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Completed

NCT Number: NCT00877058

SUPPORT FOR FRAIL ELDERLY PERSONS - From Prevention to Palliation

The present study "Elderly person in the risk zone" form part of the research programme "Support for frail elderly persons - from prevention to palliation" (www. Vardalinstitutet.net) which comprises research into three interventions. A fundamental principle in the research programme is that it comprises interventions addressing frail elderly person in different phases of the disablement process, from elderly persons who are beginning to develop frailty to very frail elderly persons receiving palliative care in the final period of their lives. The interventions also address the different requirements that arise with regard to professional contributions during the various phases of the ageing and disease process, ranging from health promotion to a need for an increasing degree of medical care, nursing, special care and rehabilitation, and finally, efforts that promote symptom relief, quality of life, security and satisfaction with care during the final period of life. The intervention "Elderly persons in the risk zone" addresses elderly persons that are on the point of developing frailty ("pre-frail") and are beginning to feel that they are being hindered from taking part in everyday activities. The hypothesis is that if an intervention is made when the persons are not so frail, it is possible to prevent/delay deterioration.

1. Can a health-promoting and preventive intervention for "prefrail" elderly persons:

* prevent frailty, activity limitations and morbidity, * be a supportive factor in the social and physical environment, * affect life satisfaction * have an impact on the consumption of care * be cost-effective? 2. How do the frail elderly persons experience the intervention and its importance to health?

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Key information

Conditions

Frail Elderly Persons Frailty Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

80 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Gothenburg University

Gothenburg, 416 56, Sweden

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 80 years of age or older living in the community.
  • The participants should live in their ordinary housing
  • Independent on formal support
  • Independent on informal support
  • Cognitive intact defined as a Mini Mental Test score > 25

Treatment and study plan

preventive home visit

Behavioral

Senior meetings

Behavioral

Primary outcomes

  1. Dependence in Two or More Activities of Daily Living (ADL)

    Time frame: 1 year

    ADL stair case:

    Independence of, or dependence on, another person in ADL was assessed according to a cumulative scale of well-defined personal and instrumental activities, the ADL staircase. Nine out of the ten original activities were used; Cleaning, shopping, transportation, cooking, bathing, dressing, going to the toilet, transfer, and feeding (0-9). Dependence was defined as another person being involved in the activity by giving personal or directive assistance. People living together were assessed as independent if they performed the activity when alone. The number of partipants with dependence in two or more ADL at follow-up have been analyzed

  2. Number of Partipants Measured Frail at 1-year Follow up

    Time frame: 1 year

    Frailty defined as a sum of weakness, fatigue, weight loss, low physical activity, poor balance, slow gait speed, visual impairment and impaired cognition

  3. Self Rated Health

    Time frame: 1 year

    Self rated health was measured by the question "In general would yoy say your health is: excellent, very good, good, fair or poor? Number of participants detoriated in self-rated health has been analysed

Sponsors and collaborators

Lead sponsor

Vardalinstitutet The Swedish Institute for Health Sciences

Other

Registry information

Official study title

Elderly Persons at the Risk Zone - a Randomized Controlled Trial of a Community Based Preventive Multiprofessional Program for Old Persons at Risk of Frailty

Important dates

Study start
2008
Primary completion
2011
Study completion
2011
First posted
Apr 7, 2009
Registry last updated
Jul 15, 2014

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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