Effectiveness of Integrated Care Network for Community-living Older Adults: a Randomized-Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 398
- Locations
- 6
- Primary Endpoint
- Changes from baseline life quality at 3, 6, 9, 12 month
Study Overview
Brief Summary
This project aims to examine the effectiveness of the community-based integrated care service model , based on a multi-domain intervention program, among community-dwelling older adults. Moreover, the investigators use the value-based healthcare standard set as well as comprehensive geriatric assessment as outcome measures and to use the randomized controlled trial design to validate the clinical effectiveness.
Detailed Description
Population aging and the progress of medical technology are two main causes for the increase of healthcare expenditure. Effective management of medical expenditure and maintenance of health care quality have become the most important task for the public health and clinical care services. Both United Kingdom and the World Health Organization proposed introducing interdisciplinary team care to improve health of older people and to maximize their independence. Prof Michael Porter has addressed the current difficulty of healthcare system, and proposed that healthcare system should pursuit long-term outcome to promote the value of health care. This project aims to echo the international trends, using Taiwan healthcare system as the basis to establish the community-based integrated care service model, and to use the randomized controlled trial design to validate the clinical effectiveness.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •age ≧ 65 years
- •three or more chronic conditions, defined by National Health Insurance list of chronic conditions
- •covered by National Health Insurance
Exclusion Criteria
- •could not understanding protocol or communication with research nurses
- •malignant diseases under active treatments
- •life expectancy less than twelve months
- •admitted in the long term facility
Arms & Interventions
Control
A regular health education program was provided by case managers only.
Intervention
Multi-domain intervention included exercise,cognitive training, diet education, and disease consultation was conducted for two hours twice per week in the first month, once per week in the second month, and once per month since third month.
Intervention: Multi-domain intervention (Behavioral)
Outcomes
Primary Outcomes
Changes from baseline life quality at 3, 6, 9, 12 month
Time Frame: baseline, 3, 6, 9, 12 month
measured by the 36-Item Short Form Health Survey (SF-36).
Secondary Outcomes
- Changes from baseline standard set of health outcome measures for older persons at 3, 6, 9, 12 month(baseline, 3, 6, 9, 12 month)
Investigators
Liang-Kung Chen
Professor
National Yang Ming Chiao Tung University