The prevention and Reactivation Care Programme: A personalized, integrated intervention for prevention of functional decline after hospital stay.

The Prevention and Reactivation Care Programme: A personalized, integrated intervention for prevention of functional decline after hospital stay.

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON26198

Enrollment

3100

Registered

2010-05-07

Start date

2010-05-10

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Frailty, Elderly, Older persons, Function, Quality of Life, Cost-effectiveness, Hospitalization, Prevention, Independence, Physical function, Quality of Care, Informal care, Self-management

Interventions

The ZPH-programme [ZPH: Zorgprogramma voor Preventie en Herstel = Prevention and Reactivation Care Programme] deploys a package of interventions for the retention of function, with the aid of a treatm

2. Intensive follow-up treatment (via stay in the Prevention and Reactivation Centre for part of the vulnerable elderly)

3. Intensive follow-up in primary care by means of a casemanager with geriatric expertise. The ZPH uses an integral, multidisciplinary, and goal-oriented approach (with the aid of Goal Attainment Sca

Eligibility

Inclusion criteria

Inclusion criteria: The study population consists of elderly persons (65 years and older) who are admitted to a hospital and - during admission - have a high risk of loss in function.

Exclusion criteria

Exclusion criteria: 1. Severe cognitive problems (MMSE < 12); 2. Life expectancy shorter than 3 months; 3. Not able to complete the baseline measurements within 5 days after admission.

Design outcomes

Primary

Measure	Time frame
Regarding the effect of ZPH: 1. Functional status of the elderly patient; 2. Duration of hospital stay. Regarding the process evaluation: 1. Registration of care process; 2. Quality of care. Regarding the cost-effectiveness: 1. The costs per quality-adjusted life-year (QALY).	—

Secondary

Measure	Time frame
Regarding the effect of ZPH: 1. Quality of life of the elderly patients; 2. Quality of life of the informal carers; 3. Physical functioning of the elderly; 4. Social functioning of the elderly; 5. Objective and subjective burden of the informal carer; 6. Psychiatric and psychosocial problems. Regarding the process evaluation: 1. Duration of stay in hospital and nursing home; 2. Interventions carried out for frail elderly; 3. Number of wrong-bed days; 4. Care-providers opinion about multidisciplinary coordination. Regarding the cost-effectiveness: 1. Total care consumption.	—

Measure

Time frame

Regarding the effect of ZPH: 1. Quality of life of the elderly patients; 2. Quality of life of the informal carers; 3. Physical functioning of the elderly; 4. Social functioning of the elderly; 5. Objective and subjective burden of the informal carer; 6. Psychiatric and psychosocial problems. Regarding the process evaluation: 1. Duration of stay in hospital and nursing home; 2. Interventions carried out for frail elderly; 3. Number of wrong-bed days; 4. Care-providers opinion about multidisciplinary coordination. Regarding the cost-effectiveness: 1. Total care consumption.

—

Contacts

Public ContactP.L. Vreede, de

P.O. Box 2040

p.devreede@erasmusmc.nl+31 (0)10 7043722

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)