We updated the design of this site on September 25th. Learn more.
Show more
ClinicalTrials.gov
ClinicalTrials.gov Menu

Multidimensional Assessment and Intervention for Elder Self-Neglect

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00901706
First Posted: May 14, 2009
Last Update Posted: June 18, 2013
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.
Collaborator:
The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
Information provided by (Responsible Party):
Carmel Dyer, The University of Texas Health Science Center, Houston
  Purpose
This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.

Condition Intervention Phase
Self-Neglect Cognitive Ability, General Geriatric Disorder Other: Comprehensive Geriatric Assessment and APS Usual Care Other: APS usual care Early Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Multidimensional Assessment and Intervention for Elder Self-Neglect

Resource links provided by NLM:


Further study details as provided by Carmel Dyer, The University of Texas Health Science Center, Houston:

Primary Outcome Measures:
  • Self-Neglect Severity Scale (SSS) [ Time Frame: Baseline and 6-months ]

Secondary Outcome Measures:
  • Functional Status [ Time Frame: Baseline and 6-months ]
  • Kohlman Evaluation of Living Skills (KELS) [ Time Frame: Baseline and 6-months ]
  • Mini-mental State Exam (MMSE) [ Time Frame: Baseline and 6-months ]
  • 15-item Geriatric Depression Scale [ Time Frame: Baseline and 6-months ]
  • Physical Performance Test (PPT) [ Time Frame: Baseline and 6-months ]
  • SF-36 Health Survey [ Time Frame: Baseline and 6-months ]
  • The Duke Social Support Index (DSSI) [ Time Frame: Baseline and 6-months ]
  • Client Satisfaction Questionnaire (CSQ-8) [ Time Frame: Baseline and 6-months ]
  • Costs of Social Services and Health Care Utilization and Costs [ Time Frame: Months 1,2,3,4,5,6 ]

Enrollment: 100
Study Start Date: August 2009
Study Completion Date: July 2012
Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: CGA plus APS Usual Care
Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect.
Other: Comprehensive Geriatric Assessment and APS Usual Care
Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.
Other Name: Randomized Controlled Trial
Other: APS usual care
APS usual care consists of social, medical, and legal assistance.
Other Name: Randomized Controlled Trial
Active Comparator: APS Usual Care
APS usual care consisting of social, medical, and legal interventions.
Other: Comprehensive Geriatric Assessment and APS Usual Care
Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.
Other Name: Randomized Controlled Trial
Other: APS usual care
APS usual care consists of social, medical, and legal assistance.
Other Name: Randomized Controlled Trial

  Eligibility

Information from the National Library of Medicine

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:   Yes
Criteria

Inclusion Criteria:

  • 65 years of age or older
  • English Speaking
  • Resident of Harris County, Houston Texas
  • Community-dwelling
  • Substantiated Self-Neglect

Exclusion Criteria:

  • No other substantiated allegations
  • Non-community dweller
  • No available for projected follow-up period
  • Impaired decision-making with no available proxy
  • Already receiving care from TEAM or within the past year
  • Terminal Illness
  Contacts and Locations
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): NCT00901706


Locations
United States, Texas
The University of Texas Health Science Center at Houston
Houston, Texas, United States, 77030
Sponsors and Collaborators
The University of Texas Health Science Center, Houston
The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
Investigators
Principal Investigator: Carmel B. Dyer, MD The University of Texas Health Science Center, Houston
  More Information

Responsible Party: Carmel Dyer, Professor, Internal Medicine, Geriatrics, The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier: NCT00901706     History of Changes
Other Study ID Numbers: HSC-MS-08-0052
First Submitted: May 12, 2009
First Posted: May 14, 2009
Last Update Posted: June 18, 2013
Last Verified: June 2013

Keywords provided by Carmel Dyer, The University of Texas Health Science Center, Houston:
Self-Neglect
Comprehensive Geriatric Assessment (CGA)
Geriatric Syndromes
Quality of Life
Basic Activities of Daily Living
Instrumental Activities of Daily Living