Effects of home visits by home nurses to elderly people with health problems

ISRCTN ISRCTN92017183
DOI https://doi.org/10.1186/ISRCTN92017183
Protocol serial number 2200.0115
Sponsor Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Funder Netherlands Organisation for Health Research and Development (ZonMw), 2200.0115
Submission date
30/07/2004
Registration date
21/09/2004
Last edited
01/09/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Erik VanRossum
Scientific

P.O.Box 616
Maastricht
6200 MD
Netherlands

Phone +31 (0)43 388 2367
Email Erik.Vanrossum@epid.unimaas.nl

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study objectivesPreventive home visits to elderly people by public health nurses aim to maintain or improve the functional status of elderly and reduce the use of institutional care services. A number of trials that investigated the effects of home visits show positive results, but others do not. The outcomes can depend on differences in characteristics of the intervention programme, but also on the selection of the target population. A risk group approach seems promising, but further evidence is needed. We decided to carry out a study to investigate the effects in a population of elderly with (perceived) poor health rather than the general population. Also, we test whether nurses who are qualified at a lower professional level (home nurses instead of public health nurses) are able to obtain convincing effects. The results of this study will contribute to the discussion on effective public health strategies for the aged.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSelf-reported (perceived) health problems
InterventionThe intervention consists of (at least) 8 systematic home visits over an 18 months period. Experienced home nurses from the local home care organisation carry out the visits. The control group receives usual care.
Intervention typeOther
Primary outcome measure(s)

The outcome measures cover 2 domains: health status and service use. In addition a cost effectiveness analysis will be conducted.
The primary health related outcome measures are: self-rated health, functional status, quality of life and changes in self-reported problems.
The use of services relates to the frequency and duration of care from the following services: domestic and community nursing care, GP, physiotherapy, day care in institutional care settings, hospital outpatient clinics, hospital, nursing home, home for the elderly, use of aids and modifications to the home. The primary outcomes for service use are specialist medical care and hospital (re-) admission.

Key secondary outcome measure(s)

Secondary health related outcome measures: information will be obtained, among other things, on health complaints, medication use, and loneliness and mental health. The
municipality will supply mortality data over the entire research period.

Completion date30/11/2006

Eligibility

Participant type(s)Patient
Age groupSenior
SexAll
Target sample size at registration330
Key inclusion criteriaElderly (70-84 years) living in the community with self-reported poor health status
Key exclusion criteriaThose who already receive home nursing care
Date of first enrolment01/05/2002
Date of final enrolment30/11/2006

Locations

Countries of recruitment

  • Netherlands

Study participating centre

P.O.Box 616
Maastricht
6200 MD
Netherlands

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2008 Yes No
Protocol article protocol 15/12/2004 Yes No