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Effects of Community Health Programs by Nurses for Older Adults

Sponsor
National Taiwan University Hospital (Other)
Overall Status
Completed
CT.gov ID
NCT01972958
Collaborator
Department of Health, Executive Yuan, R.O.C. (Taiwan) (Other)
220
Enrollment
1
Location
2
Arms
9
Duration (Months)
24.4
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

As the aging population increases, preventing and decreasing disabilities become a critical issue for the health care system. Previous researches have shown that preventive community-based nursing services for older adults could achieve important health benefits at a relatively low cost. However, many frail and pre-frail older adults living in communities cannot get enough attention from current health care system. The role and function of nurses should be expanded to provide more comprehensive family-oriented care to improve health outcomes of older adults in Taiwan. The objectives of this study are:

  1. Understand the difficulties and solutions for nurses providing community-based services in order to expand their better role and function.

  2. Develop a cultural sensitive community advanced nurse service model for Taiwan in health care system.

  3. Explore the effectiveness of community health programs by nurses for frail or pre-frail older adults in community.

Focus groups and literature review will be used to achieve the first and second study objectives. A single centre randomized controlled trial will be used in this study to achieve the third study objective. Two hundred and twenty people aged 65 and over who meet the Fried definition of frailty and pre-frailty will be recruited from the clinic of a hospital. Participants will be followed for a 6-month period. Frailty, quality of life, satisfaction to the services, hospitalizations and admissions to nursing care facilities will be measured and compared between experimental group and control group. This research is an important step in the examination of a new approach to the community older people by nurses. The study results will provide the evidence data to recommendation for related policy making in the future.

Condition or Disease Intervention/Treatment Phase
  • Other: comprehensive care
 N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
220 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Health Services Research
Official Title:
Effects of Community Health Programs by Nurses for Older Adults
Study Start Date :
Mar 1, 2010
Actual Primary Completion Date :
Dec 1, 2010
Actual Study Completion Date :
Dec 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: comprehensive care

comprehensive assessment, physical activity training, community resources referral, health education, health promotion activity.

Other: comprehensive care
comprehensice assessment,physical activity training, community resources referral, health education.
Other Names:
  • community health care

    		•
    No Intervention: usual care

    control group with usual care

    Outcome Measures

    Primary Outcome Measures

    1. To assess quality of life [6 months]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    65 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • 65 years and above, frail and pre-frail older adults, living in communities
    Exclusion Criteria:
    • Cognitive impairment.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 School of Nursing, National Taiwan University Taipei Taiwan 100

    Sponsors and Collaborators

    • National Taiwan University Hospital
    • Department of Health, Executive Yuan, R.O.C. (Taiwan)

    Investigators

    • Principal Investigator: Lian-Hua Huang, PhD, National Taiwan University Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    National Taiwan University Hospital
    ClinicalTrials.gov Identifier:
    NCT01972958
    Other Study ID Numbers:
    • 200908042R
    First Posted:
    Oct 31, 2013
    Last Update Posted:
    Oct 31, 2013
    Last Verified:
    Oct 1, 2013

    Study Results

    No Results Posted as of Oct 31, 2013