Live Better at Home (Navarra): an Interventional Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 241
- 试验地点
- 4
- 主要终点
- Change in quality of life.
研究概览
简要总结
Alternatives to institutionalization with adapted housing and community supports may allow institutionalized people who so desire to be deinstitutionalized and continue their life in the community. This transition can fulfill the wishes of these people and may improve the quality of their life and functionality.
详细描述
Many older adults want to stay and be cared for at home, living in the community. However, long-term care facilities are increasingly becoming places where people live until death. Admissions are often conditioned by the characteristics of the support network rather than by the individual's clinical condition or dependency level. In addition, persistent problems around the cost and quality of housing with a lack of sufficient adapted housing and sheltered housing and inequalities in the distribution of social resources often limit the consolidation of personalized care and support planning.
Under this pretext, and if many people want to live at home for the rest of their lives, our research group aims to offer the possibility to nursing home residents from two nursing homes in Navarra of returning to the community by means of case management methodology and accommodation support. This completely innovative study aims to provide data to help the design and implementation of future studies addressed in this field.
The study consists of two stages:
- A cross-sectional observational stage for the assessment. Objectives: Quantify the proportion of people who could return safely and quantify the proportion of people who would like to live in the community.
- An analysis of factors related to the deinstitutionalization process and an intervention stage. Objective: assess the feasibility of this tailored intervention through case management methodology and study the impact of a deinstitutionalization process on participants for whom the transition is achieved.
In addition, this study will be accompanied by a sub-study with a pseudo-qualitative approach. The main objective of this part is to characterize the discourses associated with the willingness to return to the community and the deinstitutionalization process and to identify which evaluative elements concur (barriers and facilitators) and are prioritized in decision-making about a possible deinstitutionalization process. Qualitative research is needed for complex interventions to explore the obstacles and facilitators and to understand the intervention's components.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •To have a place within the recruitment period for an indefinite period of time in one of the participating centers.
- •To express willingness to be deinstitutionalized and return to community.
- •To obtain a favorable report in phase 1 from the project team on the feasibility and safety of returning to community.
排除标准
- •Refusal to sign the informed consent form by the resident or, failing that, by the legal representative.
- •The existence of a judicial authorization for involuntary admission of the resident to the residential facility.
结局指标
主要结局
Change in quality of life.
时间窗: Every three months after signing the personalized support plan (baseline) up to 15 months
Assessed by Fumat Scale. Standard score (M= 10; Standard deviation (SD)= 3) of each quality of life dimension, percentiles, and quality of life Index
次要结局
- Physical Activity(Every 3 months up to 15 months)
- Loneliness(Every 3 months up to 15 months)
- Functional capacity.(Every 3 months up to 15 months)
- Frailty.(Every 3 months up to 15 months)
- Cognitive status.(Every 3 months up to 15 months)
- Depression(Every 3 months up to 15 months)
- Change on performance activities of daily living.(Every 3 months up to 15 months)