A multidisciplinary intervention care program to prevent adverse health outcomes for the dependent community-dwelling elderly: a cluster randomized controlled trial

UMIN ID: UMIN000002045

Registered date:05/06/2009

Basic Information

• Recruitment status: Complete: follow-up complete
• Health condition(s) or Problem(s) studied: Community-dwelling elderly (age 65 years or older) with physical or mental disability in some degree, who are eligible for the long-term care insurance program
• Date of first enrollment: 2009/06/01
• Target sample size: 1400
• Countries of recruitment: Japan
• Study type: Interventional

Intervention(s)

Care managers from the Nagoya City Health Care Service Foundation for Older People, which has 16 care-managing centers, are randomly assigned to two groups in each center, intervention and usual care management groups. The control care managers provide usual care plan to participants (care recipients and caregivers).
Care managers from the Nagoya City Health Care Service Foundation for Older People, which has 16 care-managing centers, are randomly assigned to two groups in each center, intervention and usual care management groups. Care managers in the intervention group conduct the comprehensive risk assessment for 5 domains including falls, aspiration pneumonia, malnutrition, medication management, and caregiver burden or inadequate informal care every 3 month intervals. The care managers provide the risk-oriented care program in addition to usual care program to care recipients and caregivers for 2 years.

Outcome(s)

• Primary Outcome: mortality and hospitalization during 2-year follow-up
• Secondary Outcome: long-term care placement and overall discontinuation of living at home during 2-year follow-up, and adverse health outcomes of caregivers

Key inclusion & exclusion criteria

• Age minimum: 65years-old
• Age maximum: Not applicable
• Gender: Male and Female
• Exclude criteria: no exclusion criteria

Related Information

• Primary Sponsor: Department of Geriatrics, Nagoya University Graduate School of Medicine
• Secondary Sponsor: the Nagoya City Health Care Service Foundation for Older People
• Source(s) of Monetary Support: Grant-in-Aid for Scientific Research of The Ministry of Education, Culuture, Sports, Science and Technology