Ignite Creation Date:
2024-05-05 @ 11:23 AM
Last Modification Date:
2024-10-26 @ 9:06 AM
Study NCT ID:
NCT00012740
Status:
COMPLETED
Last Update Posted:
2015-04-07
First Post:
2001-03-14
Brief Title:
A Casefinding and Referral System for Older Veterans Within Primary Care
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
A Casefinding and Referral System for Older Veterans Within Primary Care
Status:
COMPLETED
Status Verified Date:
2005-12
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:
None
Brief Summary:
Underdiagnosis and undertreatment of elderly persons remains a widespread problem While many innovative geriatric care programs exist within VHA we still lack a systematic process for identifying at-risk elders from the larger VA population who are likely to benefit from specialized geriatric services
Detailed Description:
Background
Underdiagnosis and undertreatment of elderly persons remains a widespread problem While many innovative geriatric care programs exist within VHA we still lack a systematic process for identifying at-risk elders from the larger VA population who are likely to benefit from specialized geriatric services
Objectives
Our goal is to improve care for at-risk older veterans through a comprehensive system of casefinding assessment referral and follow-up within the primary care setting We hypothesize that subjects receiving this intervention will have more complete evaluation and treatment for selected geriatric conditions ie falls urinary incontinence functional status impairments depression and cognitive deficits better continuity of care less decline in functional status and better general health than subjects receiving usual care
Methods
This randomized controlled trial is being performed at the Sepulveda VA Outpatient Clinic The study sample is composed of community-dwelling veterans aged 65 and older who are not receiving VA geriatric services Veterans are mailed a health screening survey to identify those at risk for decline based on criteria established in pilot work At-risk respondents who are in the intervention group receive a structured telephone assessment casefinding and referral to appropriate geriatric services including a geriatric assessment and teaching clinic integrated with primary care and telephone case management Subjects in the control group receive usual care Major outcome measures collected by telephone interview at baseline 12 24 and 36 months include functional status self-rated health satisfaction and health care utilization Medical records are reviewed for evidence of evaluation and treatment of the target conditions
Status
Data collection for this project was completed on September 30 2001 The subject recruitment phase was completed in August 1998 Collection of 36 month follow-up data has been completed for all subjects enrolled Data analysis and preparation of publication is in press
Underdiagnosis and undertreatment of elderly persons remains a widespread problem While many innovative geriatric care programs exist within VHA we still lack a systematic process for identifying at-risk elders from the larger VA population who are likely to benefit from specialized geriatric services
Objectives
Our goal is to improve care for at-risk older veterans through a comprehensive system of casefinding assessment referral and follow-up within the primary care setting We hypothesize that subjects receiving this intervention will have more complete evaluation and treatment for selected geriatric conditions ie falls urinary incontinence functional status impairments depression and cognitive deficits better continuity of care less decline in functional status and better general health than subjects receiving usual care
Methods
This randomized controlled trial is being performed at the Sepulveda VA Outpatient Clinic The study sample is composed of community-dwelling veterans aged 65 and older who are not receiving VA geriatric services Veterans are mailed a health screening survey to identify those at risk for decline based on criteria established in pilot work At-risk respondents who are in the intervention group receive a structured telephone assessment casefinding and referral to appropriate geriatric services including a geriatric assessment and teaching clinic integrated with primary care and telephone case management Subjects in the control group receive usual care Major outcome measures collected by telephone interview at baseline 12 24 and 36 months include functional status self-rated health satisfaction and health care utilization Medical records are reviewed for evidence of evaluation and treatment of the target conditions
Status
Data collection for this project was completed on September 30 2001 The subject recruitment phase was completed in August 1998 Collection of 36 month follow-up data has been completed for all subjects enrolled Data analysis and preparation of publication is in press
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None