Multimorbidity Clinical Trial
Official title:
Effectiveness of an Adaptive, Complex Intervention to Enhance Care for Patients With Complex Multimorbidity in General Practice - a Pragmatic Cluster Randomized Controlled Trial
Introduction Patients living with a chronic disease often have more than one chronic condition, which is referred to as multimorbidity. Multimorbidity is associated with decreased quality of life, functional decline, polypharmacy, and increased healthcare utilization. Patients with multimorbidity often have a high symptom- and treatment burden, and have to attend multiple appointments, often at numerous locations, and comply with complex or even conflicting advice and drug regimens, resulting in an increased risk of depression and low quality of life. In Denmark, general practice is the key organizational setting in terms of offering people with complex multimorbidity integrated, longitudinal, patient-centered care. However, caring for patients with multimorbidity is a complex and time-consuming task and the organization of chronic care in general practice is organized around individual conditions. Research question The objective of the study is to evaluate the effectiveness of a complex intervention consisting of a prolonged consultation and a strengthened cross-sectoral collaboration for patients with complex multimorbidity listed in participating practices on the patients' health-related quality of life, health and use of health-services. Methods Design: A pragmatic, adaptive, cluster-randomized, non-blinded, parallel-group trial conducted in general practice in all regions in Denmark evaluating a complex intervention.
n/a
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT05421143 -
Co-design of a Seamless Person-centered Intervention to Optimize Medication Use Across Healthcare Levels
|
||
| Completed |
NCT04942613 -
Engaging Medically Complex Veterans in Tele-Rehabilitation Using a Biobehavioral Approach
|
N/A | |
| Completed |
NCT02928939 -
Therapeutic Conflicts and Multimorbidity
|
||
| Recruiting |
NCT05560451 -
Telehealth-delivered Peer Support to Improve Quality of Life Among Veterans With Multimorbidity
|
N/A | |
| Completed |
NCT03697772 -
Continuity of Care and Use of Urgent Healthcare in Multimorbid Patients
|
||
| Recruiting |
NCT03439410 -
Clinical Complexity in Internal Medicine Wards. San MAtteo Complexity Study
|
||
| Active, not recruiting |
NCT05985044 -
Living With Multimorbidity: CO-ORDINATE Program
|
N/A | |
| Completed |
NCT02866799 -
Multi-PAP: Improving Prescription in Primary Care Patients With Multimorbidity and Polypharmacy
|
N/A | |
| Recruiting |
NCT05406193 -
A New Care Model for Patients With Complicated Multimorbidity
|
N/A | |
| Completed |
NCT02962687 -
Video-Enhanced Care Management for Medically Complex Veterans
|
N/A | |
| Completed |
NCT02664454 -
Compared Efficacy of Nurse-led and GP-led Geriatric Assessment in PrImary Care
|
N/A | |
| Not yet recruiting |
NCT04391218 -
A Multidisciplinary Intervention Including a Clinical Decision Support System and an App for Drug Therapy Management in Older Patients
|
N/A | |
| Completed |
NCT03126565 -
Evaluation of the Philips Lifeline CareSage Risk Assessment System
|
N/A | |
| Recruiting |
NCT04856202 -
ACP in Older Patients With Multimorbidity: a Randomized Pilot
|
N/A | |
| Completed |
NCT03912103 -
Interdisciplinary Medication Review Interventions in an Integrated Outpatient Department.
|
N/A | |
| Completed |
NCT04955600 -
Digital Technology in the Home of Elderly Patients With Multimorbidity
|
||
| Completed |
NCT05893212 -
Nature Walks or Exercise as a Group Activity, the Effect Well-being, Sleep and Activity.
|
N/A | |
| Recruiting |
NCT06123546 -
Effectiveness of a Patient-oriented Discharge Summary
|
N/A | |
| Completed |
NCT03528005 -
Effectiveness of Integrated Care Network
|
N/A | |
| Completed |
NCT03088982 -
Preventing Decompensation Among Multimorbid Outpatients in Residential Care. A Cohort Study With a Six-month Follow-up.
|
N/A |