Healthy Older Adults Through Movement and Engagement
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age67-84
SponsorLinkoeping University
About this trial
The HOME Project evaluates the effects of structured health dialogues with individuals aged 67-84 years in the municipality of Borgholm, Sweden. A combination of registry data and survey responses will be used to monitor quality of life, morbidity, healthcare needs, and lifestyle factors over a six-year period. Outcomes will be compared between randomized groups within Borgholm municipality and a matched control group from seven other municipalities in Region Kalmar.
The project also includes an analysis of cost-effectiveness and the reach of the intervention. A qualitative interview study will explore participants' perceptions of their health, their motivations for health improvement, and their experiences of how the health dialogues may influence these aspects.
In a substudy, machine learning models will be developed to predict functional decline and high healthcare needs among older adults. These models will be validated against established risk assessment tools such as the Adjusted Clinical Groups (ACG) system and the Charlson Comorbidity Index. Digital motion analysis using Skeleton Avatar Technology will be employed both independently and in combination with other variables to support model development.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Living in Borgholm municipality or in one of 7 matched Demographical Statistical Area in Kalmar county
Age between 67-84 years
Disqualifiers
Living in a nursing home
Not speaking or understanding swedish language
Trial design
Design model
Parallel
Treatments tested in this trial
Health dialogue
Behavioral1. Pre-visit 20 minutes including timed-up and go (TUG) walking test, length, weight, blood pressure, and blood tests ( HbA1C, PEth) 2. Structured health dialogue by a dedicated nurse practitioner for about 60 minutes covering living conditions, activity, everyday function, lifestyle habits and formation of a plan for improved health and referral to physician, physiotherapist or other primary care worker when appropriate 3. Follow-up call at 3 months with the nurse practitioner for evaluation and adjustment of the plan
Treatment groups
2,952 Participants
are divided into 2 treatment groupsGroup A: Health dialogueExperimental treatment 1 intervention
Group B: Passive controlNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Change in health-related quality of life
EQ5D-5L (Euroqol 5 dimensions 5 levels) collected via postal questionnaire
Time frame
Baseline, at 16 months and 6 years from start of intervention2
Change in quality of life
Quality of life measured by ICECAP-0 ( ICEpop CAPability measure for older people)
Time frame
Baseline, at 16 months and at 6 years from study startSecondary outcomes
1
Hospital care days
the total number of days that a participant is admitted to hospital
Time frame
16 months, 3 years and 6 years2
Hospital care episodes
The number of events a patient is admitted to hospital regardless of length of stay
Time frame
16 months, 3 years and 6 years3
Healthcare visits
The number of out-patient visits to physician or other healthcare profession in primary or secondary care
Time frame
16 months, 3 years and 6 years from start of intervention4
Social care use
Number and type of services delivered from the municipality
Time frame
16 months and 6 years from the start of the interventionSponsors and contacts
Click on the lead sponsor to view all of their trials.
Linkoeping University
Lead sponsor
Linnaeus University
Collaborator
Department of Clinical Sciences, Malmö. Faculty of Medicine, Lund University.
Collaborator
Göteborg University
Collaborator
Source ClinicalTrials.gov