Malnutrition Clinical Trial
Official title:
Effectiveness of EASYcare-based Geriatric Intermediate Care
Verified date | August 2007 |
Source | Radboud University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to study the effects of nursing home visits in independently living elderly people on their functional performance and health-related quality of life. The general practitioner (GP) can refer elderly people to this intervention model after identification of a problem in cognition, mood, behavior, mobility, or nutrition. A specialist geriatric nurse visits the patients at home up to six times and coaches the patient in cooperation with the GP and geriatrician.
Status | Completed |
Enrollment | 155 |
Est. completion date | July 2005 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | All |
Age group | 70 Years and older |
Eligibility | Inclusion Criteria: - 70 years of age and over - The patient lives independently or in a home for the aged - The patient has a health problem that was recently presented to the GP by the patient or informal caregiver - The request for help is related to the following problem fields: cognitive disorders, behavioral and psychological symptoms of dementia, mood disorders, mobility disorders and falling, or malnutrition - The patient/informal caregiver and GP have determined a goal they want to achieve - Fulfill one or more of these criteria: MMSE (Mini Mental State Examination) equal to or less than 26, GARS (Groningen Activity Restriction Scale) equal to or greater than 25 or MOS-20/subscale mental health equal to or less than 75 Exclusion Criteria: - The problem or request for help has an acute nature, urging for action (medical or otherwise) within less than one week - The problem or request for help is merely a medical diagnostic issue, urging for action only physicians (GP or specialist) can offer - MMSE < 20 or proved moderate to severe dementia (Clinical Dementia Rating scale [CDR] > 1, 0) and no informal caregiver (no informal caregiver is defined as: no informal caregiver who meets the patient for at least once a week on average) - The patient receives other forms of intermediate care or health care from a social worker or community-based geriatrician - The patient is already on the waiting list for a nursing home because of the problem the patient is presented with in our study - Predicted prognosis < 6 months because of terminal illness |
Country | Name | City | State |
---|---|---|---|
Netherlands | Radboud University Nijmegen Medical Centre | Nijmegen | Gelderland |
Lead Sponsor | Collaborator |
---|---|
Radboud University Medical Center | ZonMw: The Netherlands Organisation for Health Research and Development |
Netherlands,
Borm GF, Melis RJ, Teerenstra S, Peer PG. Pseudo cluster randomization: a treatment allocation method to minimize contamination and selection bias. Stat Med. 2005 Dec 15;24(23):3535-47. doi: 10.1002/sim.2200. — View Citation
Richardson J. The Easy-Care assessment system and its appropriateness for older people. Nurs Older People. 2001 Oct;13(7):17-9. doi: 10.7748/nop.13.7.17.s15. No abstract available. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Functional performance (independent) activities of daily living measured using Groningen Activity Restriction Scale | 3 months | ||
Primary | Mental health using subscale mental health MOS-20 | 3 months | ||
Primary | Informal caregiver burden using Zarit Burden Interview | 3 months | ||
Secondary | Type of residence (independent, home for the elderly, nursing home) | 3 months | ||
Secondary | Cost effectiveness | 6 months | ||
Secondary | Mobility using Timed Up and Go test | 3 months | ||
Secondary | Overall health related Quality of life using MOS-20 | 3 months | ||
Secondary | Well-being using Cantril Self-anchoring ladder and Dementia Quality of Life | 3 months | ||
Secondary | Cognition using Mini Mental State Examination | 6 months | ||
Secondary | Social functioning using Loneliness scale de Jong-Gierveld | 3 months | ||
Secondary | Subjective treatment effects using Patient Enablement Instrument | 3 months | ||
Secondary | Mortality | within a period of maximum two years | ||
Secondary | Time spent on care by informal caregiver | 3 months |
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