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Nurse-Led Home Visits vs. Wellness Classes for Healthy Aging (EPIC Trial)

N/A

Waitlist Available

Led By Harriet U Aronow, PhD

Research Sponsored by Cedars-Sinai Medical Center

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up assessed at baseline, 9-months and 18-months (end of study)

Awards & highlights

EPIC Trial Summary

This trial will compare the effectiveness of an in-home preventive healthcare program delivered by nurses to on-site health and wellness classes for older adults living in low-income independent housing.

Who is the study for?

This trial is for tenants aged 65 or older living in certain low-income independent housing in Los Angeles. Participants must be able to consent, meaning they can't have cognitive impairments that would prevent them from understanding the study.Check my eligibility

What is being tested?

The study compares two programs: one where nurses visit homes to provide preventive healthcare, and another offering on-site health and wellness classes. The goal is to see which helps maintain or improve health and independence among elders.See study design

What are the potential side effects?

Since this trial involves non-medical interventions like exercise classes and nurse visits, there are no direct medical side effects; however, participants may experience fatigue or minor injuries related to physical activities.

EPIC Trial Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ assessed at baseline, 9-months and 18-months (end of study)

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~assessed at baseline, 9-months and 18-months (end of study)

This trial's timeline: 3 weeks for screening, Varies for treatment, and assessed at baseline, 9-months and 18-months (end of study) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.

Primary outcome measures

PROMIS 10-item Global Health Scale - Mental Functioning Subscale

PROMIS 10-item Global Health Scale - Physical Functioning Subscale

PROMIS 10-item Global Health Scale - Total Score

Secondary outcome measures

Health Services Use - Self Report of Number of ED Visits in past 9 months

Health Services Use - Self Report of Number of Hospital Admissions

Health Services Use - Self Report of Number of SNF/Nursing Home/Rehab Admissions

+7 more

EPIC Trial Design

2Treatment groups

Active Control

Group I: In-home Preventive Health Visits by Advanced Practice NurseActive Control1 Intervention

APRNs will perform in-home multidimensional health assessment with quarterly follow up visits to provide individualized patient education, negotiation of recommendations to maintain/improve health and wellness. All participants continue to receive care from their primary care provider and other community-based providers, although use might be modified. Throughout the intervention, participants are encouraged to take a primary role in the management of their own health. APRNs coach and guide the participant in navigating existing service providers as well as accessing and establishing new services. Having the program in-home promotes an atmosphere of shared decision-making, while allowing the nurse to observe the physical and social environment. Key to this model is identification of individual profiles of health strengths and health risks; recommendations and negotiation over priority health behavior change; and quarterly follow up.

Group II: On-site Evidence-based Physical Activity, Health and Wellness ClassesActive Control1 Intervention

Curriculum. There will be three categories of classes offered at sites randomized into this intervention. A physical activity class will be offered three times weekly, and will include elements of Tai Chi, fall prevention, and arthritis exercises. Class content/activity will be modified for all levels of ability. A class focused on mental health and functioning will be offered weekly, and include activities targeting depression prevention, memory enhancement, and engagement (e.g., life review, agile mind). There will also be offered a weekly multi-topic class with a repeating cycle of topics and instructors including medication management, computer literacy and electronic health records, etc.. Tenants will be engaged in choosing topics that reflect the group consensus on importance. Altogether, at each location there will be five scheduled class opportunities each week for tenants to choose among.

Do I qualify?Apply below to find out

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Who is running the clinical trial?

Cedars-Sinai Medical CenterLead Sponsor

499 Previous Clinical Trials

164,217 Total Patients Enrolled

1 Trials studying Healthy Aging

1,000 Patients Enrolled for Healthy Aging

Patient-Centered Outcomes Research InstituteOTHER

549 Previous Clinical Trials

29,996,136 Total Patients Enrolled

1 Trials studying Healthy Aging

100 Patients Enrolled for Healthy Aging

UniHealth FoundationUNKNOWN

1 Previous Clinical Trials

330 Total Patients Enrolled

Media Library

In-home Preventive Health Visits by Advanced Practice Nurse Clinical Trial Eligibility Overview. Trial Name: NCT05381480 — N/A

Healthy Aging Research Study Groups: In-home Preventive Health Visits by Advanced Practice Nurse, On-site Evidence-based Physical Activity, Health and Wellness Classes

Healthy Aging Clinical Trial 2023: In-home Preventive Health Visits by Advanced Practice Nurse Highlights & Side Effects. Trial Name: NCT05381480 — N/A

In-home Preventive Health Visits by Advanced Practice Nurse 2023 Treatment Timeline for Medical Study. Trial Name: NCT05381480 — N/A

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What overarching goals are this medical research endeavor striving to accomplish?

"The primary endpoint measured over a 9-month and 18-month period is the PROMIS 10-item Global Health Scale - Total Score. Meanwhile, secondary endpoints include the alteration of Health Services Use - Self Report of Number of ED Visits in past 9 months, PROMIS short form for self-efficacy for managing social interactions - Short Form 4a, as well as changes to the PROMIS Loneliness and Social Isolation (Ages 18+) fixed form score."

Answered by AI

Are there any available positions for participants to join this research initiative?

"Data hosted on clinicaltrials.gov affirms that this medical trial has ended its recruitment process, as it was initially posted August 1st 2022 and last modified July 18th 2022. In contrast, there are 51 other studies presently recruiting patients."

Answered by AI

Recent research and studies

clinicaltrials.govStudy

Elders Preserving Independence in the Community

Harriet Aronow 2022. "Elders Preserving Independence in the Community". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT05381480.