The Effect of Case Conferencing in Nursing Homes
Primary Purpose
Dementia, Neurobehavioral Manifestations
Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Case conferencing
Sponsored by
About this trial
This is an interventional treatment trial for Dementia focused on measuring Nursing homes, Norway
Eligibility Criteria
Inclusion Criteria:
- registered as long term care patient
- been in the nursing home for more than a month
- Informed consent from the patient or legal guardians
Exclusion Criteria:
- life expectancy less than six months
Sites / Locations
- Overhalla sykeheim
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Active Comparator
Arm Label
Control nursing homes
Intervention nursing homes
Arm Description
Nursing homes carries out usual care
Nursing homes that carries out regularly case conferencing
Outcomes
Primary Outcome Measures
Prevalence of neuropsychiatric symptoms measured by neuropsychiatric inventory
Measured by neuropsychiatric inventory
Secondary Outcome Measures
Depression measured by Cornell scale for depression in dementia
Measured by Cornell scale for depression in dementia
Activities in daily living measured by Physical self-maintenance scale
Measured by Physical self-maintenance scale
Quality of life measured by the Quality of Life in Late-Stage Dementia Scale
Measured by the Quality of Life in Late-Stage Dementia Scale
Full Information
NCT ID
NCT02790372
First Posted
May 31, 2016
Last Updated
June 2, 2020
Sponsor
Norwegian University of Science and Technology
1. Study Identification
Unique Protocol Identification Number
NCT02790372
Brief Title
The Effect of Case Conferencing in Nursing Homes
Official Title
The Effect of Comprehensive Geriatric Assessment and Case Conferencing on Neuropsychiatric Symptoms Among Patients in Norwegian Nursing Homes
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
April 2015 (Actual)
Primary Completion Date
April 5, 2017 (Actual)
Study Completion Date
April 5, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Norwegian University of Science and Technology
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study evaluates the effect of using comprehensive geriatric assessment in combination with case conferences on the prevalence of neuropsychiatric symptoms (also known as behavioral and psychological symptoms of dementia) in Norwegian nursing homes
Detailed Description
Long-term care patients in nursing homes (NH) are characterized by frailty and having multiple health problems and reduced quality of life. Some of these issues relates to the quality of care and do therefore possess a potential for improvement. There is a need for approaches enabling nurses to carry out effective interventions that can promote health related to sustain or improve the nursing home patients health status. Integrating a comprehensive geriatric assessment (CGA) and case conferencing (CC) might be an effective method to individualize care plans in order to improve quality of care.
The intervention nursing homes will implement CGA, using the International resident instrument suite for Long Term Care Facilities (InterRai LTCF) and CC. The patients will be included and assessed three times during a 12-month period (control and intervention NHs). In the intervention NHs the results from the CGA will be reviewed in monthly CCs. The CCs are structured and consist of four main steps; evaluating the effects of earlier interventions, defining patients risks or area for improvement, defining the aetiology of the risk or problem, defining interventions and measures for improvement along with an appropriate method for evaluation. The CC group's consensus is basis for the patient's care plan.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dementia, Neurobehavioral Manifestations
Keywords
Nursing homes, Norway
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
309 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Control nursing homes
Arm Type
No Intervention
Arm Description
Nursing homes carries out usual care
Arm Title
Intervention nursing homes
Arm Type
Active Comparator
Arm Description
Nursing homes that carries out regularly case conferencing
Intervention Type
Other
Intervention Name(s)
Case conferencing
Intervention Description
Intervention nursing homes carries out regularly case conferencing based on comprehensive geriatric assessments. Case conferencing is carried out each month for nursing home patients included in the study
Primary Outcome Measure Information:
Title
Prevalence of neuropsychiatric symptoms measured by neuropsychiatric inventory
Description
Measured by neuropsychiatric inventory
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Depression measured by Cornell scale for depression in dementia
Description
Measured by Cornell scale for depression in dementia
Time Frame
12 months
Title
Activities in daily living measured by Physical self-maintenance scale
Description
Measured by Physical self-maintenance scale
Time Frame
12 months
Title
Quality of life measured by the Quality of Life in Late-Stage Dementia Scale
Description
Measured by the Quality of Life in Late-Stage Dementia Scale
Time Frame
12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
registered as long term care patient
been in the nursing home for more than a month
Informed consent from the patient or legal guardians
Exclusion Criteria:
life expectancy less than six months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sigrid Nakrem, phd
Organizational Affiliation
Norwegian University of Science and Technology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Overhalla sykeheim
City
Overhalla
Country
Norway
12. IPD Sharing Statement
Plan to Share IPD
Yes
Citations:
PubMed Identifier
30917815
Citation
Nakrem S, Stensvik GT, Skjong RJ, Ostaszkiewicz J. Staff experiences with implementing a case conferencing care model in nursing homes: a focus group study. BMC Health Serv Res. 2019 Mar 27;19(1):191. doi: 10.1186/s12913-019-4034-0.
Results Reference
result
PubMed Identifier
35410145
Citation
Stensvik GT, Helvik AS, Haugan G, Steinsbekk A, Salvesen O, Nakrem S. The short-term effect of a modified comprehensive geriatric assessment and regularly case conferencing on neuropsychiatric symptoms in nursing homes: a cluster randomized trial. BMC Geriatr. 2022 Apr 11;22(1):316. doi: 10.1186/s12877-022-02976-x.
Results Reference
derived
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The Effect of Case Conferencing in Nursing Homes
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