Multiple Chronic Diseases: the RITH Trial

Universidad de Almeria

Status: Completed

Conditions: Multiple Chronic Diseases

Treatments: Procedure: Home-based rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT02715245

CEIC-AL 39/2012

Details and patient eligibility

About

In this research, investigators pretent to evaluate the effectiveness of clinical, functional, psychological and social impact of an intervention model based on shared care between the Mobile Rehabilitation and Physical therapy team (MRPTT) and nurse case managers of Primary Care in a sample of patients with multiple chronic diseases (comorbidities) and their caregivers. A non-randomised controlled trial.

Full description

The Experimental group consisted of patients with multiple chronic diseases referred to services in the province of Almería that comply the inclusion criteria and their caregivers. Outcome measures: sex, age, location, primary caregiver, disabling process, number and type of categories including by multiple pathologies, personal history, assessment (physical and functional), Barthel Index, Lawton and Brody index, risk of falls, Scale Pfeiffer, social support, caregiver burden, hospital readmissions and length, technical aids. Quality of Life (SF-12) and degree of user satisfaction. Regarding the intervention: date of application, date of assessment, objectives, treatment / intervention techniques, number of sessions, staff time spent.

Control Group: Patients with multiple diseases and their caregivers, belonging to health centers or areas where there is no figure nurse case manager or MRPTT. Registration information will consist of the same assessments, questionnaires and scales that are comparable to the experimental and control groups for analysis.

Enrollment: 300 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with multiple chronic diseases that are referred to the nurse case managers and home rehabilitation.
• Detected in Hospital or Primary Care.
• To provide informed consent to participate in research.

Exclusion criteria

• clinical situation of agony;
• No acceptance of treatment by the patient or family
• Refuse to participate in the study
• Lack of cooperation of the patient or caregiver.

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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300 participants in 2 patient groups

Experimental Group

Experimental group

Description:

Patients with multiple chronic disease referred to Mobile Rehabilitation and Physical therapy team (MRPTT) and Nurse-led case Management in the province of Almeria that comply the inclusion criteria; as well as their caregivers.

Treatment:

Procedure: Home-based rehabilitation

Control Group

No Intervention group

Description:

Patients with multiple chronic disease and their caregivers belonging to health centers or areas where there is no figure MRPTT or Nurse-led case Management to reach this population