Ignite Creation Date:
2024-06-16 @ 11:51 AM
Last Modification Date:
2024-10-26 @ 3:31 PM
Study NCT ID:
NCT06440447
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-06-03
First Post:
2024-05-16
Brief Title:
EXploring Patterns of Use and Effects of Adult Day Programs to Improve Trajectories of Continuing carE
Sponsor:
York University
Organization:
York University
Study Overview
Official Title:
EXploring Patterns of Use and Effects of Adult Day Programs to Improve Trajectories of Continuing carE EXPEDITE
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
EXPEDITE
Brief Summary:
This study seeks to understand the impact of Canadas adult day program on attendees and non-attendees especially those with dementia and other co-morbidities A retrospective cohort study will be conducted including older adults in the community who do or do not attend adult day programs in Alberta British Columbia and Manitoba Canada The objectives are to 1 compare patterns of day program use including non-use by Canadian province Alberta British Columbia Manitoba and time 2 compare characteristics of older adults by day program use pattern including non-use province and time and 3 to examine whether those who are exposed to day programs compared to a propensity-score matched comparison group of non-exposed older adults in the community enter long-term care homes at later times primary outcome are less likely to have depressive symptoms physical and cognitive change and have lower use of primary acute and emergency care secondary outcomes
Detailed Description:
Adult day programs provide critical supports to both older adults living in the community and their familyfriend caregivers This is essential because ensuring high-quality care in the community for as long as possible and avoiding or delaying long-term care home admissions are key priorities of older adults their caregivers and healthcare systems While most older adults in Canada receive care in the community about 10 of newly admitted nursing home residents have relatively low care needs that could be met in the community with the right supports Caregivers provide most of the care in the community which puts them at high risk for caregiver burden Day programs intend to mitigate these issues by providing respite to caregivers However research on the effectiveness of day programs is inconsistent Generally the methodological quality of studies is poor and especially Canadian research is lacking The research objectives are to 1 explore changes in patterns of day program use including non-use between provinces and over time 2 compare characteristics of older adults with different day program use patterns including non-use and 3 assess whether day program attendees compared to a propensity score matched control group of non-attendees have better outcomes This retrospective cohort study will use population-based clinical and health administrative data of older adults 65 years who received publicly subsidized continuing care in the community in Alberta British Columbia and Manitoba between January 01 2012 and December 31 2024 Patterns of day program use ie variations in time to attend a day program for the first time and frequency and duration of attendance and how these patterns vary by province and over time will be assessed Characteristics of older adults with different patterns of day program use eg no low medium high will be compared Characteristics of the participants will include age sex dementia status frailty level comorbidity status socioeconomic status availability of a caregiver and caregiver distress Finally propensity-matched comparison group by region age gender cognitivephysical impairment typeduration of community care received previously of older adults who have not attended a day program will be created Time-to-event models and general estimating equations will assess whether day program attendees compared to non-attendees enter continuing care facilities later primary outcome use emergency acute or primary care less frequently experience less cognitive and physical decline and have better mental health secondary outcomes Models will include day program exposure as an independent variable and will be adjusted for province participant demographics medical and functional conditions caregiver availabilitydistress other community services received eg home care in-home respite and if appropriate matching variables
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None