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Effects of Community Health Programs by Nurses for Older Adults

NCT ID: NCT01972958

Last Updated: 2013-10-31

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

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2010-12-31

Brief Summary

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As the aging population increases, preventing and decreasing disabilities become a critical issue for the health care system. Previous researches have shown that preventive community-based nursing services for older adults could achieve important health benefits at a relatively low cost. However, many frail and pre-frail older adults living in communities cannot get enough attention from current health care system. The role and function of nurses should be expanded to provide more comprehensive family-oriented care to improve health outcomes of older adults in Taiwan. The objectives of this study are:

1. Understand the difficulties and solutions for nurses providing community-based services in order to expand their better role and function.
2. Develop a cultural sensitive community advanced nurse service model for Taiwan in health care system.
3. Explore the effectiveness of community health programs by nurses for frail or pre-frail older adults in community.

Focus groups and literature review will be used to achieve the first and second study objectives. A single centre randomized controlled trial will be used in this study to achieve the third study objective. Two hundred and twenty people aged 65 and over who meet the Fried definition of frailty and pre-frailty will be recruited from the clinic of a hospital. Participants will be followed for a 6-month period. Frailty, quality of life, satisfaction to the services, hospitalizations and admissions to nursing care facilities will be measured and compared between experimental group and control group. This research is an important step in the examination of a new approach to the community older people by nurses. The study results will provide the evidence data to recommendation for related policy making in the future.

Detailed Description

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Conditions

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Older Adults

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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comprehensive care

comprehensive assessment, physical activity training, community resources referral, health education, health promotion activity.

Group Type EXPERIMENTAL

comprehensive care

Intervention Type OTHER

comprehensice assessment,physical activity training, community resources referral, health education.

usual care

control group with usual care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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comprehensive care

comprehensice assessment,physical activity training, community resources referral, health education.

Intervention Type OTHER

Other Intervention Names

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community health care

Eligibility Criteria

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Inclusion Criteria

* 65 years and above, frail and pre-frail older adults, living in communities

Exclusion Criteria

* Cognitive impairment.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Department of Health, Executive Yuan, R.O.C. (Taiwan)

OTHER_GOV

Sponsor Role collaborator

National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lian-Hua Huang, PhD

Role: PRINCIPAL_INVESTIGATOR

National Taiwan University Hospital

Locations

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School of Nursing, National Taiwan University

Taipei, Taiwan, Taiwan

Site Status

Countries

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Taiwan

Other Identifiers

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200908042R

Identifier Type: -

Identifier Source: org_study_id