Skip to main content
OpenTrials
Completed

NCT Number: NCT01829594

Case Managers to Frail Older People a Randomized Controlled Trial

The aim of is to test the effects of a model for care (case management) to older people with high healthcare consumption and functional dependency on healthcare consumption, quality of life, functional ability and experiences of care.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Frail Elderly

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Lund University, Faculty of Medicine, Department of Health Sciences

Lund, SE-22100, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • aged 65 or over
  • need help with at least two activities of daily living
  • been admitted to hospital on at least two occasions, or
  • have had at least four contacts with outpatient or primary care during the previous twelve months,
  • be able to communicate verbally
  • have no cognitive impairment

Treatment and study plan

Case management

Other

Nurses and a physiotherapist (PT) worked as case managers (CM). The intervention lasted 12 months and comprised 4 dimensions. The first was traditional CM tasks: assessment, planning, monitoring, care coordination and evaluation. Home visits were made at least once a month. The second and third was general and specific information related to the participants' situation. The fourth part included aspects of continuity and safety. The PT also paid home visits and made an assessment regarding physical function and balance. The intervention consisted of multidimensional prevention of falls and/or consequences of falls, and supporting and motivating the participant to increased physical activity. When those in the control group had participated for 12 months they were offered the intervention.

Primary outcomes

  1. Health care consumption

    Time frame: two years (one year before vs after baseline)

  2. Health care costs

    Time frame: two years (one year before vs after baseline)

  3. Feelings of loneliness

    Time frame: baseline and then after 3,6,9,12,24 months

  4. Depressive symptoms

    Time frame: baseline and then after 3,6,9,12,24 months

  5. Health Related Quality of Life

    Time frame: baseline and then after 3,6,9,12,24 months

  6. Number of falls

    Time frame: baseline and then after 3,6,9,12,24 months

Secondary outcomes

  1. Life Satisfaction

    Time frame: baseline and then after 6,12,24 months

  2. Health complaints

    Time frame: baseline and then after 3,6,9,12,24 months

  3. Knowledge about prescribed drugs

    Time frame: baseline and then after 3,6,9,12,24 months

  4. Attitudes towards prescribed drugs

    Time frame: baseline and then after 3,6,9,12,24 months

  5. Drug use

    Time frame: baseline and then after 3,6,9,12,24 months

  6. Activities and social participation

    Time frame: baseline and then after 3,6,9,12,24 months

  7. Functional capacity

    Time frame: baseline and then after 3,6,9,12,24 months

  8. Balance

    Time frame: baseline and then after 3,6,9,12,24 months

  9. Timed up and go (TUG)

    Time frame: baseline and then after 3,6,9,12,24 months

  10. Risk of falling

    Time frame: baseline and then after 3,6,9,12,24 months

  11. Fear of Falling

    Time frame: baseline and then after 3,6,9,12,24 months

Other outcomes

  1. Experiences of care

    Time frame: approximately one year

    qualitative interviews with participants, next of kins and case managers

Sponsors and collaborators

Lead sponsor

Lund University

Other

Registry information

Important dates

Study start
2006
Primary completion
2011
Study completion
2012
First posted
Apr 11, 2013
Registry last updated
Apr 11, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.