Implementing and Evaluating the Impact of Interprofessional Health Needs Assessment (INHA) for Older Adults Living at Home
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Health-related quality of life
研究概览
简要总结
This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of the Interprofessional Health Needs Assessment (IHNA) in older adults living at home. Specifically, the trial will assess the effects of IHNA on health-related quality of life, social care-related quality of life, survival, and health service utilization.
The primary objective is to determine the effect of IHNA on participants' health-related quality of life at 12 months. Secondary objectives are to assess its effects on social care-related quality of life, survival (time to death), health service utilization, and quality-adjusted life years (QALYs) at 6 and 12 months.
详细描述
Early identification of health needs among home-dwelling elderly adults is crucial for maintaining health and function, improving quality of life, and preventing hospitalizations. When allocating municipal health and care services, healthcare professionals assess functional abilities and health needs. Based on this assessment, services such as emergency alarms, everyday rehabilitation, home nursing care, practical assistance at home, and assistive devices are assigned. However, there is no standardized approach to what should be included in these assessments or how they should be conducted.
This project develops a procedure for interprofessional health needs assessment (IHNA) to systematically identify and address the health needs of older adults living at home. IHNA integrates the older adult's values and preferences into the assessment, ensuring that interventions and services align with their priorities. IHNA incorporates screening tools to provide a structured, holistic assessment of health and social domains.
The project involves co-creation of IHNA with healthcare professionals and older adults, workplace training in the effective use of IHNA, and implementation in two Norwegian municipalities through a randomized controlled trial.
By developing interprofessional practices for assessing health needs and equipping healthcare professionals with screening tools and training, the project will help municipalities provide fairer, more effective services to home-dwelling older adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 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
- •65 years and older
- •applying for a municipal health and care service at home (i.e., practical assistance, home nursing, assistive devices, rehabilitation, day care center)
- •the health care service will have a duration of more than 2 weeks
排除标准
- •younger than 65 years
- •diagnosed with dementia
- •life expectancy shorter than 6 months
- •applying for a nursing home placement
研究组 & 干预措施
INHA Intervention group
The intervention group will be assessed using INHA
干预措施: Interprofessional Health Needs Assesement (INHA) (Other)
Control group
The participants in the control group will be assessed by the standard assessment form used by the municipality and have services allocated as usual.
结局指标
主要结局
Health-related quality of life
时间窗: Baseline, 6 months and 12 months
Health-related quality of life will be assessed using the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L). The EQ-5D-5L descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five response levels: no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to perform. Responses are combined into a 5-digit health-state profile, with 11111 representing the best health state and 55555 the worst health state. Health state will be converted into a utility index score, with higher scores indicating better health-related quality of life. The primary outcome will be the change in EQ-5D-5L utility index score from baseline to 12 months.
次要结局
- Self-rated health(Baseline, 6 months, and 12 months)
- Social care related quality of life(Baseline, 6 months, and 12 months)
- Time to death (survival)(Baseline to 12 months)
- Health care utilization(6 and 12 months)
- Quality-Adjusted Life Years ( QALYs)(Baseline, 6 months and 12 months)
研究者
Marianne Storm
Professor
University of Stavanger