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The prevention and Reactivation Care Programme: A personalized, integrated intervention for prevention of functional decline after hospital stay.

Completed
Conditions
Frailty, Elderly, Older persons, Function, Quality of Life, Cost-effectiveness, Hospitalization, Prevention, Independence, Physical function, Quality of Care, Informal care, Self-management
Registration Number
NL-OMON26198
Lead Sponsor
Erasmus MC, University Medical Center RotterdamDepartment of Public HealthRotterdam, The Netherlands
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
3100
Inclusion Criteria

The study population consists of elderly persons (65 years and older) who are admitted to a hospital and - during admission - have a high risk of loss in function.

Exclusion Criteria

1. Severe cognitive problems (MMSE < 12);

2. Life expectancy shorter than 3 months;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Regarding the effect of ZPH:<br /><br>1. Functional status of the elderly patient;<br /><br>2. Duration of hospital stay.<br><br /><br /><br>Regarding the process evaluation:<br /><br>1. Registration of care process;<br /><br>2. Quality of care.<br><br /><br /><br>Regarding the cost-effectiveness:<br /><br>1. The costs per quality-adjusted life-year (QALY).
Secondary Outcome Measures
NameTimeMethod
Regarding the effect of ZPH:<br /><br>1. Quality of life of the elderly patients;<br /><br>2. Quality of life of the informal carers;<br /><br>3. Physical functioning of the elderly;<br /><br>4. Social functioning of the elderly;<br /><br>5. Objective and subjective burden of the informal carer;<br /><br>6. Psychiatric and psychosocial problems.<br><br /><br /><br>Regarding the process evaluation:<br /><br>1. Duration of stay in hospital and nursing home;<br /><br>2. Interventions carried out for frail elderly;<br /><br>3. Number of wrong-bed days;<br /><br>4. Care-providers opinion about multidisciplinary coordination.<br><br /><br /><br>Regarding the cost-effectiveness:<br /><br>1. Total care consumption.
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