Multidimensional Assessment and Intervention for Elder Self-Neglect

June 17, 2013 updated by: Carmel Dyer, The University of Texas Health Science Center, Houston
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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

100

Phase

  • Early Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Texas
      • Houston, Texas, United States, 77030
        • The University of Texas Health Science Center at Houston

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
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 Names:
  • Randomized Controlled Trial
Other: APS usual care
APS usual care consists of social, medical, and legal assistance.
Other Names:
  • 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 Names:
  • Randomized Controlled Trial
Other: APS usual care
APS usual care consists of social, medical, and legal assistance.
Other Names:
  • Randomized Controlled Trial

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Self-Neglect Severity Scale (SSS)
Time Frame: Baseline and 6-months
Baseline and 6-months

Secondary Outcome Measures

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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The University of Texas Health Science Center, Houston

Collaborators

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

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2009

Primary Completion (Actual)

February 1, 2012

Study Completion (Actual)

July 1, 2012

Study Registration Dates

First Submitted

May 12, 2009

First Submitted That Met QC Criteria

May 13, 2009

First Posted (Estimate)

May 14, 2009

Study Record Updates

Last Update Posted (Estimate)

June 18, 2013

Last Update Submitted That Met QC Criteria

June 17, 2013

Last Verified

June 1, 2013

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • HSC-MS-08-0052

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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