Growing Old at Home - Effectiveness and Cost-effectiveness of Preventive Home Visits to Reduce Nursing Home Admissions in the Elderly
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Aging
- Sponsor
- Martin-Luther-Universität Halle-Wittenberg
- Enrollment
- 336
- Locations
- 2
- Primary Endpoint
- nursing home admission rate
- Status
- Completed
- Last Updated
- 15 years ago
Overview
Brief Summary
The purpose of this study is to determine whether preventive home visits for people aged 80 and over are effective in the prevention of nursing home admission in Germany.
Detailed Description
Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention by a randomized controlled trial in Germany.
Investigators
Eligibility Criteria
Inclusion Criteria
- •older than 80
- •fluent German speaker
- •resident of Leipzig or Halle
- •living at home (i.e. no nursing home resident)
Exclusion Criteria
- •cognitive impairment
- •not able to give informed consent
- •care level higher than 1 according to German long term care insurance
Outcomes
Primary Outcomes
nursing home admission rate
Time Frame: 18 months
Secondary Outcomes
- health care service utilization and costs(18 months)
- incremental cost-effectiveness and cost- utility ratio(18 months)
- health related functioning(18 months)
- health related quality of life(18 months)
- prevalence of falls(18 months)
- time to nursing home admission(18 months)