Study Results
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View full resultsBasic Information
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COMPLETED
NA
181 participants
INTERVENTIONAL
2008-10-31
2011-10-31
Brief Summary
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The intervention "Continuum of care for frail elderly people" addresses elderly people who are frail and that have a great risk of high health care consumption. The hypothesis is that an intervention program for frail elderly people can reduce the number of visits to the emergency department, increase the life satisfaction and maintain the functional ability. The intervention, including an early geriatric assessment at the emergency department, early family support, a case manager in the community with a multi-professional team and active follow-up by the case manager, contributes to early recognition of the elderly people's need of information, care and rehabilitation and of informal caregivers' need of information. It enhances the transfer of information and integrates the care between different caregivers and different care levels, thereby better recognize frail elderly people's needs. Specifically, this study is expected to show that the intervention has a positive effect on the frail elderly person's functional ability, life satisfaction, satisfaction with health and social care, and health care consumption.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Conventional care, controlgroup
conventional care, control group
No interventions assigned to this group
integrated health care chain
integrated health care chain. Geriatric assessment at emergency department (ED), case manager with multiprofessional team in the community, support for informal caregivers
integrated health care chain
Geriatric assessment at ED, case manager with multiprofessional team in the community, support for informal caregivers
Interventions
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integrated health care chain
Geriatric assessment at ED, case manager with multiprofessional team in the community, support for informal caregivers
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* those with diagnosis of dementia (or severe cognitive impairment)
* patients in palliative care
65 Years
ALL
No
Sponsors
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VinnVård
UNKNOWN
Vardalinstitutet The Swedish Institute for Health Sciences
OTHER
Responsible Party
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Principal Investigators
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Katarina Wilhelmson, MD,PhD
Role: PRINCIPAL_INVESTIGATOR
Göteborg University
Locations
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University of Gothenburg
Gothenburg, , Sweden
Countries
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References
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Eklund K, Wilhelmson K, Gustafsson H, Landahl S, Dahlin-Ivanoff S. One-year outcome of frailty indicators and activities of daily living following the randomised controlled trial: "Continuum of care for frail older people". BMC Geriatr. 2013 Jul 22;13:76. doi: 10.1186/1471-2318-13-76.
Hasson H, Blomberg S, Duner A. Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care. Implement Sci. 2012 Mar 22;7:23. doi: 10.1186/1748-5908-7-23.
Wilhelmson K, Duner A, Eklund K, Gosman-Hedstrom G, Blomberg S, Hasson H, Gustafsson H, Landahl S, Dahlin-Ivanoff S. Design of a randomized controlled study of a multi-professional and multidimensional intervention targeting frail elderly people. BMC Geriatr. 2011 May 14;11:24. doi: 10.1186/1471-2318-11-24.
Other Identifiers
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VårdkedjaVårdal
Identifier Type: -
Identifier Source: org_study_id
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