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Comparative Study Between Two Models of Home Care.

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ClinicalTrials.gov Identifier: NCT03461315
Recruitment Status : Unknown
Verified March 2018 by Carolina Burgos Diez, Badalona Serveis Assistencials.
Recruitment status was:  Not yet recruiting
First Posted : March 12, 2018
Last Update Posted : March 12, 2018
Sponsor:
Collaborators:
Rosa Maria Sequera Requero
Sebastià J. Santaeugènia González
Francisco José Tarazona Santabalbina
Information provided by (Responsible Party):
Carolina Burgos Diez, Badalona Serveis Assistencials

Brief Summary:

Home care is the assistance provided at home to those who can not travel to their Health Center. There are multiple studies on models of home care and many discrepancies about the impact that preventive home visits can have. Hypothesis: home care is expected to be better if performed by a team dedicated exclusively to the home patient, than to the traditional model, where the patient is assisted by the team that cares for the rest of the community.

Goals:

Main: determine the difference in median cumulative days of hospital admission in 12 months.

Secondaries:

  • results in health
  • in health experience in efficiency Methodology: Quasi-experimental study of two years duration. All the subjects included in the Home Care Program and that meet the inclusion and exclusion criteria are studied. The care team will provide the informed consent and information sheet to the patient and clinical scales at the beginning and end of the study. Researchers will be responsible for the collection of data that they will anonymize and guard. Statistical analysis: The analyzes will be calculated with the statistical package SPSS version 21 Expected results: hospital admissions (25%) and cumulative days by admission and patient by 65% are expected to improve in the model under study. Applicability and relevance: the trend towards a greater aging of the population makes it necessary to study models of care that allow us to detect which can be beneficial to the population and feasible in our current context.

Condition or disease Intervention/treatment Phase
Managed Care Program Home Care Other: Functional assistance model Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 354 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Quasi-experimental study .
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: "COMPARATIVE STUDY OF TWO MODELS OF PREVENTIVE HOME VISITS "
Estimated Study Start Date : April 1, 2018
Estimated Primary Completion Date : July 1, 2018
Estimated Study Completion Date : April 1, 2020

Arm Intervention/treatment
No Intervention: Traditional Mode
Traditional Model: Team That Cares for the Rest of the Community
Experimental: Study Model
Study Model:Team Dedicated Exclusively to the Home Patient
Other: Functional assistance model
Preventive home visits carried out by a Team Dedicated Exclusively to the Home Patient.




Primary Outcome Measures :
  1. difference in the average of days hospitalized for 12 months among the people served in an integrated model of home care and among those served in a functional model. [ Time Frame: 2 years ]


Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

-Patients of 65 or more years, with or without cognitive impairment, that during the period of recruitment are new or existing users in a home care program long duration of the centers participants.

Exclusion Criteria:

  • the patients who have a life expectancy of less than 1 month, considering that provides information for this study and may not be appropriate for the patient and the operating system relatives
  • patients with Pfeiffer index mayor or equal to 5 without primary caregiver or with a partial caregiver, since we consider that with moderate cognitive impairment or severe will not be able to answer self-administered questionnaires.
  • the patients included in the home care program for the performance of cures or treatments that 3 months (Transient home care Program).
  • the patients who have been in the home care program for less than 1 month at the time of their recruitment, since we believe that there has not yet been time to carry out a comprehensive assessment of the patient.
  • the patients included in the home care program who are not registered in Badalona because they are temporarily in the home of a family member.
  • the patients included in the home care Program due to the existence of barriers architectures to go to the Primary Care Center.

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 ClinicalTrials.gov identifier (NCT number): NCT03461315


Contacts
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Contact: Carolina Burgos Diez 34 647681373 carolinaburgosdiez@gmail.com
Contact: Sebastià Santaeugènia González 34 633896522 sebastia.santaeugenia@gencat.cat

Sponsors and Collaborators
Badalona Serveis Assistencials
Rosa Maria Sequera Requero
Sebastià J. Santaeugènia González
Francisco José Tarazona Santabalbina
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Carolina Burgos Diez, Family physician, Badalona Serveis Assistencials
ClinicalTrials.gov Identifier: NCT03461315    
Other Study ID Numbers: P17/121
First Posted: March 12, 2018    Key Record Dates
Last Update Posted: March 12, 2018
Last Verified: March 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Carolina Burgos Diez, Badalona Serveis Assistencials:
home care
primary care
preventive home visits