Background
Methods/design
Study design
Setting
Knokke-Heist [74] | Ghent [75] | Tienen [76] | ||
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Demographic data (2016) | ||||
Total number of inhabitants | 33,311 | 257,029 | 34,185 | 6,477,804 |
Population growth since 2005 | 98.5 | 111.3 | 107.7 | 107.2 |
Total number of older inhabitants | 11,310 | 42,706 | 7,243 | 1,265,666 |
Older population growth since 2005 | 128.5 | 102.1 | 111.2 | 117.9 |
% older adults (65 years and over) | 34.0% | 16.6% | 21.2% | 19.5% |
% older adults (80 years and over) | 9.9% | 5.5% | 6.5% | 5.9% |
Socio-economic data (2013) | ||||
Average income per capita in € | 23,374 | 17,477 | 18,479 | 18,163 |
Welfare and health data | ||||
Number of places in residential care in 2016 per 1000 older adults (>65y) | 58 | 84.6 | 90.2 | 76 |
Number of entitled informal and home care in 2015 per 1000 older adults (>65y) | 56.3 | 69 | 132.1 | 98.2 |
Ethics
Participants and eligibility criteria
Randomization
Intervention
Measurements
Time points | Enrolment | Baseline assessment T0 | Intervention | Quantitative monitoring | Monthly follow-up | Study assessment T1 | Qualitative evaluation | |
---|---|---|---|---|---|---|---|---|
Introduction/preparation | Screening eligibility criteria | x | ||||||
Information letter | x | |||||||
Informed consent | x | |||||||
Study groups | Experimental group | x | x | x | x | x | x | |
Control group | x | x | x | |||||
Care avoiders | x | x | x | |||||
Group ≤ mild frail (CFAI-plus) or do not feel frail (subjective assessment of frailty) | x | x | x | |||||
Informal caregivers | x | |||||||
Municipal health and social care professionals | x | |||||||
Primary outcome measures | Quality of life | x | x | |||||
Meaning in life | x | x | ||||||
Life satisfaction | x | x | ||||||
Mastery | x | x | ||||||
Community inclusion | x | x | ||||||
Ageing well in place | x | x | ||||||
Secondary outcome measures | Multidimensional frailty | x | x | |||||
Physical phenotype of frailty | x | x | ||||||
Feeling frail | x | x | ||||||
Resilience | x | x | ||||||
Coping | x | x | ||||||
Help needed for activities in daily life | x | x | ||||||
Informal and formal care | x | x | ||||||
Medical care | x | x | ||||||
Leisure time | x | x | ||||||
Neighborhood | x | x | ||||||
Future perspective | x | x | ||||||
Life events | x | x | ||||||
Additional variables | Socio-demographic variables | x | x | |||||
Socio-economic situation | x | x | ||||||
Process measures | Amount of intended target group that participated in the second home visit/started the intervention | x | ||||||
Amount and types of delivered intervention(s) | x | |||||||
Number refuses, dropouts and completions | x | |||||||
Logbook | x | |||||||
Reasons for refusal/dropout | x | |||||||
Satisfaction of intervention | x | |||||||
Satisfaction D-SCOPE frailty program | x | |||||||
Experiences care/support processes | x | |||||||
Components that support or inhibit the implementing process of the D-SCOPE frailty program | x |
Effect evaluation
Primary outcome measures
Secondary outcome measures
Additional measures
Process evaluation
-
Satisfaction with the D-SCOPE frailty program
-
Experiences of the care/support processes
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Identification of components that support or inhibit the process of implementing the D-SCOPE frailty program: the extent to which success factors or problems were encountered while applying the program.