cognitive and physical decline in older people with increased risk for care dependency
Conditions
Interventions
Group 1: Intervention group: The new form of care, "Prevention Nursing," is a complex, individually tailored intervention designed to delay the need for care and preserve independence. The interventio
Sponsors
Charité - Universitätsmedizin Berlin, Institut für Medizinische Soziologie und Rehabilitationswissenschaft
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: - Applied for a formal recognition of a care level (Pflegegrad), but did not receive a recommendation from the the medical service of the health insurance fund (Medizinischer Dienst) - MoCA score > 18 and < 26 (indicating mild cognitive impairment) - Member of statutory health insurance - Informed consent to study participation and data collection (written consent) - Sufficient language comprehension to understand the study information and follow study procedures - Community-dwelling
Exclusion criteria
Exclusion criteria: - Repeat application for a formal recognition of a care level (e.g., appeal or renewed application following a prior rejection) at the time of recruitment, as well as application for upgrading to a higher care level or for inpatient long-term care - Any circumstances that preclude participation (e.g., lack of capacity to consent without legal representation)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of independence and everyday competence measured using the Amsterdam Instrumental Activities of Daily Living Questionnaire – Short Version (A-IADL-Q-SV, Bruderer-Hofstetter et al., 2020) 15 months after the start of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Quality of life (EQ-5D-5L, Herdman et al., 2011) - Mobility (Timed Up and Go, Podsiadlo et al., 1991) - Falls according to Montero-Odasso et al., 2022 - Cognitive performance (Montreal Cognitive Assessment for the detection of dementia (MoCA)) - Promotion of social participation (Brief Social Support Scale, BS6 (Beutel et al., 2017) and De Jong Gierveld Loneliness Short Scale, DJGS-6) - Pain (Pain, Enjoyment of Life and General Activity Scale, PEG, Krebs et al., 2009) - Medication (number and type of medication, dosage and dosing interval, as well as AiDKlinik® software for recording high-risk drug interactions) and PRISCUS List 2.0 and Fit fOR The Aged (FORTA) classification, Mann et al., 2023, Pazan et al., 2019 - Nutritional status (MNA-SF, Kaiser et al., 2009) - Accessibility of the home environment (survey on steps, thresholds, etc.) - Subjective caregiver burden (Burden Scale for Family Caregivers, according to Gräßel 2014) - Costs to the statutory health insurance fund (health-economic evaluation) | — |
Countries
Germany
Contacts
Public ContactDaniela Koios
Charité - Universitätsmedizin Berlin, Institut für Medizinische Soziologie und Rehabilitationswissenschaft
Outcome results
None listed