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Completed

NCT Number: NCT00644826

Growing Old at Home

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.

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Key information

Conditions

Age range

80 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Klinik und Poliklinik für Psychiatrie, Universitätsklinikum Leipzig AöR, Leipzig, SA, Germany

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About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

preventive home visit

Behavioral

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

Other names: geriatric assessment

Primary outcomes

  1. nursing home admission rate

    Time frame: 18 months

Secondary outcomes

  1. health care service utilization and costs

    Time frame: 18 months

  2. incremental cost-effectiveness and cost- utility ratio

    Time frame: 18 months

  3. health related functioning

    Time frame: 18 months

  4. health related quality of life

    Time frame: 18 months

  5. prevalence of falls

    Time frame: 18 months

  6. time to nursing home admission

    Time frame: 18 months

Sponsors and collaborators

Lead sponsor

Martin-Luther-Universität Halle-Wittenberg

Other

Collaborators

  • German Federal Ministry of Education and Research

Registry information

Official study title

Growing Old at Home - Effectiveness and Cost-effectiveness of Preventive Home Visits to Reduce Nursing Home Admissions in the Elderly

Important dates

Study start
2007
Primary completion
2010
Study completion
2010
First posted
Mar 27, 2008
Registry last updated
Jun 3, 2010

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.

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