Multidimensional Assessment and Intervention for Elder Self-Neglect

Early Phase 1

Completed

• Conditions: Self-Neglect; Cognitive Ability, General; Geriatric Disorder
• Interventions: Other: Comprehensive Geriatric Assessment and APS Usual Care; Other: APS usual care

• Registration Number: NCT00901706
• Lead Sponsor: The University of Texas Health Science Center, Houston

Brief Summary

This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2009-05-12
• Study First Submitted QC: 2009-05-13
• Study First Posted: 2009-05-14
• Study Start: 2009-08
• Primary Completion: 2012-02
• Study Completion: 2012-07
• Status Verified: 2013-06
• Last Update Submitted: 2013-06-17
• Last Update Posted: 2013-06-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• 65 years of age or older
• English Speaking
• Resident of Harris County, Houston Texas
• Community-dwelling
• Substantiated Self-Neglect

Exclusion Criteria

• No other substantiated allegations
• Non-community dweller
• No available for projected follow-up period
• Impaired decision-making with no available proxy
• Already receiving care from TEAM or within the past year
• Terminal Illness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CGA plus APS Usual Care	Comprehensive Geriatric Assessment and APS Usual Care	Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect.
CGA plus APS Usual Care	APS usual care	Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect.
APS Usual Care	Comprehensive Geriatric Assessment and APS Usual Care	APS usual care consisting of social, medical, and legal interventions.
APS Usual Care	APS usual care	APS usual care consisting of social, medical, and legal interventions.

Primary Outcome Measures

Name	Time	Method
Self-Neglect Severity Scale (SSS)	Baseline and 6-months

Secondary Outcome Measures

Name	Time	Method
Functional Status	Baseline and 6-months
Kohlman Evaluation of Living Skills (KELS)	Baseline and 6-months
Mini-mental State Exam (MMSE)	Baseline and 6-months
15-item Geriatric Depression Scale	Baseline and 6-months
Physical Performance Test (PPT)	Baseline and 6-months
SF-36 Health Survey	Baseline and 6-months
The Duke Social Support Index (DSSI)	Baseline and 6-months
Client Satisfaction Questionnaire (CSQ-8)	Baseline and 6-months
Costs of Social Services and Health Care Utilization and Costs	Months 1,2,3,4,5,6

Trial Locations

Locations (1)

The University of Texas Health Science Center at Houston; 🇺🇸 Houston, Texas, United States