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Sponsors and Collaborators: |
Radboud University ZonMw: The Netherlands Organisation for Health Research and Development |
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Information provided by: | Radboud University |
ClinicalTrials.gov Identifier: | NCT00105378 |
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.
Condition | Intervention |
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Cognition Disorders Mood Disorder Gait Disorder, Neurologic Malnutrition |
Behavioral: Dutch EASYcare Study Geriatric Intermediate Care Programme |
Study Type: | Interventional |
Study Design: | Health Services Research, Randomized, Single Blind (Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Effectiveness of EASYcare-Based Geriatric Intermediate Care |
Enrollment: | 155 |
Study Start Date: | April 2003 |
Study Completion Date: | July 2005 |
General practitioners (GPs) in the Western world have to anticipate the increasing age and health care demands of their patients. A considerable proportion of those older patients have reduced functional status and quality of life, which may affect their feelings of autonomy and ability to live independently. Even with considerable disability, most patients prefer to stay at home. Because of their complex clinical presentations and needs, these patients require a special approach to their evaluation and care. Intermediate care is a possible answer to these changing demands, although the efficacy of these programs is a subject of vivid debate.
With the Dutch Geriatric Intermediate Care Programme (DGIP) we developed an Intermediate Care model to study efficacy aspects of problem based intermediate care. DGIP is an intermediate care program in which the GP refers elderly patients with a problem in cognition, mood, behavior, mobility, and nutrition. A geriatric specialist nurse applies a guideline based intervention in a maximum of six visits during a maximum of three months. The nurse starts the intervention with the application of the EASYcare instrument for geriatric screening. The EASYcare instrument assesses (instrumental) activities of daily life, cognition, mood, and includes a goal setting item. During the intervention the nurse regularly consults the referring GP and a geriatrician.
Objectives
Ages Eligible for Study: | 70 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Netherlands, Gelderland | |
Radboud University Nijmegen Medical Centre | |
Nijmegen, Gelderland, Netherlands, nl-6500 HB |
Principal Investigator: | Marcel G. Olde Rikkert, MD PhD | Radboud University |
Study ID Numbers: | GEREASYEFF014-91-055, 014-91-055 |
Study First Received: | March 11, 2005 |
Last Updated: | August 9, 2007 |
ClinicalTrials.gov Identifier: | NCT00105378 History of Changes |
Health Authority: | Netherlands: Independent Ethics Committee |
health care services research frail elderly intermediate care patient centered care |
comprehensive health care geriatric nursing Behavioral symptoms |
Signs and Symptoms Delirium, Dementia, Amnestic, Cognitive Disorders Malnutrition Mental Disorders Mood Disorders Gait Disorders, Neurologic |
Neurologic Manifestations Nutrition Disorders Dementia Cognition Disorders Delirium Behavioral Symptoms |
Signs and Symptoms Pathologic Processes Delirium, Dementia, Amnestic, Cognitive Disorders Malnutrition Disease Mental Disorders |
Nervous System Diseases Gait Disorders, Neurologic Mood Disorders Neurologic Manifestations Nutrition Disorders Cognition Disorders |