An interventional study of Multi-domain intervention in Fragility and Multimorbidity, sponsored by National Yang Ming Chiao Tung University. Completed at 6 sites in Taiwan. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2020-04-21.
Sponsored by National Yang Ming Chiao Tung University · Not applicable, Interventional, and Treatment
This project aims to examine the effectiveness of the community-based integrated care service model , based on a multi-domain intervention program, among community-dwelling older adults. Moreover, the investigators use the value-based healthcare standard set as well as comprehensive geriatric assessment as outcome measures and to use the randomized controlled trial design to validate the clinical effectiveness.
Population aging and the progress of medical technology are two main causes for the increase of healthcare expenditure. Effective management of medical expenditure and maintenance of health care quality have become the most important task for the public health and clinical care services. Both United Kingdom and the World Health Organization proposed introducing interdisciplinary team care to improve health of older people and to maximize their independence. Prof Michael Porter has addressed the current difficulty of healthcare system, and proposed that healthcare system should pursuit long-term outcome to promote the value of health care. This project aims to echo the international trends, using Taiwan healthcare system as the basis to establish the community-based integrated care service model, and to use the randomized controlled trial design to validate the clinical effectiveness.
National Yang Ming Chiao Tung University is the lead sponsor of 201 studies on the registry; 58 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
A regular health education program was provided by case managers only.
Multi-domain intervention included exercise,cognitive training, diet education, and disease consultation was conducted for two hours twice per week in the first month, once per week in the second month, and once per month since third month.
Behavioral: Multi-domain intervention
60 minutes cognitive training, 45 minutes physical exercise, 15 diet nutrition and intermittent disease management consultation
Changes from baseline life quality at 3, 6, 9, 12 month
measured by the 36-Item Short Form Health Survey (SF-36).
Time frame: baseline, 3, 6, 9, 12 month
Changes from baseline standard set of health outcome measures for older persons at 3, 6, 9, 12 month
a standard health care set proposed by the International Consortium for Health Outcomes Measurement (ICHOM)
Time frame: baseline, 3, 6, 9, 12 month
Changes from baseline high sensitive C-Reactive Protein in mg/dl at sixth and twelfth month
Changes from baseline high sensitive C-Reactive Protein in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline total cholesterol in mg/dl at sixth and twelfth month
Changes from baseline total cholesterol in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline triglycerides in mg/dl at sixth and twelfth month
Changes from baseline triglycerides in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline HDL-C in mg/dl at sixth and twelfth month
Changes from baseline High-density lipoproteins (HDL) in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline LDL-C in mg/dl at sixth and twelfth month
Changes from baseline Low-density lipoproteins (LDL) in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline fasting glucose in mg/dl at sixth and twelfth month
Changes from baseline fasting glucose in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline HbA1c in % at sixth and twelfth month
Changes from baseline Hemoglobin A1c in % at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline insulin in mIU/L at sixth and twelfth month
Changes from baseline insulin in mIU/L at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline uric acid in mg/dl at sixth and twelfth month
Changes from baseline uric acid in mg/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline body mass index in kg/m^2 at sixth and twelfth month
Changes from baseline body mass index in kg/m\^2 at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline albumin in g/dl at sixth and twelfth month
Changes from baseline albumin in g/dl at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline Vitamin D in ng/ml at sixth and twelfth month
Changes from baseline Vitamin D in ng/ml at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline Vitamin B12 in pg/ml at sixth and twelfth month
Changes from baseline Vitamin B12 in pg/ml at sixth and twelfth month
Time frame: baseline, 6,12 month
Changes from baseline homocysteine in micromol/l at sixth and twelfth month
Changes from baseline homocysteine in micromol/l at sixth and twelfth month
Time frame: baseline, 6,12 month
This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.
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National Yang Ming Chiao Tung University