Health problems in older adults Not Applicable Maastricht University
Conditions
Interventions
The study includes two cohorts of patients and informal caregivers. The reference cohort was included prior to implementation of the integrated care pathway (period 2011-2012) and received care as usu
Sponsors
The Dutch Organization for Health Research and Development
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients: 1. Admitted to the geriatric rehabilitation facility in the period April 2011-March 2012 or in the period April 2013 - August 2014 2. Aged = 65 years 3. Admitted to the hospital prior to admission to the geriatric rehabilitation facility 4. Community-dwelling prior to hospital admission 5. Patients with complex care needs and related functional loss and care dependency Caregivers: Informal caregivers aged 18 years and over.
Exclusion criteria
Exclusion criteria: Patients: 1. Patients with strokes, trauma orthopedics, elective orthopedics 2. Cognitive problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients: Level of independence is measured using the Katz Index of activities of daily living (KATZ-15) at baseline, 3 and 9 months. Caregivers: Effects of the pathway on informal caregivers is determined through measuring the subjective burden of informal caregiving with the Self-Rated care Burden VAS at baseline, 3 and 9 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patients: 1. Instrumental Activities of Daily Living, measured with the Frenchay Activities Index at baseline, 3 and 9 months 2. Social participation, assessed with a subscale of the Impact on Participation and Autonomy (IPA) questionnaire at baseline, 3 and 9 months 3. Psychological well-being, measured using a subscale from the RAND-36 at baseline, 3 and 9 months 4. Quality of life, measured with a modified version of Canthril’s Self Anchoring Ladder at baseline, 3 and 9 months Caregivers: 1. Self-perceived health, assessed with the first question of the RAND-36 at baseline, 3 and 9 months 2. Transfer of care, by asking informal caregivers to indicate on a scale from 1-10 how happy they would feel if their informal care activities were taken care of by someone else at baseline, 3 and 9 months | — |
Countries
Netherlands
Outcome results
None listed