TITLE

Growing old at home - a randomized controlled trial to investigate the effectiveness and cost-effectiveness of preventive home visits to reduce nursing home admissions: study protocol [NCT00644826]

AUTHOR(S)
Fleischer, Steffen; Roling, Gudrun; Beutner, Katrin; Hanns, Stephanie; Behrens, Johann; Luck, Tobias; Kuske, Bettina; Angermeyer, Matthias C.; Riedel-Heller, Steffi G.; Heinrich, Sven; König, Hans-H.; Lautenschläger, Christine
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8 Issue 1, p185
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention in Germany by a randomized controlled trial. Methods: The trial is designed as a prospective multi-center randomized controlled trial in the cities of Halle and Leipzig. The trial includes an intervention and a control group. The control group receives usual care. The intervention group receives three additional home visits by non-physician health professionals (1) geriatric assessment, (2) consultation, (3) booster session. The nursing home admission rate after 18 months will be defined as the primary outcome. An absolute risk reduction from a 20% in the control-group to a 7% admission rate in the intervention group including an assumed drop out rate of 30% resulted in a required sample size of N = 320 (n = 160 vs. n = 160). Parallel to the clinical outcome measurement the intervention will be evaluated economically. The economic evaluation will be performed from a society perspective. Discussion: To the authors' knowledge for the first time a trial will investigate the effectiveness and cost-effectiveness of preventive home visits for people aged 80 and over in Germany using the design of a randomized controlled trial. Thus, the trial will contribute to the existing evidence on preventive home visits especially in Germany.
ACCESSION #
51485530

 

Related Articles

  • What to look for when selecting a home care agency.  // Fairfield County Business Journal;5/26/2003, Vol. 42 Issue 21, pS16 

    Provides tips on selecting home care agencies. Assessment of the quality of care; Type of medical equipment; Costs of health services.

  • Largest Indianapolis-area long-term-care facilities. Ritchie; Cullather, Petra // Indianapolis Business Journal;12/07/99 Book of Lists 2000, Vol. 20 Issue 39, p125 

    Lists the largest long-term care facilities in and around Indianapolis, Indiana, as of December 7, 1999. Includes names of facilities; Number of beds; Number of employees; Contact information.

  • 'PACKAGING' FOR MARKETING SUCCESS. Molloy, George E. // Nursing Homes: Long Term Care Management;Jul2000, Vol. 49 Issue 7, p18 

    Discusses the importance of packaging the products of long-term care facilities. Solution to negative image of nursing facilities; Areas of concern for administrators trying to improve their facilities' image in the community; Description and importance of quality care.

  • Tarrant County's largest long-term care facilities. Kizer, Valory // Fort Worth Business Press;12/15/2000, Vol. 13 Issue 34, p12 

    Lists the largest long-term care facilities in Tarrant County, Texas. Number of admissions; Licensed beds and skilled care beds; Daily room rate; Sample of special services.

  • Denton County's largest long-term care facilities. Kizer, Valory // Fort Worth Business Press;12/15/2000, Vol. 13 Issue 34, p21 

    Lists the largest long-term care facilities in Denton County, Texas. Number of licensed beds; Number of admissions; Daily room rate; Certified for Medicaid or Medicare; Sample of special services.

  • Goal attainment scaling as a measure of clinically important change in nursing-home patients. Gordon, Janet E.; Powell, Colin // Age & Ageing;May99, Vol. 28 Issue 3, p274 

    Assesses the feasibility, validity and responsiveness of an individualized measure in long-term care. Mini-mental State Exam (MMSE); Definition for the goal attainment scaling; Applications of goal attainment scaling to geriatric inpatients.

  • Validity and reliability of Resource Utilization Groups (RUG-III) in Finnish long-term care facilities: original article. Björkgren, Magnus; Häkkinen, Unto; Finne-Soveri, Harriet; Fries, Brant // Scandinavian Journal of Public Health;07/30/99, Vol. 27 Issue 3, p228 

    Resource Utilization Groups, Version III (RUG-III) is a case-mix system developed in the USA for classification of long-term care residents. This paper examines the validity and reliability of an adapted 22-group version of RUG-III (RUG-III/22) for use in long-term care facilities in Finland....

  • Long-term health care. Baden, Patricia Lopez // Better Homes & Gardens;Apr96, Vol. 74 Issue 4, p106 

    Provides information on long-term health care. Choices of long-term care services; Ways of obtaining help; What long-term health insurance offers; What to prepare for. INSET: Getting help..

  • Making a bis difference. O'Connor, John // McKnight's Long-Term Care News;Feb2012, Vol. 33 Issue 2, p55 

    The article discusses the main goal of the long term care sector to deliver medical care to people who are unable to care for themselves.

  • Largest Indianapolis-Area Long-Term-Care Facilities. Ritchie, Petra; Cullather, Sarah // Indianapolis Business Journal;07/17/2000, Vol. 21 Issue 18, p26 

    Ranks long-term-care facilities in Indianapolis, Indiana according to the number of their comprehensive-care beds. Carmel Care Center; Lockfield Village; Manor Care Health Services.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics