Live Better at Home (Catalonia): a Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 160
- 主要终点
- Change in time from baseline until application for nursing home admission
研究概览
简要总结
The intensity of the home care interventions for dependent older people offered in Spain, and specifically in Catalonia, may not be sufficient to help keep older people at home and delay institutionalisation in a nursing home, but an intensification of the intervention could improve the health and psychosocial state of dependent people and their informal caregivers and facilitate their permanence at home.
详细描述
According to recent surveys, more than 80% of older people prefer to live at home, so the current model of care should aim to prolong the autonomy of older people so that they remain as long as possible at home and delay their entry into nursing homes.
The hypothesis of the study is that an intensification of the home care intervention in users with degree II or III of dependency will delay or avoid their institutionalisation in nursing homes.
The main aim of the study is to evaluate the effect of an intensification in home care interventions on users with grade II or III dependency in order to delay or avoid their institutionalisation in a geriatric residence.
Secondary aims are to analyse the effect of an intensification of home care interventions in users with degree II or III of dependency on their health and psychosocial state.To analyse the effect of an intensification of home care intervention together with training for informal caregivers on the health status and overburden of informal caregivers of users with degree II or III of dependency.
To test the impact on the use of resources of an intensification of home care interventions in users with degree II or III of dependency.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Older people (men and women aged 65 and over).
- •Living in the community.
- •Categorized with a degree II or III of dependency.
- •Users of the public home care without requesting admission to an institution in Catalonia.
- •With a main informal caregiver in charge.
- •The acceptance to participate in the study of the user and the informal caregiver.
排除标准
- •Users with privately paid professional carers.
- •Users in palliative care (short life expectancy).
研究组 & 干预措施
Intensified home care intervention + Training
Users will receive an intensification in their home care intervention for dependence, receiving an intervention of a minimum of 1 hour per day and a maximum of 3.5 hours, to support their activities of daily living. The intensification will be personalised according to the specific needs of the user that the professionals consider necessary to attend. The weekly distribution of the intervention will be flexible in terms of timetables, as agreed between professional and informal caregivers. In addition, each informal caregiver will receive multimodal online training with the aim of providing knowledge, skills and attitudes that empower them to face the challenge of caring, guaranteeing quality care, preventing situations that may negatively affect both the person and the family dynamics and enabling an optimal evolution in caregiving.
干预措施: Home care intervention (Other)
Conventional home care intervention
Participants will continue with their conventional home care intervention for dependence, comprising activities that are mainly carried out at the users' home and are oriented towards supporting their activities of daily living. This intervention is of personalised attention and its average intensity is about 20 minutes per day.
干预措施: Home care intervention (Other)
结局指标
主要结局
Change in time from baseline until application for nursing home admission
时间窗: Every month up to 18 months. Assessed from the baseline in the study until the application for entry in nursing home, assessed up to 18 months.
To the user. Assessed by asking.
次要结局
- Risk of falls(Every 3 months up to 18 months.)
- Cognitive status(Every 3 months up to 18 months.)
- Quality of life related with health(Every 1 month up to 18 months.)
- Risk of sarcopenia(Every 3 months up to 18 months.)
- Social network(Every 3 months up to 18 months.)
- Chronic patient experience(Every 3 months up to 18 months.)
- Functional capacity(Every 3 months up to 18 months.)
- Frailty(Every 3 months up to 18 months.)
研究者
Eduard Minobes
Doctor
University of Vic - Central University of Catalonia