Case management and care expertise as a prevention approach for adults with intellectual disabilities (FaPP-MgB): study protocol for a randomized-controlled trial

Trials

Study Protocol

Miriam Tariba Richter¹  Jessica Grammatico²  Annika Gröndahl²  Christian Grebe²  Dirk Bruland²  Änne-Dörte Latteck²  Stephan Nadolny³  Marie Grunwald⁴ 

[1] Competence Center for Health, Hamburg University of Applied Sciences, Alexanderstraße 1, 20099, Hamburg, Germany;Institute for Educational and Health-Care Research in the Health Sector, Bielefeld University of Applied Sciences, Interaktion 1, 33619, Bielefeld, Germany;Institute for Educational and Health-Care Research in the Health Sector, Bielefeld University of Applied Sciences, Interaktion 1, 33619, Bielefeld, Germany;Institute for History and Ethics of Medicine, Interdisciplinary Center for Health Sciences, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle, Germany;Institute for Educational and Health-Care Research in the Health Sector, Bielefeld University of Applied Sciences, Interaktion 1, 33619, Bielefeld, Germany;Institute for Management and Technology, Osnabrück University of Applied Sciences, Kaiserstraße 10C, 49809, Lingen, Germany;

关键词: Advanced nursing practice;    Nursing;    Case management;    Prevention;    Health promotion;    Intellectual disabilities;    Randomized-controlled trial;    Germany;   

DOI  :  10.1186/s13063-023-07155-w

 received in 2022-11-29, accepted in 2023-02-10,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAdults with intellectual disabilities have a higher prevalence of unhealthy eating habits, stress, low levels of mobility, and comparable drug consumption as the general population. Consequently, they suffer from several chronic diseases earlier and more often, but there are fewer prevention and health promotion services including this population. The goal of this study is to determine if an advanced practice nursing approach in the community with home visits is an effective way to improve the health status of adults with intellectual disabilities.MethodsWe will conduct a randomized-controlled trial with waiting list design in Hamburg, Germany. Inclusion criteria are diagnosis ICD F70-F79 and exclusion criteria are care level > 3 according to the German Social Code XI or being at the end-of-life. Participants will be block randomized. The intervention consists of advanced practice nurses performing case management, social space analysis, prevention planning, and counseling through four outreach home visits on nutrition, mobility, addiction, and stress. Comparison is usual care. The primary outcome is health status (WHODAS) after 12 months. Secondary outcomes are health-related quality of life (EQ-5D) and resilience (RS-11) after 6 and 12 months. The calculated sample size is 256 with an estimated dropout of 30%. Raters and analysts will be blinded. Analysis will be performed using ANCOVAs.DiscussionBy providing case management and utilizing their nursing expertise, advanced practice nurses will provide valuable input and guidance on prevention and health promotion for people with intellectual disabilities. They will close the gap between health and social care, which is prominent in Germany, through cooperation between the existing care sectors.The findings will be disseminated in peer-reviewed journals and presented at national and international conferences.Trial registrationGerman Clinical Trials Register, DRKS00028771, registered 4 July 2022, Universal Trial Number: U1111-1277–0595.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2