Multidimensional Assessment and Intervention for Elder Self-Neglect

This study has been completed.
Sponsor:
Collaborator:
The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
Information provided by (Responsible Party):
Carmel Dyer, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier:
NCT00901706
First received: May 12, 2009
Last updated: June 17, 2013
Last verified: June 2013
  Purpose

This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.


Condition Intervention Phase
Self-Neglect
Cognitive Ability, General
Geriatric Disorder
Other: Comprehensive Geriatric Assessment and APS Usual Care
Other: APS usual care
Phase 0

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Investigator, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Multidimensional Assessment and Intervention for Elder Self-Neglect

Further study details as provided by The University of Texas Health Science Center, Houston:

Primary Outcome Measures:
  • Self-Neglect Severity Scale (SSS) [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Functional Status [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • Kohlman Evaluation of Living Skills (KELS) [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • Mini-mental State Exam (MMSE) [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • 15-item Geriatric Depression Scale [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • Physical Performance Test (PPT) [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • SF-36 Health Survey [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • The Duke Social Support Index (DSSI) [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • Client Satisfaction Questionnaire (CSQ-8) [ Time Frame: Baseline and 6-months ] [ Designated as safety issue: No ]
  • Costs of Social Services and Health Care Utilization and Costs [ Time Frame: Months 1,2,3,4,5,6 ] [ Designated as safety issue: No ]

Enrollment: 100
Study Start Date: August 2009
Study Completion Date: July 2012
Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: CGA plus APS Usual Care
Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect.
Other: Comprehensive Geriatric Assessment and APS Usual Care
Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.
Other Name: Randomized Controlled Trial
Other: APS usual care
APS usual care consists of social, medical, and legal assistance.
Other Name: Randomized Controlled Trial
Active Comparator: APS Usual Care
APS usual care consisting of social, medical, and legal interventions.
Other: Comprehensive Geriatric Assessment and APS Usual Care
Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.
Other Name: Randomized Controlled Trial
Other: APS usual care
APS usual care consists of social, medical, and legal assistance.
Other Name: Randomized Controlled Trial

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 65 years of age or older
  • English Speaking
  • Resident of Harris County, Houston Texas
  • Community-dwelling
  • Substantiated Self-Neglect

Exclusion Criteria:

  • No other substantiated allegations
  • Non-community dweller
  • No available for projected follow-up period
  • Impaired decision-making with no available proxy
  • Already receiving care from TEAM or within the past year
  • Terminal Illness
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00901706

Locations
United States, Texas
The University of Texas Health Science Center at Houston
Houston, Texas, United States, 77030
Sponsors and Collaborators
The University of Texas Health Science Center, Houston
The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
Investigators
Principal Investigator: Carmel B. Dyer, MD The University of Texas Health Science Center, Houston
  More Information

No publications provided

Responsible Party: Carmel Dyer, Professor, Internal Medicine, Geriatrics, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier: NCT00901706     History of Changes
Other Study ID Numbers: HSC-MS-08-0052
Study First Received: May 12, 2009
Last Updated: June 17, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by The University of Texas Health Science Center, Houston:
Self-Neglect
Comprehensive Geriatric Assessment (CGA)
Geriatric Syndromes
Quality of Life
Basic Activities of Daily Living
Instrumental Activities of Daily Living

ClinicalTrials.gov processed this record on April 17, 2014