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Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks

NCT ID: NCT00238836

Last Updated: 2006-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Completion Date

2006-03-31

Brief Summary

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The University of Ottawa and Élisabeth Bruyère Research Institute are conducting a study of preventive care for frail patients at risk of functional decline. At risk patients are assigned by chance to continue receiving their standard care from their family physician or receive additional care from a nurse practitioners and a pharmacist. In collaboration with the family physician, they develop an individualized care plan, a treatment and management road plan, for each patient, which they implement over the study period of one approximately year. The objective of the study is to compare the effectiveness of the model of care that includes the nurse practitioners and pharmacist against standard care in preventing functional decline, to determine the acceptability of this model of care to patients, their caregivers and the medical team, and to evaluate the cost implication of the program.

Detailed Description

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Conditions

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Diabetes Chronic Obstructive Pulmonary Disease Congestive Heart Failure Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Interventions

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Self-management of chronic illness

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 50 years and over
* 'At Risk' by having one or more of the following: a. Visits to emergency dept within the past 6 months; b. Admission to hospital for a medical problem in past 6 months; c. High service use profiles; d. Polypharmacy; e. Other high risk factors
* Capable of giving informed consent
* Able to use the Care Companion technology

Exclusion Criteria

* Cognitive impairment such that they cannot give informed consent
* Unable or unwilling to use the telehomecare equipment
* Unlikely to tolerate the intensive intervention
* Language or cultural barriers
* Being acutely ill or having an unstable condition on entry to the study
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ontario Ministry of Health and Long Term Care

OTHER_GOV

Sponsor Role collaborator

University of Ottawa

OTHER

Sponsor Role collaborator

C. T. Lamont Primary Care Research Centre

OTHER

Sponsor Role lead

Principal Investigators

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William Hogg, MD

Role: PRINCIPAL_INVESTIGATOR

C. T. Lamont Primary Care Research Centre

Jacques Lemelin, MD

Role: PRINCIPAL_INVESTIGATOR

University of Ottawa

Locations

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West Carleton Family Health Network

Carp, Ontario, Canada

Site Status

Countries

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Canada

References

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Fletcher J, Hogg W, Farrell B, Woodend K, Dahrouge S, Lemelin J, Dalziel W. Effect of nurse practitioner and pharmacist counseling on inappropriate medication use in family practice. Can Fam Physician. 2012 Aug;58(8):862-8.

Reference Type DERIVED
PMID: 22893340 (View on PubMed)

Dahrouge S, Hogg W, Lemelin J, Liddy C, Legault F. Methods for a study of Anticipatory and Preventive multidisciplinary Team Care in a family practice. Can Fam Physician. 2010 Feb;56(2):e73-83.

Reference Type DERIVED
PMID: 20154234 (View on PubMed)

Gray D, Armstrong CD, Dahrouge S, Hogg W, Zhang W. Cost-effectiveness of Anticipatory and Preventive multidisciplinary Team Care for complex patients: evidence from a randomized controlled trial. Can Fam Physician. 2010 Jan;56(1):e20-9.

Reference Type DERIVED
PMID: 20090057 (View on PubMed)

Hogg W, Lemelin J, Dahrouge S, Liddy C, Armstrong CD, Legault F, Dalziel B, Zhang W. Randomized controlled trial of anticipatory and preventive multidisciplinary team care: for complex patients in a community-based primary care setting. Can Fam Physician. 2009 Dec;55(12):e76-85.

Reference Type DERIVED
PMID: 20008582 (View on PubMed)

Other Identifiers

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APTCare

Identifier Type: -

Identifier Source: org_study_id