Effect of a Community-based Nursing Intervention on Mortality in Chronically Ill Older Adults
![]() |
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. |
ClinicalTrials.gov Identifier: NCT01071967 |
Recruitment Status
: Unknown
Verified September 2013 by Health Quality Partners.
Recruitment status was: Enrolling by invitation
First Posted
: February 19, 2010
Last Update Posted
: September 10, 2013
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Heart Failure Coronary Disease Diabetes Mellitus Asthma Hypertension Hypercholesterolemia | Other: Community-based nurse care management | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 2000 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Official Title: | Effect of a Longitudinal, Multifactorial Community-based Nursing Intervention on Mortality in Chronically Ill Older Adults |
Study Start Date : | April 2002 |
Estimated Primary Completion Date : | December 2014 |
Estimated Study Completion Date : | December 2016 |
Arm | Intervention/treatment |
---|---|
Experimental: Community-based nurse care management
Participants randomized to receive the intervention worked with a nurse care manager who provided them with a comprehensive set of geriatric and chronic disease preventive services.
|
Other: Community-based nurse care management
The community-based nurse care management program developed by Health Quality Partners uses nurses working in the community to provide the following integrated set of services to older adults with chronic illness over the long term in order to prevent avoidable complications of their diseases and aging; geriatric assessment, care coordination, health education, self-management coaching, weight management, physical activity, gait and balance training, medication adherence, care transition support, ongoing monitoring and symptom detection, collaborative problem solving with patients, families and health care providers.
Other Names:
|
No Intervention: Usual care
Participants randomized to the control group received usual care without the involvement of a nurse care manager.
|
- All-cause mortality [ Time Frame: within 5 years of enrollment ]
- Blood pressure control [ Time Frame: within 5 years of enrollment ]
- Total cholesterol control [ Time Frame: within 5 years of enrollment ]
- Low density cholesterol control [ Time Frame: within 5 years of enrollment ]
- Triglycerides control [ Time Frame: within 5 years of enrollment ]
- Weight control [ Time Frame: within 5 years of enrollment ]

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, Learn About Clinical Studies.
Ages Eligible for Study: | 65 Years and older (Adult, Senior) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Aged 65 years and older
- Medicare Part A and B traditional, fee for service insurance coverage
- One or more of the following chronic conditions:
- Heart failure
- Coronary Disease
- Diabetes mellitus
- Asthma
- Hypertension
- Hypercholesterolemia
- A Geriatric Risk Stratification Level of 2 or more based on a pre-enrollment screening tool
- Geriatric Risk Stratification Level changed in Sep 2006 to a Level of 3 or more
- Willingness of the participant's primary care provider to collaborate
Exclusion Criteria:
- Amyotrophic lateral sclerosis
- Alzheimer's disease
- Dementia
- Diagnosis or history of cancer (other than skin) in the past 5 years
- End-stage renal disease
- Life expectancy on enrollment less than 6 months
- HIV or AIDS
- Huntington's disease
- Organ transplant candidate
- Psychosis or schizophrenia
- Resident of or imminent plan for long-term nursing home placement
- Seasonal relocation outside of the area for more than 4 weeks per year
- Anyone receiving service from Health Quality Partners in the past

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 ClinicalTrials.gov identifier (NCT number): NCT01071967
United States, Pennsylvania | |
Health Quality Partners | |
Doylestown, Pennsylvania, United States, 18902 |
Principal Investigator: | Kenneth D Coburn, MD, MPH | Health Quality Partners |
Additional Information:
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Health Quality Partners |
ClinicalTrials.gov Identifier: | NCT01071967 History of Changes |
Other Study ID Numbers: |
95-C-91360/3-01 |
First Posted: | February 19, 2010 Key Record Dates |
Last Update Posted: | September 10, 2013 |
Last Verified: | September 2013 |
Keywords provided by Health Quality Partners:
Community Health Nursing Nursing Care Management Aged Aged, 80 and over Health Services for the Aged |
Geriatric Nursing Geriatric Assessment Longevity Mortality |
Additional relevant MeSH terms:
Diabetes Mellitus Heart Failure Hypercholesterolemia Coronary Disease Coronary Artery Disease Chronic Disease Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Heart Diseases |
Cardiovascular Diseases Hyperlipidemias Dyslipidemias Lipid Metabolism Disorders Myocardial Ischemia Vascular Diseases Arteriosclerosis Arterial Occlusive Diseases Disease Attributes Pathologic Processes |