The Prevention and Reactivation Care Programme: a personalized, integrated intervention for prevention of functional decline after hospital stay.
Recruiting
- Conditions
- Ouderen Geneeskunde: MultimorbiditeitFrailtyIndependenceMultimorbidity1006291510001474
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 2900
Inclusion Criteria
Aged 65 years and older
Admitted in one of the participating hospitals (expected stay >= 2 days)
At risk for loss of function (score > 2 on the ISAR and score 15 or lower on the Barthel index and/or score 3 or higher on the NPI);Inclusion criteria for stay in the CPH: positive score on a functional assessment list. Including delirium score, clinical determinants such as anemia and low BMI, and the burden for the informal carer
Exclusion Criteria
Unable to answer questions or follow instructions (e.g. due to severe cognitive problems (MMSE score < 12) or being in coma) within 2 days of within 5 days after admission in the hospital
Terminal illness (life expectancy < 3 months)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The effect evaluation will assess patient and caregiver outcomes (e.g. health<br /><br>related quality of life, physical functioning, cognitive functioning, social<br /><br>and emotional functioning, psychological functioning, objective and subjective<br /><br>burden of care), duration of hospital stay as well as (re-)admittance in<br /><br>hospital or nursing homes and mortality. Costs will be determined from a<br /><br>societal viewpoint for evaluation of cost effectiveness of the ZPH compared to<br /><br>current, usual care </p><br>
- Secondary Outcome Measures
Name Time Method <p>Secundary study parameters for the effect evaluation are cognitive functioning<br /><br>and psychological/social functioning of the patient and patient self<br /><br>management.</p><br>