Preventing and Approaching Crises for Frail Community-dwelling Patients Through Through Innovative Care (PRACTIC) (PRACTIC)
Frailty
About this trial
This is an interventional prevention trial for Frailty focused on measuring frailty, crises, home care services, community-dwelling people, behavioural and psychological symptoms of dementia (BPSD), psychosocial interventions, case conferences
Eligibility Criteria
Inclusion Criteria for patients: in need of home care services a score ≥5 on the Clinical Frailty Scale (indicating mild to severe frailty) perceived by the home care service as being in an unstable situation with a high risk for acute institutionalisation or showing resistance to care. Exclusion Criteria for patients: - expected short life expectancy (i.e., <4 weeks). Inclusion criteria for next of kin (for RQ3): being next of kin of a user of home care services who meets the above mentioned inclusion criteria regular contact with the patient (i.e., at least once a week).
Sites / Locations
- Sykehuset InnlandetRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Interventions municipalities
Control municipalities
Locally adapted TIME (Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms) intervention. Municipalities will be randomly assigned to either the intervention group or the control group. A biostatician will perform the randomisation procedure independently of the project management team and the municipalities. The project management team will provide the home care services in the municipalities with the randomisation and allocation results immediately following this procedure. The intervention will start with the educational sessions (described below) within one to two weeks after randomisation.
Care as usual