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Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes

DC Field Value Language
dc.contributor.authorKim, Hongsoo-
dc.contributor.authorPark, Yeon-Hwan-
dc.contributor.authorJung, Young-il-
dc.contributor.authorChoi, Hyoungshim-
dc.contributor.authorLee, Seyune-
dc.contributor.authorKim, Gi-Soo-
dc.contributor.authorYang, Dong-wook-
dc.contributor.authorPaik, Myunghee Cho-
dc.contributor.authorLee, Tae-Jin-
dc.date.accessioned2017-05-25T05:25:06Z-
dc.date.available2017-05-25T14:42:46Z-
dc.date.issued2017-04-18-
dc.identifier.citationBMC Geriatrics, 17(1):88ko_KR
dc.identifier.uri10.1186/s12877-017-0459-7-
dc.identifier.urihttp://hdl.handle.net/10371/117604-
dc.description.abstractBackground
Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanced integrated care model, called Systems for Person-centered Elder Care (SPEC), for frail older adults at nursing homes.

Methods/Design
SPEC is a prospective stepped-wedge cluster randomized trial conducted at 10 nursing homes in South Korea. Residents aged 65 or older meeting the inclusion/exclusion criteria in all the homes are eligible to participate. The multifaceted SPEC intervention, a geriatric care model guided by the chronic care model, consists of five components: comprehensive geriatric assessment for need/risk profiling, individual need-based care planning, interdisciplinary case conferences, person-centered care coordination, and a cloud-based information and communications technology (ICT) tool supporting the intervention process. The primary outcome is quality of care for older residents using a composite measure of quality indicators from the interRAI LTCF assessment system. Outcome assessors and data analysts will be blinded to group assignment. Secondary outcomes include quality of life, healthcare utilization, and cost. Process evaluation will be also conducted.

Discussion
This study is expected to provide important new evidence on the effectiveness, cost-effectiveness, and implementation process of an ICT-supported chronic care model for older persons with multiple chronic illnesses. The SPEC intervention is also unique as the first registered trial implementing an integrated care model using technology to promote person-centered care for frail older nursing home residents in South Korea, where formal LTC was recently introduced.
ko_KR
dc.language.isoenko_KR
dc.publisherBioMed Centralko_KR
dc.subjectChronic care modeko_KR
dc.subjectGeriatric care modelko_KR
dc.subjectLong-term careko_KR
dc.subjectTechnologyko_KR
dc.subjectStepped-wedge trialsko_KR
dc.subjectQuality of careko_KR
dc.subjectQuality of lifeko_KR
dc.subjectEconomicsko_KR
dc.subjectElderlyko_KR
dc.subjectProcess evaluationko_KR
dc.titleEvaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homesko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor김홍수-
dc.contributor.AlternativeAuthor박연환-
dc.contributor.AlternativeAuthor정영일-
dc.contributor.AlternativeAuthor최형심-
dc.contributor.AlternativeAuthor이세윤-
dc.contributor.AlternativeAuthor김기수-
dc.contributor.AlternativeAuthor양동욱-
dc.contributor.AlternativeAuthor조명희-
dc.contributor.AlternativeAuthor이태진-
dc.language.rfc3066en-
dc.rights.holderThe Author(s).-
dc.date.updated2017-05-21T03:33:55Z-
Appears in Collections:
Graduate School of Public Health (보건대학원)Dept. of Public Health (보건학과)Journal Papers (저널논문_보건학과)
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