Status:
RECRUITING
AdvantAGE: Implementation and Evaluation of an Interprofessional Tranistional Care Model for Frail Older Adults
Lead Sponsor:
Thekla Brunkert
Collaborating Sponsors:
Health Department of the Canton of Basel-Stadt
Conditions:
Transitional Care
Multimorbidity
Eligibility:
All Genders
65+ years
Phase:
NA
Brief Summary
This clinical trial at the University Department of Geriatric Medicine FELIX Platter in Basel, Switzerland, is designed to evaluate a new transitional care model aimed at helping frail older adults af...
Eligibility Criteria
Inclusion
- Currently admitted to the acute or rehabilitation ward of University Department of Geriatric Medicine
- Reside in Basel-Stadt
- Possess the ability to speak and comprehend the German language
- Scheduled to be discharged to their home
- 65 years or older
- Identified by a clinician as having a high risk of deterioration due to frailty
- Additionally, participants must meet at least one of the following criteria:
- diagnosed with a complex chronic disease requiring support in self-management and disease management, or
- facing socially challenging situations such as living alone without a supportive network or lacking a GP, or
- admitted for an acute illness with a brief hospital stay (e.g., infection, cardiac decompensation) and need support in self- and disease management, and continuity of the therapy plan, including close monitoring.
Exclusion
- residing in a nursing home or being newly admitted to one
- lacking informal caregivers and exhibiting severe cognitive impairment (MMS ≤23)
- scoring \<50 on the motoric domain of the Functional Independence Measure (FIM)
- having a psychiatric disorder that significantly impacts their ability to manage daily life at time of the discharge
Key Trial Info
Start Date :
January 8 2024
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 30 2026
Estimated Enrollment :
250 Patients enrolled
Trial Details
Trial ID
NCT06190288
Start Date
January 8 2024
End Date
June 30 2026
Last Update
February 2 2024
Active Locations (1)
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1
Universitäre Altersmedizin FELIX PLATTER
Basel, Switzerland, 4055