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The CareWell-programme for Community-dwelling Frail Elderly Persons.

Not Applicable
Completed
Conditions
Overall Functioning
Incremental Cost-effectiveness Ratio
Interventions
Other: The CareWell programme
Registration Number
NCT01499797
Lead Sponsor
Radboud University Medical Center
Brief Summary

The purpose of this study is to investigate the effect of the CareWell-programme on overall functioning of community-dwelling frail elderly persons. Furthermore, the total costs and the cost-effectiveness of the CareWell-programme, in comparison with regular medical care, will be studied.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
536
Inclusion Criteria
  • Frail community dwelling elderly patients aged 70 years or above. Frailty is determined with a two-phase screening instrument.
Exclusion Criteria
  • Non-frail elders
  • Patients in palliative or end-of-life stages of disease
  • Patients residing in long-term care facilities (care homes and nursing homes)
  • Patients already enrolled in specific dementia-related case-management programmes who lack other health-related problems
  • Patients not speaking or understanding the Dutch language

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
The CareWell programmeThe CareWell programmeIdentified community dwelling frail elderly people receiving care in line with the CareWell programme
Primary Outcome Measures
NameTimeMethod
Overall functioning18 months

Overall functioning is measured with the Katz-15 questionnaire. Katz-15 is embedded in the minimal data set (MDS). This MDS is used by all research projects of the Dutch National Program on Elderly Care

Incremental cost-effectiveness ratio (ICER)18 months
Secondary Outcome Measures
NameTimeMethod
Perceived quality of life18 months

Perceived quality of life is measured with the RAND-36 questionnaire. RAND-36 is embedded in the minimal data set (MDS). This MDS is used by all research projects of the Dutch National Program on Elderly Care

Psychological well-being18 months

Psychological well-being is measured with the RAND-36 questionnaire.

Social functioning18 months

Social functioning is measured with the RAND-36 questionnaire.

Perceived health18 months

Perceived health is measured with the RAND-36 questionnaire abd Cantril's Self Anchoring Ladder. Both RAND-36 as Cantril's Self Anchoring Ladder are embedded in the minimal data set (MDS).

Utility18 months

Utility is measured with the EQ-5D questionnaire. EQ-5D is embedded in the minimal data set (MDS).

Health care consumption18 months

Health care consumption including hospital resource consumption, unplanned GP care (evenings, nights and weekends), home care, temporary or permanent admission to a residential care home, temporary or permanent admission to a nursing home, day care, visits to outpatients'clinics.

Use of welfare services18 months

Trial Locations

Locations (10)

Huisartsenpraktijk Danielsplein, Danielsplein 4

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Nijmegen, Netherlands

Huisartsengroep Milbergen (van der Ligt/ Krijgsman), Oude Gracht 16

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Beek-Ubbergen, Netherlands

Gezondheidscentrum de Kroonsteen, Schoolstraat 8

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Malden, Netherlands

Gezondheidscentrum de Vuursteen, Prinsenweg 6

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Molenhoek, Netherlands

Medisch Centrum Brakkenstein, Kanunnik Boenenstraat 8

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Nijmegen, Netherlands

Gezondheidscentrum Hazenkamp, Vossenlaan 76

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Nijmegen, Netherlands

Medipark (Graat), Hyacinthstraat 3a

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Uden, Netherlands

Huisartsenpraktijk Jacobslaan (Dreijerink/ van der Laan-Evers), Jacobslaan 345

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Nijmegen, Netherlands

Huisartsenpraktijk de Haterse HOED, Couwenbergstraat 34-36

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Nijmegen, Netherlands

Huisartsenpraktijk Ubachs/Vogels, Huissteden 1450

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Wijchen, Netherlands

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