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Evaluating the Efficacy of a Detection and Prevention Program for Frail Community-dwelling Older Adults (D-SCOPE)

2019년 4월 24일 업데이트: Liesbeth De Donder, Vrije Universiteit Brussel

Study Protocol of the D-SCOPE Project With a Randomized Controlled Trial, Evaluating the Efficacy of a Detection and Prevention Program for Frail Community-dwelling Older Adults

The evaluation of a detection and prevention program which aims to create a continuum of care and support for frail community-dwelling older people (from early detection, over intervention, to follow-up). First, the program aims to develop methods to easily, accurately and timely detect and prevent a negative frailty-balance in older people. Second, the study aims to improve the quality and efficacy of care and support given to frail community-dwelling older people.

연구 개요

상태

완전한

정황

개입 / 치료

연구 유형

중재적

등록 (실제)

869

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

  • 벨기에
      • Gent, 벨기에, 9000
        • OCMW Gent
      • Knokke-Heist, 벨기에, 8300
        • OCMW Knokke-Heist
      • Tienen, 벨기에, 3300
        • OCMW Tienen

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

60년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

Sample 1: 150 older people per municipality (total: 3 municipalities) (inclusion criteria: at least one selection criterion)

  • Gender: 75 men - 75 women
  • Age: 25 older people aged between 60 and 70 years old - 125 older people older than 70 years
  • Marital status: 50 older people with partner - 100 older people without partner
  • Living situation: 100 older people who have not moved last 10 years - 50 older people who have moved last 10 years
  • Migration background: 100 older people born in Belgium - 50 older people born elsewhere

Sample 2: 150 older people per municipality (total: 3 municipalities) (inclusion criteria: all selection criteria at once)

  • 75 men, older than 70 years, living together/widowed/divorced/never married, moved last 10 years
  • 75 women, older than 70 years, widowed/divorced/never married, moved last 10 years

Exclusion Criteria:

  • Current institutionalization
  • Current hospitalization

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 방지
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 네 배로

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Risk of being frail experimental group
행동: Tailored care and support
Offering tailored care and support whereby the competences, strengths and resources of the older person are taken into account.The intervention will be an enhancement of usual care and will depend on the availability of the municipality, and could be formal (i.e., home care) or informal (e.g. activities of an older adult's association).
간섭 없음: Risk of being frail control group
간섭 없음: No/low risk of being frail
간섭 없음: Risk of being frail care avoiders

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change from baseline Quality of Life at 6 months
기간: Assessed during baseline testing + 6 months after inclusion
One question from the WHOQOL-BREF will be used to measure the quality of life of participants (1 item). Older participants will also be asked to rate their quality of life on a scale from 0 to 10.
Assessed during baseline testing + 6 months after inclusion
Change from baseline Satisfaction with Life at 6 months
기간: Assessed during baseline testing + 6 months after inclusion
The Satisfaction with Life Scale will be administered to explore the life satisfaction of the participants (5 items)
Assessed during baseline testing + 6 months after inclusion
Change from baseline sense of mastery at 6 months
기간: Assessed during baseline testing + 6 months after inclusion
To assess the sense of mastery of older people, the current mastery questionnaire will be used and one self-constructed item will be added which will assess mastery in relation to others. Older participants will also be asked to rate their mastery on a scale from 0 to 10.
Assessed during baseline testing + 6 months after inclusion
Change from baseline Meaning in Life at 6 months
기간: Assessed during baseline testing + 6 months after inclusion
Meaning in life will be evaluated with 5 items from the Meaning in Life Questionnaire (MLQ). Older participants will also be asked to rate their meaning in life on a scale from 0 to 10.
Assessed during baseline testing + 6 months after inclusion
Change from baseline Community Inclusion at 6 months
기간: Assessed during baseline testing + 6 months after inclusion
Community inclusion will be measured using 1 item from the Community Integration Measure (CIM). Older participants will also be asked to rate their community inclusion on a scale from 0 to 10.
Assessed during baseline testing + 6 months after inclusion
Change from baseline aging well in place at 6 months
기간: Assessed during baseline testing + 6 months after inclusion
One self-constructed question (1 item) will assess if the older person lives at home in a qualitative manner
Assessed during baseline testing + 6 months after inclusion

