Effect of a Community-based Nursing Intervention on Mortality in Chronically Ill Older Adults
NCT01071967 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2000
Last updated 2013-09-10
Summary
Care coordination, disease management, geriatric care management, and preventive programs for chronically ill older adults vary in design and their impact on long-term health outcomes is not well established. This study investigates whether a community-based nursing intervention improves longevity and impact on cardiovascular risk factors in this population. The results reflect the impact of one of the study sites (Health Quality Partners) selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the Medicare Coordinated Care Demonstration, a national demonstration designed to identify promising models of care coordination for chronically ill older adults. The study began in April 2002.
Conditions
- Heart Failure
- Coronary Disease
- Diabetes Mellitus
- Asthma
- Hypertension
- Hypercholesterolemia
Interventions
- OTHER
-
Community-based nurse care management
The community-based nurse care management program developed by Health Quality Partners uses nurses working in the community to provide the following integrated set of services to older adults with chronic illness over the long term in order to prevent avoidable complications of their diseases and aging; geriatric assessment, care coordination, health education, self-management coaching, weight management, physical activity, gait and balance training, medication adherence, care transition support, ongoing monitoring and symptom detection, collaborative problem solving with patients, families and health care providers.
Sponsors & Collaborators
-
Centers for Medicare and Medicaid Services
collaborator FED -
Health Quality Partners
lead OTHER
Principal Investigators
-
Kenneth D Coburn, MD, MPH · Health Quality Partners
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2002-04-30
- Primary Completion
- 2014-12-31
- Completion
- 2016-12-31
Countries
- United States
Study Locations
More Related Trials
-
Evaluating the Effect of Neighborhood Environments on Cardiovascular Risk Factors
NCT00361673 ·Status: COMPLETED
-
Training Community Members to be Coaches to Deliver the HealthyLifetime Program
NCT06616246 ·Status: RECRUITING ·Phase: NA
-
Housing, Environment, And Living Conditions for Transformed Health
NCT06925373 ·Status: RECRUITING ·Phase: NA
-
Evaluation of a Lifestyle Medicine Practice
NCT03739034 ·Status: COMPLETED ·Phase: NA
-
Implementation of a Population Health Chronic Disease Management Program
NCT02812303 ·Status: COMPLETED
-
A Community Health Worker Program to Support Rural Older Adults
NCT03843333 ·Status: COMPLETED ·Phase: NA
-
Promotion of Healthy Lifestyle Habits in Primary Care Settings
NCT05689762 ·Status: RECRUITING ·Phase: NA
-
Prescribing Smart Aging: Integrating Health Systems With Community-Based Lifestyle Interventions
NCT03253341 ·Status: COMPLETED ·Phase: NA
-
Health Impact 360: Advancing Physical, Social, and Mental Health Among Marginalized Communities for Cardiovascular Health Equity
NCT07034352 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effectiveness of a Health Education Program in a Primary Care Setting
NCT00012779 ·Status: COMPLETED ·Phase: PHASE2
-
Community Health Workers Using Patient Stories to Support Hypertension Management
NCT02874547 ·Status: COMPLETED ·Phase: NA
-
Rural Intervention for Caregivers' Heart Health
NCT03068390 ·Status: COMPLETED ·Phase: NA
-
Evaluating Tools for Health Promotion and Disease Prevention
NCT00164658 ·Status: COMPLETED ·Phase: PHASE1
-
Structural Conditions and Health After Release From Prison
NCT05989282 ·Status: RECRUITING
-
Improving Heart Health in Appalachia
NCT01884246 ·Status: COMPLETED ·Phase: NA
-
Primary Healthcare for Community Living Old Elderly
NCT00452465 ·Status: COMPLETED ·Phase: NA
-
A Community Health Worker Intervention to Improve Lung Cancer Screening Uptake in Community Health Centers
NCT07168629 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Testing Preliminary Effectiveness of a Community Health Worker (CHW) Training Program on Caregiving
NCT06049043 ·Status: COMPLETED ·Phase: NA
-
Smart Integrated Health Promotion Program
NCT05412251 ·Status: UNKNOWN ·Phase: NA
-
A Remote Delivered Lifestyle Therapeutics Program
NCT04201028 ·Status: COMPLETED ·Phase: NA
-
Analysis of the Efficiency of a Chronic Disease Self-Management Programme in a Vulnerable Population in Five European Countries
NCT03840447 ·Status: COMPLETED ·Phase: NA
-
Trial to Enhance Adherence to Multiple Guidelines
NCT00201227 ·Status: COMPLETED ·Phase: NA
-
Brief Health Promotion Intervention for Older People in Mental Health
NCT06127680 ·Status: ACTIVE_NOT_RECRUITING
-
Healthy Lifetime - Sustainability and Quality Study
NCT05071326 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Health Literacy Enhancement Program Among Older Persons With Physical Multimorbidity
NCT06313138 ·Status: COMPLETED ·Phase: NA