Interprofessional Health Needs Assessment (IHNA) for Older Adults Living at Home
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Interprofessional Health Needs Assesement (INHA).
- Who it may be relevant to
- Registry conditions: Health Related Quality of Life. Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Norway
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Implementing and Evaluating the Impact of Interprofessional Health Needs Assessment (INHA) for Older Adults Living at Home
Overview
This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of the Interprofessional Health Needs Assessment (IHNA) in older adults living at home. Specifically, the trial will assess the effects of IHNA on health-related quality of life, social care-related quality of life, survival, and health service utilization. The primary objective is to determine the effect of IHNA on participants' health-related quality of life at 12 months. Secondary objectives are to assess its effects on social care-related quality of life, survival (time to death), health service utilization, and quality-adjusted life years (QALYs) at 6 and 12 months.
Detailed description
Early identification of health needs among home-dwelling elderly adults is crucial for maintaining health and function, improving quality of life, and preventing hospitalizations. When allocating municipal health and care services, healthcare professionals assess functional abilities and health needs. Based on this assessment, services such as emergency alarms, everyday rehabilitation, home nursing care, practical assistance at home, and assistive devices are assigned. However, there is no standardized approach to what should be included in these assessments or how they should be conducted.
This project develops a procedure for interprofessional health needs assessment (IHNA) to systematically identify and address the health needs of older adults living at home. IHNA integrates the older adult's values and preferences into the assessment, ensuring that interventions and services align with their priorities. IHNA incorporates screening tools to provide a structured, holistic assessment of health and social domains.
The project involves co-creation of IHNA with healthcare professionals and older adults, workplace training in the effective use of IHNA, and implementation in two Norwegian municipalities through a randomized controlled trial.
By developing interprofessional practices for assessing health needs and equipping healthcare professionals with screening tools and training, the project will help municipalities provide fairer, more effective services to home-dwelling older adults.
Interventions
- Other Interprofessional Health Needs Assesement (INHA)
Interprofessional teams with a nurse, physiotherapist, or occupational therapist from Stavanger and Sandnes municipalities will assess participants in the intervention group using the Interprofessional Health Needs Assessment (INHA) procedure. INHA includes screening tools to assess mobility, cognition, mental health, nutrition and oral health, vision and hearing, activities of daily living, social network, physical and behavioral health. Based on the IHNA findings, the interprofessional teams,
Primary outcome measures
- Health-related quality of life [Time frame: Baseline, 6 months and 12 months]
Secondary outcome measures (5)
- Self-rated health [Time frame: Baseline, 6 months, and 12 months]
- Social care related quality of life [Time frame: Baseline, 6 months, and 12 months]
- Time to death (survival) [Time frame: Baseline to 12 months]
- Health care utilization [Time frame: 6 and 12 months]
- Quality-Adjusted Life Years ( QALYs) [Time frame: Baseline, 6 months and 12 months]
Eligibility criteria
Inclusion criteria
- 65 years and older
- applying for a municipal health and care service at home (i.e., practical assistance, home nursing, assistive devices, rehabilitation, day care center)
- the health care service will have a duration of more than 2 weeks
Exclusion criteria
- younger than 65 years
- diagnosed with dementia
- life expectancy shorter than 6 months
- applying for a nursing home placement
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Health services research
Study locations
Norway · 2 centers
- Sandnes Municipality — Sandnes
- Stavanger Muncipality — Stavanger
Identifiers
NCT: NCT07686172 · 355225 · 355225