|- candidate number||2231|
|- NTR Number||NTR762|
|- Date ISRCTN created||22-nov-2006|
|- date ISRCTN requested||8-nov-2006|
|- Date Registered NTR||6-sep-2006|
|- Secondary IDs||ABR NL13248.042.06 |
|- Public Title||Casemanagement for people with Multiple Sclerosis.|
|- Scientific Title||Effects on quality of life, quality of care and cost of casemanagement for people with Multiple Sclerosis and their caregivers.|
|- hypothesis||People 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) studied||Multiple sclerosis (MS)|
|- Inclusion criteria||People with MS |
1. who have an EDDS score between 4.5 and 8.5
2. treated in the University Medical Center of Groningen
3. Partner with MS who is participating in the research
4. directly involved in care fot the person with MS
|- Exclusion criteria||1. residents of nursing homes|
2. partipation in other researchprojects
|- mec approval received||yes|
|- multicenter trial||no|
|- planned startdate ||10-aug-2006|
|- planned closingdate||31-jan-2008|
|- Target number of participants||160|
|- Interventions||Casemanagement 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 outcome||Quality of life|
|- Secondary outcome||1. Depression|
2. Quaity of Care
3. Care giver strain
4. Cost efficacy
|- Trial web site||N/A|
|- status||open: patient inclusion|
|- CONTACT FOR PUBLIC QUERIES||drs. C. Annema|
|- CONTACT for SCIENTIFIC QUERIES||prof. 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|
(Source(s) of Monetary or Material Support)
|- Publications||Wynia 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 summary||Problems 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)|
|- RECORD||6-sep-2006 - 4-dec-2006|