps; evaluating the effects of earlier interventions, defining patients risks or area for improvement, defining the aetiology of the risk or problem, defining interventions and measures for improvement along with an appropriate method for evaluation. The CC group's consensus is basis for the patient's care plan.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 309
• Est. completion date: April 5, 2017
• Est. primary completion date: April 5, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• registered as long term care patient

• been in the nursing home for more than a month

• Informed consent from the patient or legal guardians

Exclusion Criteria:

• life expectancy less than six months

Related Conditions & MeSH terms

• Dementia
• Neurobehavioral Manifestations

Intervention

Other:
• Case conferencing
Intervention nursing homes carries out regularly case conferencing based on comprehensive geriatric assessments. Case conferencing is carried out each month for nursing home patients included in the study

Locations

Country	Name	City	State
Norway	Overhalla sykeheim	Overhalla

Sponsors (1)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology

Country where clinical trial is conducted

Norway, 

References & Publications (1)

Nakrem S, Stensvik GT, Skjong RJ, Ostaszkiewicz J. Staff experiences with implementing a case conferencing care model in nursing homes: a focus group study. BMC Health Serv Res. 2019 Mar 27;19(1):191. doi: 10.1186/s12913-019-4034-0. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Prevalence of neuropsychiatric symptoms measured by neuropsychiatric inventory	Measured by neuropsychiatric inventory	12 months
Secondary	Depression measured by Cornell scale for depression in dementia	Measured by Cornell scale for depression in dementia	12 months
Secondary	Activities in daily living measured by Physical self-maintenance scale	Measured by Physical self-maintenance scale	12 months
Secondary	Quality of life measured by the Quality of Life in Late-Stage Dementia Scale	Measured by the Quality of Life in Late-Stage Dementia Scale	12 months