Case Management Study to Reduce Health Care Utilization for Frequent Hospital Care Users

Randomised Case Management Study to Reduce Health Care Utilization for Frequent Hospital Care Users

The purpose of this study is to identify persons with high risk of frequent hospital admissions and by counselling by one in depth interview followed by frequent telephone contacts improve their quality of life and reduce their healthcare utilization.

Study Overview

• Status: Unknown
• Conditions: Quality of Life
• Intervention / Treatment: Behavioral: Interview followed by frequent telephone support

Detailed Description

Participants are identified by administrative data and a model predicting high risk of future healthcare utilization. Participants are invited to the study by mail. After informed consent participants are randomized to either active treatment or control 3:1. Active patients have an in depth interview with a specially trained nurse. Further counselling by telephone weekly for 6-9 months.

Quality of Life is measured by SF-36 every 3 months for one year both in active participants and in controls.

• Study Type: Interventional
• Enrollment (Anticipated): 400
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Knud Rasmussen, MD DMSci; Phone Number: +45 60168891; Email: kra@regionsjaelland.dk
• Study Contact Backup: Name: Ellen B Zacho, Chief Consul; Phone Number: + 45 24835717; Email: ellenz@regionsjaelland.dk

Study Locations

• Denmark
  • Roskilde, Denmark, 4000
    • Regional Research

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patient > 18 years
• Recent history of contact with hospital
• Anticipated sustained high visit frequency

Exclusion Criteria:

• Dementia (ICD10: F00-F03 or F051)
• Psychoses (ICD10: F20-F29)
• Drug abuse (ICD10: F10-F19)
• Metastases (ICD10: C77-C80)
• Hearing impairment or language difficulties
• Life expectancy < 1 year No telephone

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Active patient support; Interview followed by frequent telephone support Questionnaire every 3 months	Behavioral: Interview followed by frequent telephone support; Interview followed by telephone support
No Intervention: Controls; Questionnaire every 3 months

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of Life reported by the participants with use of Short Form 36		Questionaire Short Form-36 Every 3 months for one year
Health Care Utilization - Admissions to and days in hospital	The use of different health care systems will be recorded	One year

Collaborators and Investigators

• Sponsor: Region Sjælland
• Collaborators: Health Navigator
• Investigators: Principal Investigator: Knud Rasmussen, MD DMSci, Research Consultant

Study record dates

Study Major Dates

• Study Start: November 1, 2015
• Primary Completion (Anticipated): November 1, 2016
• Study Completion (Anticipated): May 1, 2017

Study Registration Dates

• First Submitted: October 20, 2015
• First Submitted That Met QC Criteria: October 21, 2015
• First Posted (Estimate): October 22, 2015

Study Record Updates

• Last Update Posted (Estimate): October 22, 2015
• Last Update Submitted That Met QC Criteria: October 21, 2015
• Last Verified: October 1, 2015

More Information

Terms related to this study

• Keywords: Quality of Life; Health Care Utilization
• Other Study ID Numbers: SJ-499