Case Managers to Frail Older People a Randomized Controlled Trial

Lund University153 enrolled

Overview

The aim of is to test the effects of a model for care (case management) to older people with high healthcare consumption and functional dependency on healthcare consumption, quality of life, functional ability and experiences of care.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

153

Conditions

Frail Elderly

Interventions

Case managementOTHER

Nurses and a physiotherapist (PT) worked as case managers (CM). The intervention lasted 12 months and comprised 4 dimensions. The first was traditional CM tasks: assessment, planning, monitoring, care coordination and evaluation. Home visits were made at least once a month. The second and third was general and specific information related to the participants' situation. The fourth part included aspects of continuity and safety. The PT also paid home visits and made an assessment regarding physical function and balance. The intervention consisted of multidimensional prevention of falls and/or consequences of falls, and supporting and motivating the participant to increased physical activity. When those in the control group had participated for 12 months they were offered the intervention.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * aged 65 or over * need help with at least two activities of daily living * been admitted to hospital on at least two occasions, or * have had at least four contacts with outpatient or primary care during the previous twelve months, * be able to communicate verbally * have no cognitive impairment

Locations (1)

Lund University, Faculty of Medicine, Department of Health Sciences

Lund, Sweden

Outcomes

Primary Outcomes

Health care consumption

Time frame: two years (one year before vs after baseline)

Health care costs

Time frame: two years (one year before vs after baseline)

Feelings of loneliness