Development and Testing of an Interprofessional, Person-centered Care Concept for People Living at Home With Care Needs. (interprof HOME)

October 4, 2023 updated by: Karsten Gavenis, University Medical Center Goettingen

The aim of the project is to develop and pilot measures to optimize the person-centered cooperation between nursing services, general practitioners and members of the therapeutic professions in the care of people living at home with care needs, so that hospital admissions and the use of unplanned medical and rescue services are avoided, the quality of life is improved and a deterioration in the need for long-term care can be stopped.

This is done by developing an interprofessional person-centered collaboration-concept, perform an explorative mixed-methods-study: interviews, focus groups, expert workshops, survey of best practices, shadowing, questionnaires.

Study Overview

Detailed Description

Description of mixed-methods-study:

  1. Interviews with

    • 20 patients,
    • 20 relatives,
    • 5 experts of health insurance professionals,
    • and 3 focus groups à 8 persons with general practioniers, nurses, therapists.
  2. investigation of best practice cases
  3. explorative survey of 100 cases in each group:

    • general practitioner
    • nursing services
    • therapists
    • persons in need of care
    • family members of persons in need of care

The mixed-methods-study is analysed in different ways:

  • structured content analysis
  • case-based qualitative analysis of interviews
  • descriptive analysis

The mixed-methods-study has been approved by the ethics committee and is recruiting.

Study Type

Interventional

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.

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • years of age >18
  • receipt of benefits in the form of outpatient care according to SGB XI,
  • preliminary / final classification of care ≥level 2
  • expected life expectancy >6 months
  • informed consent
  • sufficient opportunity to answer answering questions about patient-reported outcomes

Exclusion Criteria:

  • Living in nursing home / planned move-in within the following 6 months
  • claim acceptance of SAPV
  • participation in scientific study

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Interventional group
Implementation of interprof Home measures to improve cooperation between nursing services, general practitioners and members of the therapeutic professions in the care of people living at home with care needs.
interprofessional, person-centered care concept

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
cumulative number of hospitalisation
Time Frame: 40 months
Cumulative incidence of hospitalisations within 12 months
40 months

Collaborators and Investigators

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

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 (Actual)

January 1, 2023

Primary Completion (Actual)

September 30, 2023

Study Completion (Actual)

September 30, 2023

Study Registration Dates

First Submitted

November 3, 2021

First Submitted That Met QC Criteria

December 7, 2021

First Posted (Actual)

December 8, 2021

Study Record Updates

Last Update Posted (Actual)

October 6, 2023

Last Update Submitted That Met QC Criteria

October 4, 2023

Last Verified

October 1, 2023

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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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