Proactive Health Support

Frederiksberg University Hospital5,454 enrolled

Overview

Proactive Health Support is a randomized controlled trial of telephone-based self-management support. The primary aim of the intervention is to reduce hospital admissions and improve quality of life in patients with a high risk of hospital admission.

Participants are identified through an algorithm, that assigns each patient with a risk score of 0-100%. Patients with the highest risk in each of the five regions of Denmark are invited to participate.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

5,454

Conditions

Patients at Risk of Hospital Admission

Interventions

Proactive Health SupportBEHAVIORAL

Active listening, coaching and counselling

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Persons with a hospital contact within the last year caused by ≥ 1 of the following diagnoses: heart diseases (DI110, DI130, DI132, DI50), connective tissue diseases (DD86, DM05, DM06, DM08, DM09, DM30, DM31, DM32, DM33, DM34, DM35, DM36), pulmonary diseases (DJ40, DJ41, DJ42, DJ43, DJ44, DJ45, DJ46, DJ47, DJ60, DJ61, , DJ62, DJ63, DJ64, DJ65, DJ66, DJ67, DJ684, DJ701, DJ703, DJ841, DJ842, DJ843, DJ848, DJ849, DJ920, DJ961, DJ982, DJ983) or diabetes (DE10, DE11, DE14) Or * Persons ≥ 18 years and ≥ three unplanned hospital admissions in the last six months Or * Persons ≥ 65 years with a preventable hospital admission (predefined diagnoses: dehydration, constipation, lower respiratory tract infections, urinary tract infections, gastroenteritis, fractures, nutrition deficiency anemia, social causes and pressure ulcers) or a readmission (within 30 days) Exclusion Criteria: * Selected psychiatric diagnoses: substance abuse disorder (DF1), schizophrenia (DF2) or dementia (DF00, DF01, DF02, DF03, DF051) * Metastatic cancer (DC77, DC78, DC79, DC80) * Assisted living Facility * Documented terminal illness or life expectancy \< one year * Assessment of dementia * Major surgery planned within 6 months * Hearing impairment * Not speaking Danish * Cognitive impairment * Substance abuse, that impairs adherence * No telephone * Receiving similar trial intervention * Other (including intervention not suitable)

Locations (1)

Center for Clinical Research and Prevention

Frederiksberg, Denmark

Outcomes

Primary Outcomes

Hospital admissions

Time frame: 6 months

Quality of life

Questionnaire SF 36 - Mental Health Composite Score (Norm-based T-score of 45-55 is considered normal)

Time frame: 6 months

Secondary Outcomes

Patient education

Questionnaire Hei-Q - all 8 subscales (health-directed activities, positive and active engagement in life, emotional distress, self-monitoring and insight, constructive attitudes and approaches, skill and technique acquisition, social integration and support, health service navigation, range 1-4)