Multidimensional Assessment and Intervention for Elder Self-Neglect

The University of Texas System (UT)

Status and phase: Completed; Early Phase 1

Conditions: Self-Neglect; Cognitive Ability, General; Geriatric Disorder

Treatments: Other: APS usual care; Other: Comprehensive Geriatric Assessment and APS Usual Care

Study type: Interventional

Funder types: Other

Identifiers

NCT00901706

HSC-MS-08-0052

Details and patient eligibility

About

This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.

Enrollment: 100 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 65 years of age or older
• English Speaking
• Resident of Harris County, Houston Texas
• Community-dwelling
• Substantiated Self-Neglect

Exclusion criteria

• No other substantiated allegations
• Non-community dweller
• No available for projected follow-up period
• Impaired decision-making with no available proxy
• Already receiving care from TEAM or within the past year
• Terminal Illness

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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100 participants in 2 patient groups

CGA plus APS Usual Care

Experimental group

Description:

Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect.

Treatment:

Other: Comprehensive Geriatric Assessment and APS Usual Care

Other: APS usual care

APS Usual Care

Active Comparator group

Description:

APS usual care consisting of social, medical, and legal interventions.

Treatment:

Other: Comprehensive Geriatric Assessment and APS Usual Care

Other: APS usual care