2차 결과 측정

결과 측정
측정값 설명
기간
Multidimensional frailty
기간: Assessed during baseline testing + 6 months after inclusion
The Comprehensive Frailty Assessment Instrument (CFAI) will be used to measure multidimensional frailty: physical, cognitive, psychological, social and environmental frailty
Assessed during baseline testing + 6 months after inclusion
Physical phenotype of frailty
기간: Assessed during baseline testing + 6 months after inclusion
The Fried's phenotype of frailty will be used to assess the physical phenotype of frailty as well as the questionnaire of Op het Veld
Assessed during baseline testing + 6 months after inclusion
Feeling frail
기간: Assessed during baseline testing + 6 months after inclusion
The subjective feeling of frailty will be assessed using 1 self-constructed question and will assess to what extent an older person feels frail
Assessed during baseline testing + 6 months after inclusion
Resilience
기간: Assessed during baseline testing + 6 months after inclusion
Resilience will be measured using the Connor-Davidson Resilience Scale (CD-RISC2), which is an abbreviated 2-item version of the original scale
Assessed during baseline testing + 6 months after inclusion
Coping
기간: Assessed during baseline testing + 6 months after inclusion
Coping will be measured using 12 items from the BRIEF cope. Two items from active coping, positive reframing, religion, use of emotional support and self-distraction and one item from acceptance and behavioral disengagement will be used
Assessed during baseline testing + 6 months after inclusion
Help needed for activities in daily life
기간: Assessed during baseline testing + 6 months after inclusion
Older people will be asked if they need help with 8 activities of daily life, and to what extent the help they receive for these activities is sufficient. These questions are adapted from the questionnaire of the Belgian Ageing Studies (BAS)
Assessed during baseline testing + 6 months after inclusion
Informal and formal care
기간: Assessed during baseline testing + 6 months after inclusion
Older people will be asked if they receive care from 6 informal and 14 formal caregivers and if they are satisfied with the help they receive from these caregivers. These questions are adapted from the BAS-questionnaire.
Assessed during baseline testing + 6 months after inclusion
Medical care
기간: Assessed during baseline testing + 6 months after inclusion
The participants will be asked if they needed to go to the hospital, to a residential setting and a rehabilitation center over the past 6 months (day case/overnight stay). These questions are adapted from the Health Interview Survey. In addition, the participants will be asked when they visited the general practitioner for the last time over the last 6 months.
Assessed during baseline testing + 6 months after inclusion
Leisure time
기간: Assessed during baseline testing + 6 months after inclusion
Leisure time will be measured by using an adapted question with 8 items derived from the BAS-questionnaire and will examine how often the participants perform the listed activities
Assessed during baseline testing + 6 months after inclusion
Neighborhood
기간: Assessed during baseline testing + 6 months after inclusion
Different dimensions of neighborhood will be assessed. First, the social environment will be administered by using 3 items from the social cohesion dimension of the Neighbourhood Scale. Second, the physical environment will be explored by using 4 items from the BAS-questionnaire as well as from the Neighbourhood Environment Walkability Scale. Finally, low-key participation will be examined by using 2 items from the questionnaire of Oswald & Konopik.
Assessed during baseline testing + 6 months after inclusion
Life-events
기간: Assessed during baseline testing + 6 months after inclusion
A shortened version of the Geriatric Adverse Life Events Scale (GALES) will be adapted to assess to occurrence of life-events (11 items)
Assessed during baseline testing + 6 months after inclusion

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Vrije Universiteit Brussel

협력자

KU Leuven
Agentschap voor Innovatie door Wetenschap en Technologie
Maastricht University
Universiteit Antwerpen
Hogeschool Gent

수사관

  • 수석 연구원: Liesbeth De Donder, Prof. Dr., Vrije Universiteit Brussel

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

일반 간행물

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2017년 6월 1일

기본 완료 (실제)

2018년 4월 30일

연구 완료 (실제)

2018년 6월 30일

연구 등록 날짜

최초 제출

2017년 5월 17일

QC 기준을 충족하는 최초 제출

2017년 5월 23일

처음 게시됨 (실제)

2017년 5월 30일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2019년 4월 25일

QC 기준을 충족하는 마지막 업데이트 제출

2019년 4월 24일

마지막으로 확인됨

2019년 4월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • D-SCOPE IWT 140027

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

Tailored care and support에 대한 임상 시험

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스폰서 및 공동 작업자

건강 상태

약물 개입

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정황

희귀 질병

약물 개입

식이 보충제

스폰서 / 협력자

위치

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