Multidimensional Assessment and Intervention for Elder Self-Neglect

NCT00901706 — Early Phase 1, Completed, 100 participants, The University of Texas Health Science Center, Houston

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Registry	NCT00901706
Status	Completed
Phase	Early Phase 1
Study type	Interventional; randomized, parallel, masking: double, health services research
Enrollment	100 (Actual)
Sponsor	The University of Texas Health Science Center, Houston (Other); collaborators: The Center for Clinical and Translational Sciences (CCTS) Clinical Research Unit at The University of Texas Health Science Center at Houston
Conditions	Self-Neglect, Cognitive Ability, General, Geriatric Disorder
Interventions	Comprehensive Geriatric Assessment and APS Usual Care, APS usual care (Other)
Dates	start 2009-08-01, primary completion 2012-02-01, completion 2012-07-01, first posted 2009-05-14, last updated 2013-06-18
Locations	1 site in United States

-Summary

This study is designed to assess the best method for caring for elders reported to Adult Protective Services (APS) for self-neglect. Specifically, this study will compare APS usual care coupled with interdisciplinary comprehensive geriatric care to APS usual care alone in improving the health and quality of live among elders with substantiated self-neglect.

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+Arms and interventions

Arm	Type	Interventions	Description
CGA plus APS Usual Care	Experimental	Other: Comprehensive Geriatric Assessment and APS Usual Care; Other: APS usual care	Comprehensive geriatric assessment coupled with Adult Protective Services (APS) usual care for elders with self-neglect.
APS Usual Care	Active comparator	Other: Comprehensive Geriatric Assessment and APS Usual Care; Other: APS usual care	APS usual care consisting of social, medical, and legal interventions.

Comprehensive Geriatric Assessment and APS Usual Care (Other), also known as Randomized Controlled Trial: Comprehensive Geriatric Assessment coupled with APS usual care which collectively will consist standardized cognitive, functional, affective, social, and legal interventions.
APS usual care (Other), also known as Randomized Controlled Trial: APS usual care consists of social, medical, and legal assistance.

+Outcome measures

Primary outcomes

Self-Neglect Severity Scale (SSS) [Baseline and 6-months]

Secondary outcomes

Functional Status [Baseline and 6-months]
Kohlman Evaluation of Living Skills (KELS) [Baseline and 6-months]
Mini-mental State Exam (MMSE) [Baseline and 6-months]
15-item Geriatric Depression Scale [Baseline and 6-months]
Physical Performance Test (PPT) [Baseline and 6-months]
SF-36 Health Survey [Baseline and 6-months]
The Duke Social Support Index (DSSI) [Baseline and 6-months]
Client Satisfaction Questionnaire (CSQ-8) [Baseline and 6-months]
Costs of Social Services and Health Care Utilization and Costs [Months 1,2,3,4,5,6]

+Eligibility

Sex: All, ages: 65 Years to any, accepts healthy volunteers

Inclusion Criteria:

* 65 years of age or older
* English Speaking
* Resident of Harris County, Houston Texas
* Community-dwelling
* Substantiated Self-Neglect

Exclusion Criteria:

* No other substantiated allegations
* Non-community dweller
* No available for projected follow-up period
* Impaired decision-making with no available proxy
* Already receiving care from TEAM or within the past year
* Terminal Illness

+Locations (1)

Facility	City	Country	Status
The University of Texas Health Science Center at Houston	Houston, Texas	United States

+Investigators

Carmel B. Dyer, MD, Principal investigator, The University of Texas Health Science Center, Houston