Growing Old at Home

This study has been completed.
Sponsor:
Collaborator:
German Federal Ministry of Education and Research
Information provided by:
Martin-Luther-Universität Halle-Wittenberg
ClinicalTrials.gov Identifier:
NCT00644826
First received: March 26, 2008
Last updated: June 1, 2010
Last verified: January 2010
  Purpose

The purpose of this study is to determine whether preventive home visits for people aged 80 and over are effective in the prevention of nursing home admission in Germany.


Condition Intervention
Aging
Behavioral: preventive home visit

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Growing Old at Home - Effectiveness and Cost-effectiveness of Preventive Home Visits to Reduce Nursing Home Admissions in the Elderly

Resource links provided by NLM:


Further study details as provided by Martin-Luther-Universität Halle-Wittenberg:

Primary Outcome Measures:
  • nursing home admission rate [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • health care service utilization and costs [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • incremental cost-effectiveness and cost- utility ratio [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • health related functioning [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • health related quality of life [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • prevalence of falls [ Time Frame: 18 months ] [ Designated as safety issue: No ]
  • time to nursing home admission [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Enrollment: 336
Study Start Date: September 2007
Study Completion Date: March 2010
Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1 Behavioral: preventive home visit
A multidimensional geriatric assessment within the dimensions: cognition, health related functioning, risk of falling, nutritional status, social situation, economic situation, mood. Two more home visits: (1) home counseling visit 2-3 weeks after assessment (2) booster session 1 month after home counseling visit
Other Name: geriatric assessment
No Intervention: 2

Detailed Description:

Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention by a randomized controlled trial in Germany.

  Eligibility

Ages Eligible for Study:   80 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • older than 80
  • fluent German speaker
  • resident of Leipzig or Halle
  • living at home (i.e. no nursing home resident)

Exclusion Criteria:

  • cognitive impairment
  • not able to give informed consent
  • care level higher than 1 according to German long term care insurance
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00644826

Locations
Germany
Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg
Halle, SAN, Germany, 06197
Klinik und Poliklinik für Psychiatrie, Universitätsklinikum Leipzig AöR
Leipzig, SA, Germany, 04107
Sponsors and Collaborators
Martin-Luther-Universität Halle-Wittenberg
German Federal Ministry of Education and Research
Investigators
Principal Investigator: Johann Behrens, PhD Martin-Luther-Universität Halle-Wittenberg
Principal Investigator: Steffi Riedel-Heller, MD Universität Leipzig
  More Information

No publications provided by Martin-Luther-Universität Halle-Wittenberg

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Prof. Dr. phil habil Johann Behrens, Martin-Luther-Universität Halle-Wittenberg
ClinicalTrials.gov Identifier: NCT00644826     History of Changes
Other Study ID Numbers: PfVMS-T5
Study First Received: March 26, 2008
Last Updated: June 1, 2010
Health Authority: Germany: Federal Ministry of Education and Research

Keywords provided by Martin-Luther-Universität Halle-Wittenberg:
randomized controlled trial
public health
Preventive Health Services

ClinicalTrials.gov processed this record on August 26, 2014