The Effects of a Health-social Partnership Program for Discharged Non-frail Older Adults: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- Change from baseline Health-related quality of life: SF-12 at 3 months
研究概览
简要总结
Previous studies supporting discharged patients are hospital-based which admission criteria tend to include mainly those with complex needs and/or specific disease conditions. This study captured the service gap where these non-frail older patients might have no specific medical problem upon discharge but they might encounter residual health and social issues when returning home.
详细描述
Objective
To compare the effect of a community-based health-social partnership program with usual care for discharged community-dwelling non-frail older adults on their health-related quality of life, activities of daily living, depressive symptoms, and use of health services.
Design: A randomized controlled trial. Participants: Discharged community-dwelling non-frail older adults from an emergency medical ward in an intervention (n=37) and a control (n=38) group.
Interventions: Discharged older adults were randomized to receive usual care or complex interventions, including structured assessment, health education, goal empowerment, and care coordination supported by a health-social team.
Main measures: The outcomes were measured at pre-intervention (T1) and at three months post-intervention (T2) using the Medical Outcomes Study 12-item Short Form, the Modified Barthel Index and the Geriatric Depression Scale.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •resided in the service areas of the study hospital,
- •were aged 60 or over,
- •were cognitively competent with a score greater than 26 in the Montreal Cognitive Assessment Hong Kong version,
- •were living at home before and after discharge from the hospital,
- •had scores of <5 on the Clinical Frailty Scale (Note: a patient is considered to be non-frail if they have a score less than 5), and
- •were fit for medical discharge
排除标准
- •were not able to communicate,
- •could not be reached by phone,
- •were bed-bound,
- •had active psychiatric problems,
- •were already engaged in other structured health or social programs, and
- •would not be staying in Hong Kong for the three months of the study
结局指标
主要结局
Change from baseline Health-related quality of life: SF-12 at 3 months
时间窗: At baseline pre-intervention and at three months when the interventions were completed.
The goal for this program was to enable older adults to live with optimum quality of life in their own environment through receiving support from the collaboration of nurse case managers and social workers. Quality of life was measured by SF-12, which has been shown to be useful in Chinese elderly patients. The questionnaire has 12 items organized into eight categories (physical functioning, role limitation due to emotional and physical problems, mental health scale, general health, bodily pain, social functioning, and vitality), and has been validated in numerous studies.
次要结局
- Change from baseline Activity of daily living at 3 months(At baseline pre-intervention and at three months when the interventions were completed.)
- Change from baseline Presence of depressive symptoms at 3 months(At baseline pre-intervention and at three months when the interventions were completed.)
- Change from Total number of unplanned outpatient department, general practitioner, and emergency department visits, hospital admissions and total number of health service attendances at 3 months(At baseline pre-intervention and at three months when the interventions were completed.)
研究者
Arkers, Wong
Clinical associate
The Hong Kong Polytechnic University