Trial reportBMC geriatrics2013
Integrated care for frail elderly compared to usual care: a study protocol of a quasi-experiment on the effects on the frail elderly, their caregivers, health professionals and health care costs.
Trial report in BMC geriatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of health care interventions on quality of life among frail elderly: a systematized review.Clinical interventions in aging · 2019Pooled it
- Randomized controlled trial to evaluate a prevention program for frail community-dwelling older adults: a D-SCOPE protocol.BMC geriatrics · 2018Trial
- The effects of a pro-active integrated care intervention for frail community-dwelling older people: a quasi-experimental study with the GP-practice as single entry point.BMC geriatrics · 2016Trial
- A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project.International journal of integrated care · 2021Article
- Evaluation of Elderly's Integrated Healthcare components in primary healthcare centers of Tehran, Iran.Journal of education and health promotion · 2021Article
- Health service delivery models for elderly people: A systematic review.Medical journal of the Islamic Republic of Iran · 2021Review
- Comprehensive geriatric assessments in integrated care programs for older people living at home: A scoping review.Health & social care in the community · 2019Article
- Patient-centred access to health care: a framework analysis of the care interface for frail older adults.BMC geriatrics · 2018Article
- Understanding implementation of comprehensive geriatric care programs: a multiple perspective approach is preferred.The International journal of health planning and management · 2017Article
- Improving health related quality of life among rural hypertensive patients through the integrative strategy of health services delivery: a quasi-experimental trial from Chongqing, China.International journal for equity in health · 2016Article
- Cost-effectiveness of the 'Walcheren Integrated Care Model' intervention for community-dwelling frail elderly.Family practice · 2016Article
- Can the Medical-nursing Combined Care Promote the Accessibility of Health Services for the Elderly in Nursing Home? A Study Protocol of Analysis of the Effectiveness Regarding Health Service Utilization, Health Status and Satisfaction with Care.The West Indian medical journal · 2015Article
- Initiatives on early detection and intervention to proactively identify health and social problems in older people: experiences from the Netherlands.BMC geriatrics · 2015Article
- Cost-effectiveness of integrated care in frail elderly using the ICECAP-O and EQ-5D: does choice of instrument matter?The European journal of health economics : HEPAC : health economics in prevention and care · 2015Article
- The short-term effects of an integrated care model for the frail elderly on health, quality of life, health care use and satisfaction with care.International journal of integrated care · 2014Article
- The effects of an integrated care intervention for the frail elderly on informal caregivers: a quasi-experimental study.BMC geriatrics · 2014Article
- A quasi-experimental study of the effects of an integrated care intervention for the frail elderly on informal caregivers' satisfaction with care and support.BMC health services research · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrail elderly persons living at home are at risk for mental, psychological, and physical deterioration. These problems often remain undetected. If care is given, it lacks the quality and continuity required for their multiple and changing problems. The aim of this project is to improve the quality and efficacy of care given to frail elderly living independently by implementing and evaluating a preventive integrated care model for the frail elderly. METHODS/
designThe design is quasi-experimental. Effects will be measured by conducting a before and after study with control group. The experimental group will consist of 220 elderly of 8 GPs (General Practitioners) who will provide care according to the integrated model (The Walcheren Integrated Care Model). The control group will consist of 220 elderly of 6 GPs who will give care as usual. The study will include an evaluation of process and outcome measures for the frail elderly, their caregivers and health professionals as well as a cost-effectiveness analysis. A concurrent mixed methods design will be used. The study population will consist of elderly 75 years or older who live independently and score a 4 or higher on the Groningen Frailty Indicator, their caregivers and health professionals. Data will be collected prospectively at three points in time: T0, T1 (3 months after inclusion), and T2 (12 months after inclusion). Similarities between the two groups and changes over time will be assessed with t-tests and chi-square tests. For each measure regression analyses will be performed with the T2-score as the dependent variable and the T0-score, the research group and demographic variables as independent variables. DISCUSSION: A potential obstacle for this study will be the willingness of the elderly and their caregivers to participate. To increase willingness, the request to participate will be sent via the elders' own GP. Interviewers will be from their local region and gifts will be given. A successful implementation of the integrated model is also necessary. The involved parties are members of a steering group and have contractually committed themselves to the project.
trial registrationCurrent Controlled Trials ISRCTN05748494.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.