Effects of Strategies to Improve General Practitioner-nurse Collaboration and Communication in Regard to Hospital Admissions of Nursing Home Residents.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 680
- 试验地点
- 4
- 主要终点
- cumulative number of hospitalisation
研究概览
简要总结
Previously,six measures were developed for a better collaboration of general practitioners and nurses in nursing homes in a qualitative multistep bottom-up process. These measures, summarised as the interprof ACT intervention, shall improve the flow of information and the communication between the involved parties and lead to more transparency and effectiveness regarding treatment decisions of nursing home residents.The major aim of this trial is to examine the clinical effectiveness of interprof ACT. The main hypothesis is that implementation of interprof ACT reduces the cumulative incidence of hospitalisations of nursing home residents within 12 months from 50% to 35% (15% absolute reduction).
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
- None
盲法说明
Blinded study nurses with respect of primary outcome.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •at least one GP visit in recent three months or
- •two GP visits in recent 6 months or
- •admission to the nursing home during the precedent 6 months independently of documented GP contacts
- •at least 18 years of age
- •written informed consent by the resident or her/his legal guardian
- •Inclusion Criteria Nursing Homes:
- •minimum size of 40 residents
- •written consent provided by the nursing home Manager Prior to randomisation
排除标准
- •admission for short term care only
- •Exclusion Criteria Nursing Homes:
- •participation in other projects on interprofessional collaboration.
结局指标
主要结局
cumulative number of hospitalisation
时间窗: within 12 months
Cumulative incidence of hospitalisations from nursing home residents within 12 months
次要结局
- hospital days(within 12 months)
- Adverse Events(within 12 months)
- mortality(within 12 months)
- economic evaluation: efficiency(after 12 months)
- Quality of inter-professional collaboration according to the Partnership Self-Assessment Tool (PSAT) score(after 12 months)
- Attitudes towards inter-professional collaboration according to the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (JSAPNC) score(after 12 months)
- absolute number of hospitalisations(within 12 months)
- potentially inadequate medications(baseline and after 6 and 12 months)
- Quality of Life in Alzheimer's Disease scale - Nursing Home version (QoL-AD-NH)(baseline and after 12 months)
- Health-related Quality of Life (HRQL) of residents measured by EQ-5D-5L(baseline and after 12 months)
- medical services(within 12 months)
研究者
Karsten Gavenis
Clinical Study Management on behalf of the Principal Investigator
University Medical Center Goettingen