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Swiss Study on Vitamin D and Calcium in Nursing Homes

Primary Purpose

Aging, Vitamin Deficiency

Status
Completed
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
peer physician-applied recommendation to the physicians
Sponsored by
University of Zurich
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Aging focused on measuring nursing home, vitamin D supplements, calcium supplements, guideline adherence

Eligibility Criteria

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

Inclusion Criteria:

  • Resident of nursing home on qualifying date
  • Written informed consent by residents or their relatives

Exclusion Criteria:

  • Refusion of participation

Sites / Locations

  • Pflegeheim Sonnhalden

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Entire group

Arm Description

A peer-applied guideline will be applied to the physicians.

Outcomes

Primary Outcome Measures

Proportion of compliance with federal recommendations
We register the proportion of residents those calcium and vitamin D supplementation complies with Swiss federal recommendation.

Secondary Outcome Measures

25-hydroxyvitamin D serum levels
We measure 25-hydroxyvitamin D serum levels among the residents.
Effect of nursing home-applied recommendations to physicians
We check the effect of a nursing-home-applied recommendation to the physicians in care of the residents concerning correct supplementation with vitamin D and calcium on a) proportion of compliance with federal recommendations, b) 25-hydroxyvitamin D serum levels and c) medication costs.

Full Information

First Posted
July 23, 2012
Last Updated
October 1, 2013
Sponsor
University of Zurich
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1. Study Identification

Unique Protocol Identification Number
NCT01653353
Brief Title
Swiss Study on Vitamin D and Calcium in Nursing Homes
Official Title
Swiss Study on Vitamin D and Calcium in Nursing Homes
Study Type
Interventional

2. Study Status

Record Verification Date
October 2013
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
September 2013 (Actual)
Study Completion Date
September 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Zurich

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Residents of nursing homes are endangered by malnutrition and vitamin D deficiency. Our study checks compliance with Swiss federal recommendations on vitamin D and calcium supplementation among residents of a Swiss nursing home. A peer physician-applied recommendation on compliance with the federal recommendations with individual evaluation of the residents will be sent to the physicians in care. After one year, data will be collected again.
Detailed Description
The investigators plan to get a complete sample of all inhabitants, so the only inclusion criterion is to get an informed consent either from the residents or from their relatives. The following data will be recorded: Year of birth, gender, height, weight, blood pressure and heart rate, daily calcium intake from diet, nursing home scales on pain, depression, dementia and activities of daily life, date of entry to the home, diagnosis and medication lists. From a venous blood sample the investigators get: calcium, phosphate, albumin, creatinin, 25-hydroxyvitamin D, parathormone (intact). Primary endpoint: Proportion of medication lists of residents complying with federal recommendation on vitamin D and calcium supplementation. Secondary endpoints: 25-hydroxyvitamin D levels, effect of an intervention with a nursing home-applied recommendation to the physicians.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aging, Vitamin Deficiency
Keywords
nursing home, vitamin D supplements, calcium supplements, guideline adherence

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
71 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Entire group
Arm Type
Experimental
Arm Description
A peer-applied guideline will be applied to the physicians.
Intervention Type
Behavioral
Intervention Name(s)
peer physician-applied recommendation to the physicians
Intervention Description
The peer physician-applied recommendation will include scientific information, practical recommendations to correctly supplement with calcium and vitamin D and a list of individual appraisals of the prescribed supplements among the residents.
Primary Outcome Measure Information:
Title
Proportion of compliance with federal recommendations
Description
We register the proportion of residents those calcium and vitamin D supplementation complies with Swiss federal recommendation.
Time Frame
up to 12 months
Secondary Outcome Measure Information:
Title
25-hydroxyvitamin D serum levels
Description
We measure 25-hydroxyvitamin D serum levels among the residents.
Time Frame
up to 12 months
Title
Effect of nursing home-applied recommendations to physicians
Description
We check the effect of a nursing-home-applied recommendation to the physicians in care of the residents concerning correct supplementation with vitamin D and calcium on a) proportion of compliance with federal recommendations, b) 25-hydroxyvitamin D serum levels and c) medication costs.
Time Frame
up to 12 months

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Resident of nursing home on qualifying date Written informed consent by residents or their relatives Exclusion Criteria: Refusion of participation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Markus P. Gnädinger, MD
Organizational Affiliation
Zurich University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Heike A. Bischoff-Ferrari, MD, DrPH, Prof
Organizational Affiliation
Zurich University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Andreas Egli, MD
Organizational Affiliation
Zurich University
Official's Role
Study Chair
Facility Information:
Facility Name
Pflegeheim Sonnhalden
City
Arbon
State/Province
TG
ZIP/Postal Code
9320
Country
Switzerland

12. IPD Sharing Statement

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Swiss Study on Vitamin D and Calcium in Nursing Homes

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