CAPABLE for Frail Dually Eligible Older Adults (CAPABLE500)
10 februari 2020 uppdaterad av: 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.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
- 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
Studietyp
Interventionell
Inskrivning (Faktisk)
281
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Maryland
-
Baltimore, Maryland, Förenta staterna, 21205
- Johns Hopkins University School of Nursing
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
65 år och äldre (Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
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
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Övrig: Functional Services
The program consists of up to 10 home-based functional services sessions over 4 months.
|
The program consists of up to 10 home-based functional services sessions over 4 months.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Cost Effective
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: two years after intervention
|
Chart review to see change between cost of intervention to medicare before and after CAPABALE
|
two years after intervention
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Sarah Szanton, Johns Hopkins University
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 september 2012
Primärt slutförande (Faktisk)
31 augusti 2018
Avslutad studie (Faktisk)
31 augusti 2019
Studieregistreringsdatum
Först inskickad
15 oktober 2012
Först inskickad som uppfyllde QC-kriterierna
4 december 2012
Första postat (Uppskatta)
6 december 2012
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
12 februari 2020
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
10 februari 2020
Senast verifierad
1 februari 2020
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- NA_00076471
- 1C1CMS330970-01-00 (Annan identifierare: Centers for Medicare and Medicaid Services)
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
NEJ
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .