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Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks

Primary Purpose

Diabetes, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure

Status

Unknown status

Phase

Phase 2

Locations

Canada

Study Type

Interventional

Intervention

Self-management of chronic illness

About this trial

This is an interventional prevention trial for Diabetes

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 50 years and over 'At Risk' by having one or more of the following: a. Visits to emergency dept within the past 6 months; b. Admission to hospital for a medical problem in past 6 months; c. High service use profiles; d. Polypharmacy; e. Other high risk factors Capable of giving informed consent Able to use the Care Companion technology Exclusion Criteria: Cognitive impairment such that they cannot give informed consent Unable or unwilling to use the telehomecare equipment Unlikely to tolerate the intensive intervention Language or cultural barriers Being acutely ill or having an unstable condition on entry to the study

Sites / Locations

West Carleton Family Health Network

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

NCT ID

NCT00238836

First Posted

October 12, 2005

Last Updated

October 12, 2006

Sponsor

C. T. Lamont Primary Care Research Centre

Collaborators

Ontario Ministry of Health and Long Term Care, University of Ottawa

1. Study Identification

Unique Protocol Identification Number

NCT00238836

Brief Title

Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks

Study Type

Interventional

2. Study Status

Record Verification Date

June 2005

Overall Recruitment Status

Unknown status

Study Start Date

undefined (undefined)

Primary Completion Date

undefined (undefined)

Study Completion Date

March 2006 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor

C. T. Lamont Primary Care Research Centre

Collaborators

Ontario Ministry of Health and Long Term Care, University of Ottawa

4. Oversight

5. Study Description

Brief Summary

The University of Ottawa and Élisabeth Bruyère Research Institute are conducting a study of preventive care for frail patients at risk of functional decline. At risk patients are assigned by chance to continue receiving their standard care from their family physician or receive additional care from a nurse practitioners and a pharmacist. In collaboration with the family physician, they develop an individualized care plan, a treatment and management road plan, for each patient, which they implement over the study period of one approximately year. The objective of the study is to compare the effectiveness of the model of care that includes the nurse practitioners and pharmacist against standard care in preventing functional decline, to determine the acceptability of this model of care to patients, their caregivers and the medical team, and to evaluate the cost implication of the program.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Diabetes, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, Hypertension

7. Study Design

Primary Purpose

Prevention

Study Phase

Phase 2, Phase 3

Interventional Study Model

Single Group Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

240 (false)

8. Arms, Groups, and Interventions

Intervention Type

Behavioral

Intervention Name(s)

Self-management of chronic illness

10. Eligibility

Sex

All

Minimum Age & Unit of Time

50 Years

Accepts Healthy Volunteers

Eligibility Criteria

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

William Hogg, MD

Organizational Affiliation

C. T. Lamont Primary Care Research Centre

Official's Role

Principal Investigator

First Name & Middle Initial & Last Name & Degree

Jacques Lemelin, MD

Organizational Affiliation

University of Ottawa

Official's Role

Principal Investigator

Facility Information:

Facility Name

West Carleton Family Health Network

City

Carp

State/Province

Ontario

ZIP/Postal Code

K0A 1L0

Country

Canada

12. IPD Sharing Statement

Citations:

PubMed Identifier

22893340

Citation

Fletcher J, Hogg W, Farrell B, Woodend K, Dahrouge S, Lemelin J, Dalziel W. Effect of nurse practitioner and pharmacist counseling on inappropriate medication use in family practice. Can Fam Physician. 2012 Aug;58(8):862-8.

Results Reference

derived

PubMed Identifier

20154234

Citation

Dahrouge S, Hogg W, Lemelin J, Liddy C, Legault F. Methods for a study of Anticipatory and Preventive multidisciplinary Team Care in a family practice. Can Fam Physician. 2010 Feb;56(2):e73-83.

Results Reference

derived

PubMed Identifier

20090057

Citation

Gray D, Armstrong CD, Dahrouge S, Hogg W, Zhang W. Cost-effectiveness of Anticipatory and Preventive multidisciplinary Team Care for complex patients: evidence from a randomized controlled trial. Can Fam Physician. 2010 Jan;56(1):e20-9.

Results Reference

derived

PubMed Identifier

20008582

Citation

Hogg W, Lemelin J, Dahrouge S, Liddy C, Armstrong CD, Legault F, Dalziel B, Zhang W. Randomized controlled trial of anticipatory and preventive multidisciplinary team care: for complex patients in a community-based primary care setting. Can Fam Physician. 2009 Dec;55(12):e76-85.

Results Reference

derived

Learn more about this trial

Anticipatory & Preventive Team Care (APTCare): At Risk Patients of Family Health Networks

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