Growing Old at Home

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00644826
Recruitment Status : Completed
First Posted : March 27, 2008
Last Update Posted : June 3, 2010
German Federal Ministry of Education and Research
Information provided by:
Martin-Luther-Universität Halle-Wittenberg

Brief Summary:
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 or disease Intervention/treatment Phase
Aging Behavioral: preventive home visit Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 336 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (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
Study Start Date : September 2007
Actual Primary Completion Date : March 2010
Actual Study Completion Date : March 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Nursing Homes
U.S. FDA Resources

Arm Intervention/treatment
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

Primary Outcome Measures :
  1. nursing home admission rate [ Time Frame: 18 months ]

Secondary Outcome Measures :
  1. health care service utilization and costs [ Time Frame: 18 months ]
  2. incremental cost-effectiveness and cost- utility ratio [ Time Frame: 18 months ]
  3. health related functioning [ Time Frame: 18 months ]
  4. health related quality of life [ Time Frame: 18 months ]
  5. prevalence of falls [ Time Frame: 18 months ]
  6. time to nursing home admission [ Time Frame: 18 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   80 Years and older   (Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00644826

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
Principal Investigator: Johann Behrens, PhD Martin-Luther-Universität Halle-Wittenberg
Principal Investigator: Steffi Riedel-Heller, MD Universität Leipzig