High-need Community Older Adults Care Delivery Model (HCOACDM)

Kaohsiung Medical University

Status: Completed

Conditions: High-need Older Adults

Treatments: Other: HCOACDM; Other: Routine care

Study type: Interventional

Funder types: Other

Identifiers

NCT03864471

KMUHIRB-F(I)-20170070

Details and patient eligibility

About

This study is proposed to: (1) establish a "High-need Community Older Adults Care Delivery Model" (HCOACDM) as a guide to handle complex needs of the high-need community older adults by the care managers at community care centers; and (2) evaluate the effectiveness of applying the HCOACDM to improve the functional ability, quality of life (QOL), depressive symptoms, healthcare and social service utilizations, and care delivery satisfaction of the high-need community older adults.

Full description

A cluster randomized controlled trial with repeated measures design will be conducted to test the effectiveness of six-month HCOACDM on the functional ability, QOL, depressive symptoms, healthcare and social service utilizations, and care delivery satisfaction of the high-need community older adults. The high-need community older adults, screened based on the "High-need Community Older Adults Screening Scale" (HCOASS), will be cluster randomized based on the community care centers, to the intervention group (4 centers) or comparison group (4 centers). Intervention group will receive six-month HCOACDM care and comparison group will receive original routine care provided by the care managers at community care centers. One pre-test and two post-tests, three months apart, of outcome measurements will be conducted on all participants. Moreover, individual semi-structured interviews will be carried out to explore opinions and suggestions toward the HCOACDM of the care managers in intervention group. It is expected that the developed HCOACDM will be useful to provide the long-term care for community older adults and enhance the quality of diverse and complex care delivery system.

Enrollment: 165 patients

Sex: All

Ages: 65 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• lived in the community at least three months
• over 65 years old
• fluently communicated in Mandarin or Taiwanese
• screened by the High-need Community Older Adults Screening Scale (HCOASS) as high-need older adults

Exclusion criteria

• diagnosed as dementia

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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165 participants in 2 patient groups

HCOACDM

Experimental group

Description:

The intervention, the HCOACDM, involves case screening, comprehensive assessment, and care coordination, and will be given over a 6-month period.

Treatment:

Other: HCOACDM

Routine care

Active Comparator group

Description:

The routine care services include home visits, telephone checkups, meals on the wheel, and health promotion activities.

Treatment:

Other: Routine care