Growing Old at Home - Full Text View

Sponsors and Collaborators:	Martin-Luther-Universität Halle-Wittenberg German Federal Ministry of Education and Research
Information provided by:	Martin-Luther-Universität Halle-Wittenberg
ClinicalTrials.gov Identifier:	NCT00644826

Purpose

The purpose of this study is to determine whether preventive home visits for people aged 80 and over are effective in the prevention of nursing home admission in Germany.

Condition	Intervention
Aging	Behavioral: preventive home visit

Study Type:	Interventional
Study Design:	Supportive Care, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment
Official Title:	Growing Old at Home - Effectiveness and Cost-Effectiveness of Preventive Home Visits to Reduce Nursing Home Admissions in the Elderly

Resource links provided by NLM:

MedlinePlus related topics: Nursing Homes

U.S. FDA Resources

Further study details as provided by Martin-Luther-Universität Halle-Wittenberg:

Primary Outcome Measures:

nursing home admission rate [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

health care service utilization and costs [ Time Frame: 18 months ] [ Designated as safety issue: No ]
incremental cost-effectiveness and cost- utility ratio [ Time Frame: 18 months ] [ Designated as safety issue: No ]
health related functioning [ Time Frame: 18 months ] [ Designated as safety issue: No ]
health related quality of life [ Time Frame: 18 months ] [ Designated as safety issue: No ]
prevalence of falls [ Time Frame: 18 months ] [ Designated as safety issue: No ]
time to nursing home admission [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Estimated Enrollment:	320
Study Start Date:	September 2007
Estimated Study Completion Date:	December 2009
Estimated Primary Completion Date:	December 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental	Behavioral: preventive home visit A multidimensional geriatric assessment within the dimensions: cognition, health related functioning, risk of falling, nutritional status, social situation, economic situation, mood. Two more home visits: (1) home counseling visit 2-3 weeks after assessment (2) booster session 1 month after home counseling visit
2: No Intervention

Detailed Description:

Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention by a randomized controlled trial in Germany.

Eligibility

Ages Eligible for Study:	80 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

older than 80
fluent German speaker
resident of Leipzig or Halle
living at home (i.e. no nursing home resident)

Exclusion Criteria:

cognitive impairment
not able to give informed consent
care level higher than 1 according to German long term care insurance

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00644826

Locations

Germany, SA
Klinik und Poliklinik für Psychiatrie, Universitätsklinikum Leipzig AöR
Leipzig, SA, Germany, 04107
Germany, SAN
Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
Halle, SAN, Germany, 06197

Sponsors and Collaborators

Martin-Luther-Universität Halle-Wittenberg

German Federal Ministry of Education and Research

Investigators

Principal Investigator:	Johann Behrens, PhD	Martin-Luther-Universität Halle-Wittenberg
Principal Investigator:	Steffi Riedel-Heller, MD	Universität Leipzig

More Information

No publications provided by Martin-Luther-Universität Halle-Wittenberg

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):

Fleischer S, Roling G, Beutner K, Hanns S, Behrens J, Luck T, Kuske B, Angermeyer MC, Riedel-Heller SG, Heinrich S, König HH, Lautenschläger C. Growing old at home - a randomized controlled trial to investigate the effectiveness and cost-effectiveness of preventive home visits to reduce nursing home admissions: study protocol [NCT00644826]. BMC Public Health. 2008 May 28;8:185.

Responsible Party:	Martin-Luther-Universität Halle-Wittenberg ( Prof. Dr. phil habil Johann Behrens )
Study ID Numbers:	PfVMS-T5
Study First Received:	March 26, 2008
Last Updated:	October 2, 2008
ClinicalTrials.gov Identifier:	NCT00644826 History of Changes
Health Authority:	Germany: Federal Ministry of Education and Research

Keywords provided by Martin-Luther-Universität Halle-Wittenberg:

randomized controlled trial
public health
Preventive Health Services

ClinicalTrials.gov processed this record on September 10, 2009