CAPABLE for Frail Dually Eligible Older Adults (CAPABLE500)
10. februar 2020 opdateret af: 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.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
- 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
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
281
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
Maryland
-
Baltimore, Maryland, Forenede Stater, 21205
- Johns Hopkins University School of Nursing
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
65 år og ældre (Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
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
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: Functional Services
The program consists of up to 10 home-based functional services sessions over 4 months.
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The program consists of up to 10 home-based functional services sessions over 4 months.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Cost Effective
Tidsramme: 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
Tidsramme: two years after intervention
|
Chart review to see change between cost of intervention to medicaid before and after CAPABALE
|
two years after intervention
|
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Cost Effective
Tidsramme: one year after intervention
|
Chart review to see change between cost of intervention to medicare before and after CAPABALE
|
one year after intervention
|
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Cost Effective
Tidsramme: two years after intervention
|
Chart review to see change between cost of intervention to medicare before and after CAPABALE
|
two years after intervention
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire
Tidsramme: 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.
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four months post intervention
|
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Quality of Life as assessed by the ADL Questionnaire
Tidsramme: 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
Tidsramme: 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
|
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Quality of Life as assessed by the Instrumental Activities of Daily Living (IADL) Questionnaire
Tidsramme: 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
|
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Quality of Life as assessed by the IADL Questionnaire
Tidsramme: 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
Tidsramme: 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
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Sarah Szanton, Johns Hopkins University
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Waldersen BW, Wolff JL, Roberts L, Bridges AE, Gitlin LN, Szanton SL. Functional Goals and Predictors of Their Attainment in Low-Income Community-Dwelling Older Adults. Arch Phys Med Rehabil. 2017 May;98(5):896-903. doi: 10.1016/j.apmr.2016.11.017. Epub 2016 Dec 19.
- Szanton SL, Alfonso YN, Leff B, Guralnik J, Wolff JL, Stockwell I, Gitlin LN, Bishai D. Medicaid Cost Savings of a Preventive Home Visit Program for Disabled Older Adults. J Am Geriatr Soc. 2018 Mar;66(3):614-620. doi: 10.1111/jgs.15143. Epub 2017 Nov 22.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. september 2012
Primær færdiggørelse (Faktiske)
31. august 2018
Studieafslutning (Faktiske)
31. august 2019
Datoer for studieregistrering
Først indsendt
15. oktober 2012
Først indsendt, der opfyldte QC-kriterier
4. december 2012
Først opslået (Skøn)
6. december 2012
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
12. februar 2020
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
10. februar 2020
Sidst verificeret
1. februar 2020
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- NA_00076471
- 1C1CMS330970-01-00 (Anden identifikator: Centers for Medicare and Medicaid Services)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
INGEN
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