multimorbidity Multimedication
Conditions
Interventions
Group 1: In the intervention group, the testing and implementation of the participatory developed "hospital referral management" takes place in the 6-month intervention phase. Prospective data collect
Sponsors
Medizinische Fakultät Carl Gustav Carus an der TU Dresden Bereich Allgemeinmedizin/ Medizinische Klinik und Poliklinik III
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: Age: 65+ years, = 2 long-term diagnoses, Taking = 5 long-term medication, = 1 previous hospital stay in the last 12 months, The patient must be able to take part in written and telephone surveys (the patient can be supported by relatives, acquaintances ..)
Exclusion criteria
Exclusion criteria: Prefinal disease state, Patient in the nursing home, Severe mental illness (spectrum ICD-10-F diagnoses), Planned long-term admission in the nursing home Patient with legal guardian
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Combined primary endpoint (testing for the main study): health-related patient outcomes: Hospitalisation (FIMA), falls (standardised documentation) and mortality (standardised documentation) at t0 (baseline) and t1 (follow-up after 6 months) in the intervention group compared to the control group. The combined primary endpoint is recorded by information from patients or enquiries in the general practitioner's office. | — |
Secondary
| Measure | Time frame |
|---|---|
| Exploratory examination of the effect of the complex intervention on: a) Improvement of the medication- and treatment-relevant information situation as well as increase of health literacy among patients b) Improvement of the medication-related information situation in the general practice. Target parameters: a) Improvement of health literacy and satisfaction with the information situation among patients* between the survey times t0 and t1 in the intervention group compared to the control group. The following measures will be collected: - Health literacy: Health Literacy Questionnaire - German (HLQ-G) - Satisfaction with medication-related information: Satisfaction with Information about Medicines Scale (SIMS-D), questions about the medication plan (survey) b) Improvement of the information situation in GP practices between t0 and t1 in the intervention group compared to the control group. - Information on the care situation: questionnaire on the use of medical and non-medical care services in old age (FIMA) Comparison of the information provided by patients with that provided by the GP practice. - Information on medication: Checking the completeness of the medication information by comparing the information provided by patients (survey) and the information in the GP practice (medication plan). Process evaluation: A process evaluation accompanying the entire study assesses the feasibility and implementability of the intervention and the study design. On the other hand, parameters are collected and analysed that could have an influence on the results. The process evaluation is conducted with a mix of methods including interviews, questionnaires and standardised project documentation. The methodology of the process evaluation follows the framework for designing and reporting on process evaluations of cluster randomized trials (Grant et al 2013) and the Consolidated Framework of Implementation Research (CFIR, Damschroder et al 2009). | — |
Countries
Germany
Contacts
Public ContactFranziska Brosse
Medizinische Fakultät Carl Gustav Carus an der TU DresdenBereich Allgemeinmedizin/ Medizinische Klinik und Poliklinik III
Outcome results
None listed