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Casemanagement for people with Multiple Sclerosis.


- candidate number2231
- NTR NumberNTR762
- ISRCTNISRCTN22635159
- Date ISRCTN created22-nov-2006
- date ISRCTN requested8-nov-2006
- Date Registered NTR6-sep-2006
- Secondary IDsABR NL13248.042.06 
- Public TitleCasemanagement for people with Multiple Sclerosis.
- Scientific TitleEffects on quality of life, quality of care and cost of casemanagement for people with Multiple Sclerosis and their caregivers.
- ACRONYMCMMS
- hypothesisPeople with Multiple Sclerosis who recieve care bij a casemanager experience a better quality of live and quality of care compared with people with MS who receive care as usual.
Caregivers of people with Multiple Sclerosis who recieve care bij a casemanager experience a better quality of live compared with caregivers of people with MS who receive care as usual.
healthcare cost for people with MS will increase during the first year in which they receive casemanagement. On the long term costs will decrease.
- Healt Condition(s) or Problem(s) studiedMultiple sclerosis (MS)
- Inclusion criteriaPeople with MS
1. who have an EDDS score between 4.5 and 8.5
2. treated in the University Medical Center of Groningen

caregivers:
3. Partner with MS who is participating in the research
4. directly involved in care fot the person with MS
- Exclusion criteria1. residents of nursing homes
2. partipation in other researchprojects
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type-
- Studytypeintervention
- planned startdate 10-aug-2006
- planned closingdate31-jan-2008
- Target number of participants160
- InterventionsCasemanagement consist of homevisits twice a year by an Nurse practitioner or Nurse specialist MS. During the homevisit the neurological examination is performed and the health status (physically, mentally and socially) of the person with MS is investigated as well as the impact of the disease on the lifes of the person with MS and his/her caregiver.
Based on this investigation a care plan will be develloped. Realisation of the goals set in the care plan is monitored bij the casemanager.
In the control group the people with MS receive the care as usual. They will visit their Neurologist at the outpatient clinic once or twice a year (or more if indicated). Both groupd consist of 50 persons with MS and 30 caregivers. The intervention will take place during 15 months.
- Primary outcomeQuality of life
- Secondary outcome1. Depression
2. Quaity of Care
3. Care giver strain
4. Cost efficacy
- Timepoints
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESdrs. C. Annema
- CONTACT for SCIENTIFIC QUERIESprof. dr. J.H.A. Keyser, de
- Sponsor/Initiator University Medical Center Groningen (UMCG), department of Neurology, University Medical Center Groningen (UMCG), Department of Integrated care
- Funding
(Source(s) of Monetary or Material Support)
None
- PublicationsWynia K., Nissen J.M.J.F.,Hoekzema E.J. & De Keyser J.H.A. Casemanegement for the chronically ill. Characteristics of a patient advocy model for casemanagement in an integrated care setting. Verpleegkunde, 2006 (in press, in Dutch).
- Brief summaryProblems of the chronically ill are often extensive and complex. Healtcare delivery often fragmentated and differentiated. Casemanagement seems to be an organisational solution to this problems.
In this study casemanagement for people with MS is brought into practice. To examine the efftect of casemanagement on the quality of life, the quality of care and the healtcare costs an RCT is conducted in which the casemanagement is compared with the care as usual. because of the impact of living with a patner with an chronic disease the central informal caregiver is also part of the investigation.
- Main changes (audit trail)
- RECORD6-sep-2006 - 4-dec-2006


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