Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks
Recruitment status was Active, not recruiting
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Purpose
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.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Chronic Obstructive Pulmonary Disease Congestive Heart Failure Hypertension |
Behavioral: Self-management of chronic illness |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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
Contacts and Locations| Canada, Ontario | |
| West Carleton Family Health Network | |
| Carp, Ontario, Canada, K0A 1L0 | |
| Principal Investigator: | William Hogg, MD | C. T. Lamont Primary Care Research Centre |
| Principal Investigator: | Jacques Lemelin, MD | University of Ottawa |
More Information
No publications provided by C. T. Lamont Primary Care Research Centre
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00238836 History of Changes |
| Other Study ID Numbers: | APTCare |
| Study First Received: | October 12, 2005 |
| Last Updated: | October 12, 2006 |
| Health Authority: | Canada: Ethics Review Committee |
Additional relevant MeSH terms:
|
Heart Failure Hypertension Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive |
Lung Diseases, Obstructive Heart Diseases Cardiovascular Diseases Vascular Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 19, 2013