Ignite Creation Date:
2025-12-25 @ 12:39 AM
Ignite Modification Date:
2025-12-25 @ 10:50 PM
Study NCT ID:
NCT04594967
Status:
COMPLETED
Last Update Posted:
2023-09-21
First Post:
2020-10-06
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'COHORT'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 184}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2017-10-04', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2020-10', 'completionDateStruct': {'date': '2020-06-30', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2023-09-20', 'studyFirstSubmitDate': '2020-10-06', 'studyFirstSubmitQcDate': '2020-10-14', 'lastUpdatePostDateStruct': {'date': '2023-09-21', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2020-10-20', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2020-04-30', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Healthcare utilisation: Primary care', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'Primary care visits'}, {'measure': 'Healthcare utilisation: Inpatient visits', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'Inpatient visits'}, {'measure': 'Healthcare utilisation: Specialist outpatient care', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'Specialist outpatient clinic visits'}, {'measure': 'Healthcare utilisation: A&E', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'A\\&E visits'}, {'measure': 'Patient-reported outcome measure for patient activation', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'PAM-13'}, {'measure': 'Patient-reported outcome measure for quality of life', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'EQ-5D-5L'}, {'measure': 'Patient-reported outcome measure for quality of life in old age', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'CASP-19'}, {'measure': 'Patient experience of care', 'timeFrame': '6 months', 'description': 'CAHPS'}, {'measure': 'Economic evaluation and cost analysis', 'timeFrame': 'Change from baseline to post-3 months, and to post-6 months', 'description': 'Cost comparison between intervention group and non-intervention group'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['patient-centred care', 'patient-centred medical home', 'older adults', 'complex needs', 'healthcare utilisation', 'economic evaluation', 'cost analysis', 'health services research'], 'conditions': ['Delivery of Health Care', 'Health Services', 'Costs and Cost Analysis', 'Quality of Life']}, 'referencesModule': {'references': [{'pmid': '34769680', 'type': 'DERIVED', 'citation': 'Lim ZZB, Mohamed Kadir M, Ginting ML, Vrijhoef HJM, Yoong J, Wong CH. Early Implementation of a Patient-Centered Medical Home in Singapore: A Qualitative Study Using Theory on Diffusion of Innovations. Int J Environ Res Public Health. 2021 Oct 24;18(21):11160. doi: 10.3390/ijerph182111160.'}]}, 'descriptionModule': {'briefSummary': 'This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore.', 'detailedDescription': "This study evaluates the Community for Successful Ageing (ComSA) Patient-Centered Medical Home (PCMH), a model of community-based primary care geriatric hub at Whampoa, Singapore. This study aims to evaluate the impact of ComSA PCMH on health service utilisation, healthcare cost, clinical quality and effectiveness, as well as patient activation, quality of life, satisfaction and experience of care. The first component of the study is a single arm prospective pre-post cohort design, which aims to evaluate the impact on enrolled patients' self-reported health outcomes, experience of care, and cost effectiveness. The second component of the study evaluates the quality of the implementation processes via clinical quality indicators. The third component is a match-controlled retrospective pre-post study design, which aims to evaluate the impact on healthcare utilisation. Data sources include both survey data and administrative data."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '99 Years', 'minimumAge': '40 Years', 'samplingMethod': 'NON_PROBABILITY_SAMPLE', 'studyPopulation': 'Older adults aged 40 years and above who reside in Whampoa, Singapore, and have complex healthcare needs.', 'healthyVolunteers': False, 'eligibilityCriteria': 'Key inclusion criteria:\n\ni. Aged 40 years and above ii. Lives in Whampoa, Singapore iii. Enrolled in PCMH after 1 September 2017\n\nExclusion criteria:\n\ni. Aged less than 40 years ii. Does not live in Whampoa Singapore'}, 'identificationModule': {'nctId': 'NCT04594967', 'briefTitle': 'The COPACC Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa', 'organization': {'class': 'OTHER_GOV', 'fullName': 'Geriatric Education and Research Institute'}, 'officialTitle': 'The Community for Successful Ageing (ComSA) Patient-Centered Care (COPACC) Study: Utilization, Health and Economic Evaluation of a Community-Based Primary Care Geriatric Hub at Whampoa, Singapore.', 'orgStudyIdInfo': {'id': '2017/00352'}}, 'armsInterventionsModule': {'interventions': [{'name': 'Patient-centred care home (PCMH)', 'type': 'OTHER', 'description': 'New model of care defined by care provision by a team of people centered in the community that is both proactive and coordinated to improve the health and wellness of the people in that community.'}]}, 'contactsLocationsModule': {'locations': [{'zip': '768024', 'city': 'Singapore', 'country': 'Singapore', 'facility': 'Geriatric Education and Research Institute', 'geoPoint': {'lat': 1.28967, 'lon': 103.85007}}], 'overallOfficials': [{'name': 'Chek Hooi Wong', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Geriatric Education and Research Institute'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Geriatric Education and Research Institute', 'class': 'OTHER_GOV'}, 'collaborators': [{'name': 'Tsao Foundation', 'class': 'UNKNOWN'}, {'name': 'National Healthcare Group, Singapore', 'class': 'OTHER_GOV'}], 'responsibleParty': {'type': 'SPONSOR'}}}}