Ignite Creation Date:
2024-05-05 @ 11:54 AM
Last Modification Date:
2024-10-26 @ 9:16 AM
Study NCT ID:
NCT00169052
Status:
COMPLETED
Last Update Posted:
2013-09-10
First Post:
2005-09-11
Brief Title:
Health Care Management and Rehabilitation Skills Training for Treating Serious Mental Illness in Older People
Sponsor:
Dartmouth-Hitchcock Medical Center
Organization:
Dartmouth-Hitchcock Medical Center
Study Overview
Official Title:
Rehabilitation and Health Care for Elderly With SMI
Status:
COMPLETED
Status Verified Date:
2001-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will evaluate the effectiveness of a health management and supported rehabilitation intervention in treating serious mental illnesses in older people
Detailed Description:
This randomized controlled study will evaluate the effectiveness of a health management HM and supported rehabilitation SR intervention for 180 older persons age 50 with serious mental illness We will address the following specific aims and hypotheses
Specific Aim 1- To compare the effectiveness of SRHM to UC in improving independent living skills and health management We hypothesize that compared to older individuals with SMI receiving UC individuals receiving SRHM will have better independent living skills and health management evidenced by
1 Better community living skills and better social skills based on performance-based measures and self-reports of functioning and
2 Better medication management skills based on performance-based and self-report measures and greater use of preventive and routine primary health care including annual check-ups with a primary care provider and participation in preventive health care
Specific Aim 2- To compare the effectiveness of SRHM to UC in decreasing the use of high-cost acute and long-term institution-based services We hypothesize that compared to older individuals with SMI receiving UC individuals receiving SRHM will use fewer high cost services including emergency room visits acute hospitalizations and nursing home care In addition the reduced use of high cost institution-based services will be associated with better independent living skills and health management practices resulting from the SRHM intervention
We will also evaluate the following secondary exploratory hypotheses
1 The SRHM intervention will be associated with better general health status
2 The effectiveness of SRHM in improving living skills and community functioning will be greatest for individuals with low levels of cognitive impairment
In addition we will describe outpatient service utilization for SRHM and UC models within each study site in order to present a more comprehensive account of services used by study participants
Little is known about how to provide effective rehabilitation and health management services to older persons with serious mental illness SMI to decrease the use of high-cost institution-based services To address this need we developed a supported rehabilitation and health management SRHM intervention for older persons with SMI that addresses functioning in two areas essential for preventing hospitalizations and long-term institutional care 1 enhanced independent living skills and 2 improved health management The supported rehabilitation SR component consists of skills training aimed at improving competence in everyday functioning including community living skills and social skills The health management HM component consists of training in health management skills and health case management by nurses who monitor and facilitate routine preventive and acute health care Results from a pilot study indicate that SRHM is effective in improving independent living skills and health management for older persons with SMI
The aims of this study are to test the effectiveness of the SRHM intervention in improving the functioning and health care of older persons with SMI and in reducing the use of high cost acute and long-term institution-based care The proposed research will compare the SRHM intervention to usual care UC in a randomized controlled study of 180 individuals age 60 and older with SMI living in the community
Specific Aim 1- To compare the effectiveness of SRHM to UC in improving independent living skills and health management We hypothesize that compared to older individuals with SMI receiving UC individuals receiving SRHM will have better independent living skills and health management evidenced by
1 Better community living skills and better social skills based on performance-based measures and self-reports of functioning and
2 Better medication management skills based on performance-based and self-report measures and greater use of preventive and routine primary health care including annual check-ups with a primary care provider and participation in preventive health care
Specific Aim 2- To compare the effectiveness of SRHM to UC in decreasing the use of high-cost acute and long-term institution-based services We hypothesize that compared to older individuals with SMI receiving UC individuals receiving SRHM will use fewer high cost services including emergency room visits acute hospitalizations and nursing home care In addition the reduced use of high cost institution-based services will be associated with better independent living skills and health management practices resulting from the SRHM intervention
We will also evaluate the following secondary exploratory hypotheses
1 The SRHM intervention will be associated with better general health status
2 The effectiveness of SRHM in improving living skills and community functioning will be greatest for individuals with low levels of cognitive impairment
In addition we will describe outpatient service utilization for SRHM and UC models within each study site in order to present a more comprehensive account of services used by study participants
Little is known about how to provide effective rehabilitation and health management services to older persons with serious mental illness SMI to decrease the use of high-cost institution-based services To address this need we developed a supported rehabilitation and health management SRHM intervention for older persons with SMI that addresses functioning in two areas essential for preventing hospitalizations and long-term institutional care 1 enhanced independent living skills and 2 improved health management The supported rehabilitation SR component consists of skills training aimed at improving competence in everyday functioning including community living skills and social skills The health management HM component consists of training in health management skills and health case management by nurses who monitor and facilitate routine preventive and acute health care Results from a pilot study indicate that SRHM is effective in improving independent living skills and health management for older persons with SMI
The aims of this study are to test the effectiveness of the SRHM intervention in improving the functioning and health care of older persons with SMI and in reducing the use of high cost acute and long-term institution-based care The proposed research will compare the SRHM intervention to usual care UC in a randomized controlled study of 180 individuals age 60 and older with SMI living in the community
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| DSIR 82-SEMS | US NIH GrantContract | None | httpsreporternihgovquickSearchR01MH062324 |
| R01MH062324 | NIH | None | None |