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The Effect of Case Conferencing in Nursing Homes

N

Norwegian University of Science and Technology

Status

Completed

Conditions

Neurobehavioral Manifestations
Dementia

Treatments

Other: Case conferencing

Study type

Interventional

Funder types

Other

Identifiers

NCT02790372
2014/1642

Details and patient eligibility

About

This study evaluates the effect of using comprehensive geriatric assessment in combination with case conferences on the prevalence of neuropsychiatric symptoms (also known as behavioral and psychological symptoms of dementia) in Norwegian nursing homes

Full description

Long-term care patients in nursing homes (NH) are characterized by frailty and having multiple health problems and reduced quality of life. Some of these issues relates to the quality of care and do therefore possess a potential for improvement. There is a need for approaches enabling nurses to carry out effective interventions that can promote health related to sustain or improve the nursing home patients health status. Integrating a comprehensive geriatric assessment (CGA) and case conferencing (CC) might be an effective method to individualize care plans in order to improve quality of care.

The intervention nursing homes will implement CGA, using the International resident instrument suite for Long Term Care Facilities (InterRai LTCF) and CC. The patients will be included and assessed three times during a 12-month period (control and intervention NHs). In the intervention NHs the results from the CGA will be reviewed in monthly CCs. The CCs are structured and consist of four main steps; evaluating the effects of earlier interventions, defining patients risks or area for improvement, defining the aetiology of the risk or problem, defining interventions and measures for improvement along with an appropriate method for evaluation. The CC group's consensus is basis for the patient's care plan.

Enrollment

309 patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • registered as long term care patient
  • been in the nursing home for more than a month
  • Informed consent from the patient or legal guardians

Exclusion criteria

  • life expectancy less than six months

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

309 participants in 2 patient groups

Control nursing homes
No Intervention group
Description:
Nursing homes carries out usual care
Intervention nursing homes
Active Comparator group
Description:
Nursing homes that carries out regularly case conferencing
Treatment:
Other: Case conferencing

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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