Interprofessional Health Needs Assessment (IHNA) for Older Adults Living at Home

Официальное название

Implementing and Evaluating the Impact of Interprofessional Health Needs Assessment (INHA) for Older Adults Living at Home

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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,

Первичные конечные точки

• Health-related quality of life [Срок оценки: Baseline, 6 months and 12 months]

Вторичные конечные точки (5)

• Self-rated health [Срок оценки: Baseline, 6 months, and 12 months]
• Social care related quality of life [Срок оценки: Baseline, 6 months, and 12 months]
• Time to death (survival) [Срок оценки: Baseline to 12 months]
• Health care utilization [Срок оценки: 6 and 12 months]
• Quality-Adjusted Life Years ( QALYs) [Срок оценки: Baseline, 6 months and 12 months]

Критерии участия

Критерии включения

• 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

Критерии исключения

• younger than 65 years
• diagnosed with dementia
• life expectancy shorter than 6 months
• applying for a nursing home placement

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Организация здравоохранения

Центры проведения

Норвегия · 2 центра

• Sandnes Municipality — Sandnes
• Stavanger Muncipality — Stavanger

Идентификаторы

NCT: NCT07686172 · 355225 · 355225

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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