Local, collaborative, stepped and personalised care management for older people with Chronic diseases - the randomised LoChro trial

Conditions

R54 F32 F33 F34.1 F00 F01 F02 F03 E11

Aline Pfefferle, Nadine Binder, Julia Sauer, Mario Sofroniou, Gloria Metzner et al. (9 authors)

BMJ Open2024-07-01

10.1136/bmjopen-2023-082245

The economic impact of a local, collaborative, stepped, and personalized care management for older people with chronic diseases: results from the randomized comparative effectiveness LoChro-trial.

Kaier K, Metzner G, Horstmeier L, Bitzer EM, Heimbach B, Kiekert J, Voigt-Radloff S, Farin-Glattacker E.

2023-12-152 citations

10.1186/s12913-023-10401-1

Analysis of the key themes in the healthcare of older people with multimorbidity in Germany: a framework analysis as part of the LoChro trial

Claudia Salm, Anja Mentzel, Mario Sofroniou, Gloria Metzner, Erik Farin‐Glattacker et al. (7 authors)

BMJ Open2023-08-016 citations

10.1136/bmjopen-2022-069814

Local, collaborative, stepped, and personalized care management for older people with chronic diseases – results from the randomized controlled LoChro-trial

Gloria Metzner, Lukas M. Horstmeier, Jürgen Bengel, Eva Maria Bitzer, Elena Dreher et al. (20 authors)

BMC Geriatrics2023-02-1316 citations

10.1186/s12877-023-03797-2

Local, collaborative, stepped and personalised care management for older people with chronic diseases (LoChro): study protocol of a randomised comparative effectiveness trial

Fabian Frank, Frederike Bjerregaard, Jürgen Bengel, Eva Maria Bitzer, Bernhard Heimbach et al. (18 authors)

BMC Geriatrics2019-03-0432 citations

10.1186/s12877-019-1088-0

Interventions

Group 1: Usual care: Usual trans-sectorial care management for old and very old multi-disabled people at hospital discharge includes: 1. medical referral letter to the patient’s general practitioner

2. if indicated referral to in- or outpatient rehabilitation

3. if indicated referral to outpatient nursing service or nursing home. Group 2: Usual care plus LoChro Care: LoChro Care is following the ARIADNE principles for the management of multi-morbidity. The

(2) a prioritization process of multiple health problems that takes into account the patients preferences, and (3) individualised management that utilises the best options for care and services. The p

Eligibility

Sex/Gender

All

Age

65 Years to No maximum

Inclusion criteria

Inclusion criteria: ISAR score >2

Exclusion criteria

Exclusion criteria: (1) terminal medical conditions (2) not having simple German language skills and (3) not residing in the region

Design outcomes

Primary

Measure	Time frame
(1) functional health in terms of daily activities (WHODAS), (2) depressive symptoms (PHQ-9) Measurements at t0 (baseline), t1 (after 12 months) and t2 (after 18 months)	—

Secondary

Measure	Time frame
(3) satisfaction with care (PACIC), (4) resource utilisation, health care costs (FIMA) and (5) appropriateness of medication (START/STOPP) Measurements at t0 (baseline), t1 (after 12 months) and t2 (after 18 months)	—

Countries

Germany

Contacts

Public ContactSebastian Voigt-Radloff

Zentrum für Geriatrie und Gerontologie Freiburg, Universitätsklinikum Freiburg

sebastian.voigt@uniklinik-freiburg.de0049 761 270 83770

Outcome results

None listed