Status:

COMPLETED

Reducing Disability Following Hospital Discharge in Vulnerable Older Adults: The CAPABLE Intervention

Lead Sponsor:

Johns Hopkins University

Collaborating Sponsors:

National Institute on Aging (NIA)

Conditions:

Disability Physical

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

This study evaluates whether the utilization of integrated health services such as help with medications, muscle strengthening, balance training, pain management and home modification interventions ca...

Detailed Description

Currently, there is no evidence-based approach to improve post-hospitalization functional decline. CAPABLE uses a novel inter-professional team involving an occupational therapist, nurse, and handyman...

Eligibility Criteria

Inclusion

  • Aged ≥ 65 years old;
  • Are 60 days post-hospitalization in an acute care setting and have had a Visiting Nurse Service of New York (VNSNY) visit;
  • Have difficulty with at least one activity of daily living (ADL);
  • Are a member of the VNSNY CHOICE Medicare Advantage Health Plan;
  • Are able to stand with or without assistance; and
  • Are available during the intervention period

Exclusion

  • Have significant cognitive impairment identified by the Callahan screening tool;
  • Do not speak English or Spanish;
  • Have had more than 3 hospitalizations within the past 12 months;
  • Are actively receiving radiation or chemotherapy;
  • Have plans to relocate in less than one year;
  • Have diagnoses of the following: Dementia, Alzheimer's, Other Cerebral Degeneration, and serious cognitive impairment or OASIS assessment level 3 response on M1034 "serious progressive conditions that could lead to death within a year"

Key Trial Info

Start Date :

August 25 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 30 2025

Estimated Enrollment :

268 Patients enrolled

Trial Details

Trial ID

NCT03456128

Start Date

August 25 2018

End Date

September 30 2025

Last Update

October 15 2025

Active Locations (1)

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1

Visiting Nurse Service of New York

New York, New York, United States, 10001