Cognitive Ability, General, Geriatric Disorder, Self-Neglect
Conditions
Keywords
Self-Neglect, Comprehensive Geriatric Assessment (CGA), Geriatric Syndromes, Quality of Life, Basic Activities of Daily Living, Instrumental Activities of Daily Living
Brief summary
This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.
Interventions
OTHERComprehensive Geriatric Assessment and APS Usual Care
Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.
OTHERAPS usual care
APS usual care consists of social, medical, and legal assistance.
Sponsors
The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 65 years of age or older * English Speaking * Resident of Harris County, Houston Texas * Community-dwelling * Substantiated Self-Neglect
Exclusion criteria
* No other substantiated allegations * Non-community dweller * No available for projected follow-up period * Impaired decision-making with no available proxy * Already receiving care from TEAM or within the past year * Terminal Illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-Neglect Severity Scale (SSS) | Baseline and 6-months |
Secondary
| Measure | Time frame |
|---|---|
| Kohlman Evaluation of Living Skills (KELS) | Baseline and 6-months |
| Mini-mental State Exam (MMSE) | Baseline and 6-months |
| 15-item Geriatric Depression Scale | Baseline and 6-months |
| Physical Performance Test (PPT) | Baseline and 6-months |
| Functional Status | Baseline and 6-months |
| The Duke Social Support Index (DSSI) | Baseline and 6-months |
| Client Satisfaction Questionnaire (CSQ-8) | Baseline and 6-months |
| Costs of Social Services and Health Care Utilization and Costs | Months 1,2,3,4,5,6 |
| SF-36 Health Survey | Baseline and 6-months |
Countries
United States
Outcome results
None listed