CAPABLE for Frail Dually Eligible Older Adults (CAPABLE500)

February 10, 2020 updated by: Johns Hopkins University
The Johns Hopkins School of Nursing offers this research study which aims to learn more about whether services that help with medications, muscle strengthening, pain management and changes to houses can help improve older adults' ability to, walk, and take care of themselves while saving costs by reducing hospitalizations and nursing home admissions.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

  • 65yrs or older
  • Be able to stand (with or without assistance)
  • Have some difficulty with getting dressed, or preparing food, bathing
  • Receive a low monthly income
  • Have no plans to move in the next year
  • NOT be receiving home nursing or other therapy right now

Study Type

Interventional

Enrollment (Actual)

281

Phase

  • Not Applicable

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
    • Maryland
      • Baltimore, Maryland, United States, 21205
        • Johns Hopkins University School of Nursing

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 or older
  • Cognitively intact (≥ 10 on Brief Interview of Mental Status)
  • Difficulty with ≥ 2 IADLS or ≥ 1 ADL
  • ≤ 199% of Federal Poverty level

Exclusion Criteria:

  • Terminally ill

    --Active cancer treatment

  • Hospitalized > 3 times in last 3 years
  • Receiving home nursing, Occupational Therapy or Physical Therapy
  • Don't have phone or do plan to move in less than a year

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: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Functional Services
The program consists of up to 10 home-based functional services sessions over 4 months.
Behavioral: 10 home-based functional services sessions over 4 months.
The program consists of up to 10 home-based functional services sessions over 4 months.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cost Effective
Time Frame: one year after intervention
Chart review to see change between cost of intervention to medicaid before and after CAPABALE
one year after intervention
Cost Effective
Time Frame: two years after intervention
Chart review to see change between cost of intervention to medicaid before and after CAPABALE
two years after intervention
Cost Effective
Time Frame: one year after intervention
Chart review to see change between cost of intervention to medicare before and after CAPABALE
one year after intervention
Cost Effective
Time Frame: two years after intervention
Chart review to see change between cost of intervention to medicare before and after CAPABALE
two years after intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire
Time Frame: four months post intervention
The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance.
four months post intervention
Quality of Life as assessed by the ADL Questionnaire
Time Frame: eight months post intervention
The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance.
eight months post intervention
Quality of Life as assessed by the ADL Questionnaire
Time Frame: twelve months post intervention
The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance.
twelve months post intervention
Quality of Life as assessed by the Instrumental Activities of Daily Living (IADL) Questionnaire
Time Frame: four months post intervention
The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance.
four months post intervention
Quality of Life as assessed by the IADL Questionnaire
Time Frame: eight months post intervention
The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance.
eight months post intervention
Quality of Life as assessed by the IADL Questionnaire
Time Frame: twelve months post intervention
The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance.
twelve months post intervention

Collaborators and Investigators

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

Sponsor

Johns Hopkins University

Collaborators

Centers for Medicare and Medicaid Services
Baltimore City Health Department

Investigators

  • Principal Investigator: Sarah Szanton, Johns Hopkins University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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

September 1, 2012

Primary Completion (Actual)

August 31, 2018

Study Completion (Actual)

August 31, 2019

Study Registration Dates

First Submitted

October 15, 2012

First Submitted That Met QC Criteria

December 4, 2012

First Posted (Estimate)

December 6, 2012

Study Record Updates

Last Update Posted (Actual)

February 12, 2020

Last Update Submitted That Met QC Criteria

February 10, 2020

Last Verified

February 1, 2020

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NA_00076471
  • 1C1CMS330970-01-00 (Other Identifier: Centers for Medicare and Medicaid Services)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

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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