Innovative integrated care pathway for geriatric rehabilitatio

Not Applicable

Completed

• Conditions: Health problems in older adults; Not Applicable; Maastricht University

• Registration Number: ISRCTN90000867
• Lead Sponsor: The Dutch Organization for Health Research and Development

Brief Summary

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30445923 results (added 17/07/2019) 2017 Other publications in https://pubmed.ncbi.nlm.nih.gov/28086867/ Process evaluation (added 19/05/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2016-01-01
• Study Start: 2016-04-07
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 260

Inclusion Criteria

Patients:
1. Admitted to the geriatric rehabilitation facility in the period April 2011-March 2012 or in the period April 2013 - August 2014
2. Aged = 65 years
3. Admitted to the hospital prior to admission to the geriatric rehabilitation facility
4. Community-dwelling prior to hospital admission
5. Patients with complex care needs and related functional loss and care dependency

Caregivers:
Informal caregivers aged 18 years and over.

Exclusion Criteria

Patients:
1. Patients with strokes, trauma orthopedics, elective orthopedics
2. Cognitive problems

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patients:<br>Level of independence is measured using the Katz Index of activities of daily living (KATZ-15) at baseline, 3 and 9 months.<br><br>Caregivers:<br>Effects of the pathway on informal caregivers is determined through measuring the subjective burden of informal caregiving with the Self-Rated care Burden VAS at baseline, 3 and 9 months.

Secondary Outcome Measures

Name	Time	Method
Patients:<br>1. Instrumental Activities of Daily Living, measured with the Frenchay Activities Index at baseline, 3 and 9 months<br>2. Social participation, assessed with a subscale of the Impact on Participation and Autonomy (IPA) questionnaire at baseline, 3 and 9 months <br>3. Psychological well-being, measured using a subscale from the RAND-36 at baseline, 3 and 9 months<br>4. Quality of life, measured with a modified version of Canthril’s Self Anchoring Ladder at baseline, 3 and 9 months<br><br>Caregivers:<br>1. Self-perceived health, assessed with the first question of the RAND-36 at baseline, 3 and 9 months<br>2. Transfer of care, by asking informal caregivers to indicate on a scale from 1-10 how happy they would feel if their informal care activities were taken care of by someone else at baseline, 3 and 9 months