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Home-based Longitudinal Investigation of the Multidisciplinary Team Integrated Care

NCT ID: NCT04250103

Last Updated: 2020-01-31

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

UNKNOWN

Total Enrollment

1200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-11-20

Study Completion Date

2022-12-31

Brief Summary

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Some research found the effectiveness of implementation of home health care on patients' physical function, quality of life (QoL) and decreased the risk of hospitalization and medical costs. However, little was known about the longitudinal change of comprehensive assessments of physical and mental health, QoL, well-being, and medical resource utilization of patients receiving home health care and their caregivers. Furthermore, the evaluation of advance care planning, palliative care need, and the quality of dying and death were also insufficient among the aforementioned population. Therefore, this cohort study aims to investigate the longitudinal change of health-related outcomes and utilization of resource utilization, and explore their trajectories in two years for patients who receive home health care and their caregivers in Taiwan.

Detailed Description

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This is a prospective longitudinal cohort study in Taiwan. Data will be collected by trained interviewers at the baseline (T0), 3-month follow-up (T1), 6-month follow-up (T2), 12-month follow-up (T3), 18-month follow-up (T4), and 24-month follow-up (T5). Via home visits, interviewer-administered questionnaires (informed consent, contact/follow-up information, background information, health condition, physical functioning, cognitive function, etc.) will be used. It estimates that the home visit will take up to 2 hours.

The investigators will recruit at least 1200 eligible patients and caregivers (600 dyads) from at least 15 institutions (e.g., home clinics and hospitals) which provide home health care. Trained research assistants will touch based with eligible participants recommended by institution staff and invite them to take part in the study. To ensure the study are achieving the target sample the investigators will examine the distribution of living area and number of participants in each type of home health care unit during recruiting. Moreover, the investigators have estimated an attrition rate of 20% over the study. Higher drop-off rates in certain sub-groups may be problematic, so the investigators will monitor participants' attrition.

In addition, the cohort the investigators enrolled will be linked to their data in Taiwan's National Health Insurance Research Database to analyze the medical resource utilization of participants in our study. The results will show the health status and resource utilization as well as quality of home health care in Taiwan for clinical practices, research and future policy making.

Conditions

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Health Care Utilization Caregiver Burnout

Keywords

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Home health care Super-aged society

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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patient

patients who receive home health care

No interventions assigned to this group

caregiver

caregivers who take care of patients with home health care

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Aged 20 years or older
* Receiving home health care services at least two months
* Either the patient or caregiver can express clearly

Exclusion Criteria

* Reject to sign the informed consent
* Both the patient and caregiver cannot complete the interview
* Both the patient and caregiver cannot communicate with an interviewer in a familiar language
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Taiwan Society of Home Health Care

OTHER

Sponsor Role collaborator

National Health Research Institutes, Taiwan

OTHER

Sponsor Role lead

Responsible Party

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Chao A. Hsiung

Institute of population health sciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chao A. Hsiung, PhD

Role: STUDY_DIRECTOR

National Health Research Institutes, Taiwan

Sang-Ju Yu, MD

Role: PRINCIPAL_INVESTIGATOR

Taiwan Society of Home Health Care and Home Clinic Dulan

Ping-Jen Chen, MD

Role: PRINCIPAL_INVESTIGATOR

Kaohsiung Medical University

Locations

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Chao A. Hsiung

Zhunan, Miaoli County, Taiwan

Site Status

Countries

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Taiwan

References

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Lin CP, Liao JY, Huang CH, Cheng SY, Tseng WZ, Mori M, Chang HC, Li CM, Sun WJ, Wu CY, Chiou HY, Yu SJ, Hsiung CA, Chen PJ; HOLISTIC Investigators. Association Between Current Medical Decision-Making Participation Self-Efficacy and Advance Care Planning Engagement Among Older Adults: Baseline Findings from a Nationwide Longitudinal Cohort Study. J Palliat Med. 2025 Jan;28(1):50-58. doi: 10.1089/jpm.2024.0106. Epub 2024 Dec 5.

Reference Type DERIVED
PMID: 39636682 (View on PubMed)

Lai YC, Tsai KT, Ho CH, Liao JY, Tseng WZ, Petersen I, Wang YC, Chen YH, Chiou HY, Hsiung CA, Yu SJ, Sampson EL, Chen PJ. Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study. Intern Emerg Med. 2023 Oct;18(7):2121-2130. doi: 10.1007/s11739-023-03319-3. Epub 2023 May 30.

Reference Type DERIVED
PMID: 37253992 (View on PubMed)

Liao JY, Chen PJ, Wu YL, Cheng CH, Yu SJ, Huang CH, Li CM, Wang YW, Zhang KP, Liu IT, Umegaki H, Hamano J, Mori M, Petersen I, Sampson EL, Hsiung CA. HOme-based Longitudinal Investigation of the multidiSciplinary Team Integrated Care (HOLISTIC): protocol of a prospective nationwide cohort study. BMC Geriatr. 2020 Nov 27;20(1):511. doi: 10.1186/s12877-020-01920-1.

Reference Type DERIVED
PMID: 33246407 (View on PubMed)

Other Identifiers

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EC1080203

Identifier Type: -

Identifier Source: org_study_id