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LifeCourse: A Supportive Care Approach for Patients Late in Life

This study has been completed.
Sponsor:
Collaborator:
Robina Foundation
Information provided by (Responsible Party):
Allina Health System
ClinicalTrials.gov Identifier:
NCT01746446
First received: November 27, 2012
Last updated: May 3, 2017
Last verified: May 2017
  Purpose
The purpose of the study is to test a new model of care for patients with an ongoing or significant medical condition.

Condition Intervention
Ongoing or Significant Medical Condition Other: Care team

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: LifeCourse: A Supportive Care Approach for Patients Late in Life

Further study details as provided by Allina Health System:

Primary Outcome Measures:
  • Patient goals [ Time Frame: Baseline and 2 years ]
  • Number of patients enrolled in hospice [ Time Frame: Baseline and 2 years ]
  • Number of inpatient hospital days [ Time Frame: Baseline and 2 years ]

Secondary Outcome Measures:
  • Patient quality of life [ Time Frame: Date of enrollment and every 3 months for up to 26 months ]
  • Patient experience [ Time Frame: Date of enrollment and every 3 months for up to 26 months ]
  • Caregiver quality of life [ Time Frame: Date of enrollment and every 3 months for up to 26 months ]
  • Caregiver experience [ Time Frame: Date of enrollment and every 3 months for up to 26 months ]
  • Total cost of care [ Time Frame: Baseline and 2 years ]

Enrollment: 903
Actual Study Start Date: October 2012
Study Completion Date: March 31, 2017
Primary Completion Date: March 31, 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Care team
Patients are offered the support and services of the care team.
Other: Care team
Provides additional support to patients, family, and friends.
No Intervention: Usual Care
Patients receive usual care.

Detailed Description:
LifeCourse is a late life care approach that promotes whole person care through a structured approach built upon an expanded set of palliative care domains and chronic illness care practices. It includes a trained lay healthcare worker as the primary contact who follows the patient across care settings and over time. The care guide asks patients and caregivers to articulate individualized goals and take part in decision making, and uses a family-oriented approach to understand needs, leverage strengths, and empower families to effectively support the individual living with serious illness.
  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria

  • Patient has an Allina Health primary or specialty provider
  • Patient's medical chart indicates an on-going or significant medical condition
  • LifeCourse will invite vulnerable patients to enroll, including:
  • Critically ill patients
  • Cognitively impaired patients
  • Elderly patients, some of whom may have cognitive impairment and/or be institutionalized

Exclusion Criteria

  • Patient resides in a zip code which does not lie partially within a 45 mile radius from the Allina Health Commons in Minneapolis, Minnesota.
  • Patient has not visited an Allina facility, affiliate, or community partner within the last year.
  • Patient is eligible for hospice.
  • Patient is actively dying.
  • Patient is abusive or is discharged against medical advice (AMA).
  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: NCT01746446

Locations
United States, Minnesota
Augustana Health Care Center
Minneapolis, Minnesota, United States, 55404
Abbott Northwestern Hospital
Minneapolis, Minnesota, United States, 55407
Walker Methodist Health Center
Minneapolis, Minnesota, United States, 55409
Sponsors and Collaborators
Allina Health System
Robina Foundation
Investigators
Principal Investigator: Eric W Anderson, MD Allina Health
  More Information

Publications:
Responsible Party: Allina Health System
ClinicalTrials.gov Identifier: NCT01746446     History of Changes
Other Study ID Numbers: 38632
Study First Received: November 27, 2012
Last Updated: May 3, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

ClinicalTrials.gov processed this record on August 18, 2017