Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2005 by C. T. Lamont Primary Care Research Centre.
Recruitment status was  Active, not recruiting
Ontario Ministry of Health and Long Term Care
University of Ottawa
Information provided by:
C. T. Lamont Primary Care Research Centre Identifier:
First received: October 12, 2005
Last updated: October 12, 2006
Last verified: June 2005
The University of Ottawa and Élisabeth Bruyère Research Institute are conducting a study of preventive care for frail patients at risk of functional decline. At risk patients are assigned by chance to continue receiving their standard care from their family physician or receive additional care from a nurse practitioners and a pharmacist. In collaboration with the family physician, they develop an individualized care plan, a treatment and management road plan, for each patient, which they implement over the study period of one approximately year. The objective of the study is to compare the effectiveness of the model of care that includes the nurse practitioners and pharmacist against standard care in preventing functional decline, to determine the acceptability of this model of care to patients, their caregivers and the medical team, and to evaluate the cost implication of the program.

Condition Intervention Phase
Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Behavioral: Self-management of chronic illness
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention

Further study details as provided by C. T. Lamont Primary Care Research Centre:

Estimated Enrollment: 240
Estimated Study Completion Date: March 2006

Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 50 years and over
  • 'At Risk' by having one or more of the following: a. Visits to emergency dept within the past 6 months; b. Admission to hospital for a medical problem in past 6 months; c. High service use profiles; d. Polypharmacy; e. Other high risk factors
  • Capable of giving informed consent
  • Able to use the Care Companion technology

Exclusion Criteria:

  • Cognitive impairment such that they cannot give informed consent
  • Unable or unwilling to use the telehomecare equipment
  • Unlikely to tolerate the intensive intervention
  • Language or cultural barriers
  • Being acutely ill or having an unstable condition on entry to the study
  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 identifier: NCT00238836

Canada, Ontario
West Carleton Family Health Network
Carp, Ontario, Canada, K0A 1L0
Sponsors and Collaborators
C. T. Lamont Primary Care Research Centre
Ontario Ministry of Health and Long Term Care
University of Ottawa
Principal Investigator: William Hogg, MD C. T. Lamont Primary Care Research Centre
Principal Investigator: Jacques Lemelin, MD University of Ottawa
  More Information

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00238836     History of Changes
Other Study ID Numbers: APTCare 
Study First Received: October 12, 2005
Last Updated: October 12, 2006
Health Authority: Canada: Ethics Review Committee

Additional relevant MeSH terms:
Heart Failure
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Cardiovascular Diseases
Heart Diseases
Lung Diseases
Respiratory Tract Diseases processed this record on May 26, 2016