This health care evaluation study will compare the ZPH with other, usual forms of care given to frail elderly in the hospital. It will also evaluate the added value of a centre for prevention and recovery (Centrum voor Preventie en Herstel, CPH)
ID
Source
Brief title
Condition
- Other condition
- Therapeutic and nontherapeutic effects (excl toxicity)
- Age related factors
Synonym
Health condition
Ouderen Geneeskunde: Multimorbiditeit
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The effect evaluation will assess patient and caregiver outcomes (e.g. health
related quality of life, physical functioning, cognitive functioning, social
and emotional functioning, psychological functioning, objective and subjective
burden of care), duration of hospital stay as well as (re-)admittance in
hospital or nursing homes and mortality. Costs will be determined from a
societal viewpoint for evaluation of cost effectiveness of the ZPH compared to
current, usual care
Secondary outcome
Secundary study parameters for the effect evaluation are cognitive functioning
and psychological/social functioning of the patient and patient self
management.
Background summary
Elderly who are admitted in the hospital are at risk for hospital related
functional loss. To prevent hospital related functional loss and promote a fast
recovery and return to independent living, the prevention and reactivation care
program (Zorg voor Preventie en Herstel, ZPH) was developed.
Study objective
This health care evaluation study will compare the ZPH with other, usual forms
of care given to frail elderly in the hospital. It will also evaluate the added
value of a centre for prevention and recovery (Centrum voor Preventie en
Herstel, CPH)
Study design
A research design in the form of an observational, prospective cohort study
will be conducted in three hospitals (Vlietland, Ruwaard van Putten, Sint
Franciscus Gasthuis). The effects of the CPH will be studied separately by
means of a RCT, embedded in the ZPH hospital (Vlietland). The study will
include an effect, process and cost evaluation using a mixed methods design of
both quantitative and qualitative methods.
Intervention
Participants will receive care that is the standard at their hospital. In the
Vlietland hospital this standard is the prevention and reactivation care
program (ZPH). ZPH has been developed over many years and offers a package of
interventions and treatment plans that are integral, multidisciplinary and
goal-oriented (at physical, social, and mental domains of functional loss) as
well as based on the needs of the individual patient. An extra element in the
ZPH is the CPH for extra vulnerable elderly patients. CPH consists of a stay at
the CPH centre and involves intensive and theme oriented reactivation
treatments, specialized nursing home care, paramedical care (e.g.
physiotherapy, dietetics, occupational therapy) and specialized mental health
care (GGZ) (e.g. psychiatrist).
Study burden and risks
None
Dr Molewaterplein 50
3015 GE Rotterdam
NL
Dr Molewaterplein 50
3015 GE Rotterdam
NL
Listed location countries
Age
Inclusion criteria
Aged 65 years and older
Admitted in one of the participating hospitals (expected stay >= 2 days)
At risk for loss of function (score > 2 on the ISAR and score 15 or lower on the Barthel index and/or score 3 or higher on the NPI);Inclusion criteria for stay in the CPH: positive score on a functional assessment list. Including delirium score, clinical determinants such as anemia and low BMI, and the burden for the informal carer
Exclusion criteria
Unable to answer questions or follow instructions (e.g. due to severe cognitive problems (MMSE score < 12) or being in coma) within 2 days of within 5 days after admission in the hospital
Terminal illness (life expectancy < 3 months)
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL35205.078.10 |
| Other | TC 2317 |