The CareWell-programme for Community-dwelling Frail Elderly Persons.

NCT ID: NCT01499797

Last Updated: 2013-06-07

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

COMPLETED

Clinical Phase

NA

Total Enrollment

536 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2013-03-31

Brief Summary

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The purpose of this study is to investigate the effect of the CareWell-programme on overall functioning of community-dwelling frail elderly persons. Furthermore, the total costs and the cost-effectiveness of the CareWell-programme, in comparison with regular medical care, will be studied.

Detailed Description

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Conditions

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Overall Functioning Incremental Cost-effectiveness Ratio

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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regular medical care

Identified community dwelling frail elderly people receiving regular medical care in their primary care setting

Group Type NO_INTERVENTION

No interventions assigned to this group

The CareWell programme

Identified community dwelling frail elderly people receiving care in line with the CareWell programme

Group Type EXPERIMENTAL

The CareWell programme

Intervention Type OTHER

The CareWell programme contains the following components:

* multidisciplinary primary care teams
* working with proactive care plans integrating cure, care and welfare
* advanced care planning (e.g. recording limitations of treatment, non-resuscitation decisions)
* medication review
* case-management
* guidelines for consultation of in-hospital geriatric experts
* guidelines for transfers from primary care to home-based facilities and hospital and back
* practice guidelines for management of common geriatric conditions

Interventions

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The CareWell programme

The CareWell programme contains the following components:

* multidisciplinary primary care teams
* working with proactive care plans integrating cure, care and welfare
* advanced care planning (e.g. recording limitations of treatment, non-resuscitation decisions)
* medication review
* case-management
* guidelines for consultation of in-hospital geriatric experts
* guidelines for transfers from primary care to home-based facilities and hospital and back
* practice guidelines for management of common geriatric conditions

Intervention Type OTHER

Other Intervention Names

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Multi-component intervention for frail elderly Integrated care for community-dwelling frail elderly

Eligibility Criteria

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Inclusion Criteria

* Frail community dwelling elderly patients aged 70 years or above. Frailty is determined with a two-phase screening instrument.

Exclusion Criteria

* Non-frail elders
* Patients in palliative or end-of-life stages of disease
* Patients residing in long-term care facilities (care homes and nursing homes)
* Patients already enrolled in specific dementia-related case-management programmes who lack other health-related problems
* Patients not speaking or understanding the Dutch language
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Dutch Healthcare Authority

UNKNOWN

Sponsor Role collaborator

Health insurances CZ

UNKNOWN

Sponsor Role collaborator

Health insurances UVIT

UNKNOWN

Sponsor Role collaborator

City of Nijmegen

UNKNOWN

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Raymond Koopmans, Professor

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Locations

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Huisartsengroep Milbergen (van der Ligt/ Krijgsman), Oude Gracht 16

Beek-Ubbergen, , Netherlands

Site Status

Gezondheidscentrum de Kroonsteen, Schoolstraat 8

Malden, , Netherlands

Site Status

Gezondheidscentrum de Vuursteen, Prinsenweg 6

Molenhoek, , Netherlands

Site Status

Medisch Centrum Brakkenstein, Kanunnik Boenenstraat 8

Nijmegen, , Netherlands

Site Status

Gezondheidscentrum Hazenkamp, Vossenlaan 76

Nijmegen, , Netherlands

Site Status

Huisartsenpraktijk Jacobslaan (Dreijerink/ van der Laan-Evers), Jacobslaan 345

Nijmegen, , Netherlands

Site Status

Huisartsenpraktijk de Haterse HOED, Couwenbergstraat 34-36

Nijmegen, , Netherlands

Site Status

Huisartsenpraktijk Danielsplein, Danielsplein 4

Nijmegen, , Netherlands

Site Status

Medipark (Graat), Hyacinthstraat 3a

Uden, , Netherlands

Site Status

Huisartsenpraktijk Ubachs/Vogels, Huissteden 1450

Wijchen, , Netherlands

Site Status

Countries

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Netherlands

References

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Ruikes FGH, Adang EM, Assendelft WJJ, Schers HJ, Koopmans RTCM, Zuidema SU. Cost-effectiveness of a multicomponent primary care program targeting frail elderly people. BMC Fam Pract. 2018 May 16;19(1):62. doi: 10.1186/s12875-018-0735-4.

Reference Type DERIVED
PMID: 29769026 (View on PubMed)

Ruikes FG, Meys AR, van de Wetering G, Akkermans RP, van Gaal BG, Zuidema SU, Schers HJ, van Achterberg T, Koopmans RT. The CareWell-primary care program: design of a cluster controlled trial and process evaluation of a complex intervention targeting community-dwelling frail elderly. BMC Fam Pract. 2012 Dec 5;13:115. doi: 10.1186/1471-2296-13-115.

Reference Type DERIVED
PMID: 23216685 (View on PubMed)

Other Identifiers

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2010/403

Identifier Type: -

Identifier Source: org_study_id

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