Preventive effects of Transmural Integrated Care (TIC, 'ketenzorg') on disabled persons within homes of the elderly

ISRCTN	ISRCTN11076857
DOI	https://doi.org/10.1186/ISRCTN11076857
Secondary identifying numbers	NTR544

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Dr M. Boorsma
Scientific

Westfriese Zorggroep de Omring
Verpleeghuis Lindendael
Koepoortsweg 35
Hoorn
1624 AB
Netherlands

Email	ma.boorsma@wxs.nl

Study design	Multicentre randomised open label active controlled crossover group trial
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	Other
Study type	Quality of life
Scientific title
Study acronym	Pikov
Study objectives	Transmural integrated care is effective on quality of life, functional health and disability.
Ethics approval(s)	Received from local medical ethics committee
Health condition(s) or problem(s) studied	Activities of daily living (ADL) disabled, chronic disorder
Intervention	TIC is operationalised in three sequential elements: 1. An in home multidimensional assessment is carried out by trained staff of the patient's functional health and care needs with the resident assessment instrument (RAI) 2. The assessment outcomes are discussed in a multidisciplinary consultation (MC). The MC presents individualised care plans to manage or treat modifiable disabilities and risk factors. 3. Consultation by a nursing home physician and psychologist is offered to the frailest residents at risk for nursing home admission (according to the RAI) The control subjects receive care as usual.
Intervention type	Other
Primary outcome measure	1. Quality adjusted life years 2. Functional health 3. Disability 4. Cost effectiveness
Secondary outcome measures	1. Admission to hospital and nursing home 2. Mortality 3. Patients care satisfaction
Overall study start date	01/01/2006
Completion date	01/01/2008

Participant type(s)	Patient
Age group	Senior
Sex	Both
Target number of participants	166
Key inclusion criteria	Persons who have at least one chronic disorder and are ADL-disabled.
Key exclusion criteria	Terminally ill
Date of first enrolment	01/01/2006
Date of final enrolment	01/01/2008

Westfriese Zorggroep de Omring

Hoorn
1624 AB
Netherlands

West Fresian Area Care Group (Westfriese Zorggroep de Omring) (Netherlands)
Hospital/treatment centre

Lindendael Nursing Home (Verpleeghuis Lindendael)
Koepoortsweg 35
Hoorn
1624 AB
Netherlands

"ROR"	https://ror.org/0180s3q15

Hospital/treatment centre

VU University Medical Centre (VUMC) (Netherlands)

No information available

Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Private sector organisation / Other non-profit organizations

Alternative name(s): Netherlands Organisation for Health Research and Development
Location: Netherlands

West Fresian Area Care Group (Westfriese Zorggroep de Omring) (Netherlands)

No information available

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan

Output type	Details	Date created	Peer reviewed?	Patient-facing?
Protocol article	protocol	07/07/2008	Yes	No
Results article	results	09/08/2011	Yes	No
Other publications	cost-effectiveness analysis	01/08/2012	Yes	No