Growing Old at Home - Effectiveness and Cost-effectiveness of Preventive Home Visits to Reduce Nursing Home Admissions in the Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 336
- 试验地点
- 4
- 主要终点
- nursing home admission rate
研究概览
简要总结
The purpose of this study is to determine whether preventive home visits for people aged 80 and over are effective in the prevention of nursing home admission in Germany.
详细描述
Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention by a randomized controlled trial in Germany.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 80 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •older than 80
- •fluent German speaker
- •resident of Leipzig or Halle
- •living at home (i.e. no nursing home resident)
排除标准
- •cognitive impairment
- •not able to give informed consent
- •care level higher than 1 according to German long term care insurance
结局指标
主要结局
nursing home admission rate
时间窗: 18 months
次要结局
- health care service utilization and costs(18 months)
- incremental cost-effectiveness and cost- utility ratio(18 months)
- health related functioning(18 months)
- health related quality of life(18 months)
- prevalence of falls(18 months)
- time to nursing home admission(18 months)