Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT04639908 |
| Other study ID # |
KCE |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
December 1, 2020 |
| Est. completion date |
April 9, 2021 |
Study information
| Verified date |
October 2020 |
| Source |
Universitair Ziekenhuis Brussel |
| Contact |
Melissa Desmedt, PhD |
| Phone |
+32474686299 |
| Email |
melissa.desmedt[@]mobius.eu |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
In order to prepare for the ageing population and its impact on the health care system, the
National Institute for Sickness and Disability Insurance in Belgium (RIZIV) launched in 2010
a subsidy programme (called Protocol 3) for innovative projects aimed at care and support for
vulnerable older people with complex care needs. The objective of these projects is to reduce
the risk and need for admission to a care institution/residential care centre. These are
alternative and supportive forms of care for the elderly for which there is currently no
allowance, which enable vulnerable older people to be cared for at home, which have a
positive influence on the evolution of the older person's state of health and which improve
the quality of life, which do not entail higher costs than those of a classic admission and
which are scientifically evaluated.
These Protocol 3 projects focus on vulnerable elderly people who are not admitted to a
residential care centre, but who are at risk of a complex and/or long-term care situation. As
a result of the complex care situation, there is also a great need for coordinated care
between different care providers and/or there will also be supportive forms of care that
ensure continuity of care. The expected added value of the care innovation projects should
focus on: the importance of consultation and cooperation between the various stakeholders,
the means to improve the competences of all relevant stakeholders, the means to organise
customised care and the means to achieve continuity of care for the patient. The objective of
the current study is to evaluate the phase 2 interventions, in particular: the adapted
interventions case management and occupational therapy; and the newly introduced
interventions in phase 3: health education, educational sessions for informal care providers
and control visits at night.
Description:
In order to prepare for the ageing population and its impact on the health care system, the
National Institute for Sickness and Disability Insurance in Belgium (RIZIV) launched in 2010
a subsidy programme (called Protocol 3) for innovative projects aimed at care and support for
vulnerable older people with complex care needs. The objective of these projects is to reduce
the risk and need for admission to a care institution/residential care centre. These are
alternative and supportive forms of care for the elderly for which there is currently no
allowance, which enable vulnerable older people to be cared for at home, which have a
positive influence on the evolution of the older person's state of health and which improve
the quality of life, which do not entail higher costs than those of a classic admission and
which are scientifically evaluated.
These Protocol 3 projects focus on vulnerable elderly people who are not admitted to a
residential care centre, but who are at risk of a complex and/or long-term care situation. As
a result of the complex care situation, there is also a great need for coordinated care
between different care providers and/or there will also be supportive forms of care that
ensure continuity of care. The expected added value of the care innovation projects should
focus on: the importance of consultation and cooperation between the various stakeholders,
the means to improve the competences of all relevant stakeholders, the means to organise
customised care and the means to achieve continuity of care for the patient. The objective of
the current study is to evaluate the phase 2 interventions, in particular: the adapted
interventions case management and occupational therapy; and the newly introduced
interventions in phase 3: health education, educational sessions for informal care providers
and control visits at night.
After all, an evaluation at the end of these projects is important in order to evaluate the
added value of these care innovation projects and how they can possibly be structurally
anchored. The starting point of this study is to learn in a qualitative way about the
perceptions and experiences of patients and their informal carers about the benefits of the
interventions, the barriers and facilitating factors of their implementation and the
potential for improvement of these initiatives. The objective is to assess the extent to
which patient needs are met by the interventions and what can be improved to consolidate the
intervention or add more value to it.
