CAPABLE for Frail Dually Eligible Older Adults

Not Applicable

Completed

• Conditions: Muscle Weakness
• Interventions: Behavioral: 10 home-based functional services sessions over 4 months.

• Registration Number: NCT01743495
• Lead Sponsor: Johns Hopkins University

Brief Summary

The Johns Hopkins School of Nursing offers this research study which aims to learn more about whether services that help with medications, muscle strengthening, pain management and changes to houses can help improve older adults' ability to, walk, and take care of themselves while saving costs by reducing hospitalizations and nursing home admissions.

Detailed Description

* 65yrs or older

* Be able to stand (with or without assistance)

* Have some difficulty with getting dressed, or preparing food, bathing

* Receive a low monthly income

* Have no plans to move in the next year

* NOT be receiving home nursing or other therapy right now

Study Timeline

• Study Start: 2012-09
• Study First Submitted: 2012-10-15
• Study First Submitted QC: 2012-12-04
• Study First Posted: 2012-12-06
• Primary Completion: 2018-08-31
• Study Completion: 2019-08-31
• Status Verified: 2020-02
• Last Update Submitted: 2020-02-10
• Last Update Posted: 2020-02-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 281

Inclusion Criteria

• 65 or older
• Cognitively intact (≥ 10 on Brief Interview of Mental Status)
• Difficulty with ≥ 2 IADLS or ≥ 1 ADL
• ≤ 199% of Federal Poverty level

Exclusion Criteria

• Terminally ill

  --Active cancer treatment

• Hospitalized > 3 times in last 3 years

• Receiving home nursing, Occupational Therapy or Physical Therapy

• Don't have phone or do plan to move in less than a year

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Functional Services	10 home-based functional services sessions over 4 months.	The program consists of up to 10 home-based functional services sessions over 4 months.

Primary Outcome Measures

Name	Time	Method
Cost Effective	two years after intervention	Chart review to see change between cost of intervention to medicare before and after CAPABALE

Secondary Outcome Measures

Name	Time	Method
Quality of Life as assessed by the Instrumental Activities of Daily Living (IADL) Questionnaire	four months post intervention	The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance.
Quality of Life as assessed by the Activities of Daily Living (ADL) Questionnaire	four months post intervention	The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance.
Quality of Life as assessed by the ADL Questionnaire	twelve months post intervention	The ADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing activities of daily life regardless of difficulty without assistance.
Quality of Life as assessed by the IADL Questionnaire	twelve months post intervention	The IADL Questionnaire will be used to assess quality of life in participants. The score ranges from 0 to 32, with 0 being no help required with activities of daily life and 32 representing that the participant is incapable of completing instrumental activities of daily life regardless of difficulty without assistance.

Trial Locations

Locations (1)

Johns Hopkins University School of Nursing; 🇺🇸 Baltimore, Maryland, United States