Viewing Study NCT00452465



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Study NCT ID: NCT00452465
Status: COMPLETED
Last Update Posted: 2016-03-16
First Post: 2007-03-26

Brief Title: Primary Healthcare for Community Living Old Elderly
Sponsor: Memorial University of Newfoundland
Organization: Memorial University of Newfoundland

Study Overview

Official Title: The ElderCare Project Primary Healthcare for Community Living Old Elderly
Status: COMPLETED
Status Verified Date: 2016-03
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: Hypothesis It is hypothesized that older adults who receive the ElderCare intervention will when compared with a control group of older adults show a significant improvement in quality of lifea significant decrease in symptomatology significantly higher satisfaction with their care and less utilization of health care resources

The Eldercare project involves a detailed assessment by a nurse done in the patients home followed by the development and delivery of a Eldercare Plan using a Goal Attainment Scaling approach

Outcomes include quality of life symptomatology satisfaction and health care utilization
Detailed Description: Objectives The main objective of this study is to improve the care of the old elderly This will be done by implementing and evaluating a year long program which is intended to optimize quality of life symptom management and utilization of both health care and community services for the old elderly

Hypothesis It is hypothesized that older adults who receive the ElderCare intervention will when compared with a control group of older adults a show a significant improvement in quality of life - as measured by the SF-36 b show a significant decrease in symptomatology - as measured by the Comorbidity Symptom Scale c show significantly higher satisfaction - as measured by the Patient Satisfaction Questionnaire d have increased utilization of community-based services e have fewer emergency room visits f have fewer hospitalizations and g fewer visits to the family doctor

Research Plan The ElderCare program is a nurse-based program of home-delivered care that will be linked directly with the primary care practitioner or primary care team of each older adult in the study The nurse will be part of the primary health care team for a number of different family physicians practices The nurse will serve as a link or interface between the family physicians practice or other primary health care professional or team and the community services The nurse will i evaluate the clinical and personal needs of the patient ii develop a management plan based on that review the review includes chart review patient assessment and contacting community agencies that have been involved with the patients care iiireview the plan with the family physician and the patientfamily iv implement the plan v provide patient education and vi monitor the patient regularly in hisher home over the course of a year Evaluation will involve comparing a group of old elderly who receive the ElderCare program intervention with a control group Groups will be evaluated using a variety of assessments which will be done at baseline 6 months and 12 months

The steps that will be taken in carrying out the research are outlined as follows

1 Physician Recruitment
2 Patient Recruitment
3 Baseline Data Collection
4 Randomization - Physicians will be cluster randomized to decrease contamination
5 ElderCare Program delivered to intervention group old elderly
6 Usual care for control group old elderly
7 Outcomes measured at 6 and twelve months - outcomes include quality of life change in symptomatology patient satisfaction use of community services visits to family doctor hospitalizations emergency room visits
8 Data Analysis Interpretation Reporting and Analysis

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