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Trial registered on ANZCTR
Registration number
ACTRN12607000638437
Ethics application status
Approved
Date submitted
7/12/2007
Date registered
13/12/2007
Date last updated
18/11/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Coaching Older Adults and their Carers to have their preferences Heard (COACH): A Randomised Controlled Trial in Transition Care
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Scientific title
Quality of care for older adults exiting a residential Transition Care program as assessed by the Care Transition Measure (CTM-15) at 3 months: An intervention to enhance patient and carer involvement versus usual care.
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Secondary ID [1]
251699
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90/07
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Universal Trial Number (UTN)
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Trial acronym
COACH
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Quality of care for older adults exiting a residential Transition Care Program.
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Condition category
Condition code
Physical Medicine / Rehabilitation
2728
2728
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0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The patient and carer met with a geriatrician approximately 2 weeks following admission. A Question Prompt List (QPL) and audiotape were utilised as information strategies. An experienced aged care nurse met with the patient and carer pre-discharge to review and update the care plan and check patient and/or carer understanding of medications. The nurse also initiated telephone contact in the first month post discharge. Recruitment commenced in May 2008 and was completed in March 2010. The sample size was increased in June 2009 to provide greater statistical power to detect differences in health resource utilisation (a secondary outcome measure). There is a 12 month follow-up of patients and carers. Final analysis will be undertaken from June 2011.
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Intervention code [1]
2349
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Other interventions
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Comparator / control treatment
Usual care, as defined by the Australian Government Department of Health and Ageing Transition Care Program Guidelines
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Control group
Active
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Outcomes
Primary outcome [1]
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Care Transition Measure (CTM-15)
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Assessment method [1]
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Timepoint [1]
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3 months following entry to the residential Transition Care program
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Secondary outcome [1]
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Unplanned days in hospital and residential aged care
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Assessment method [1]
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Timepoint [1]
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12 months following entry to the residential Transition Care Program
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Eligibility
Key inclusion criteria
Admission to a single residential transition care setting during the recruitment period (Feb 2008-Feb 2009). Presence of an informal (unpaid carer) who consents to participate in the study.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will be excluded if they are unable to communicate in English. Carers will be excluded if they are unable to read and understand written English.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes held by a Clinical Trials Pharmacist at Repatriation General Hospital
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/05/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
230
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
514
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5063
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Repatriation General Hospital
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Address
Daws Road
Daw Park SA 5041
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
2586
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Country [1]
2586
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Repatriation General Hospital Research and Ethics Committee
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Ethics committee address [1]
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Daws Road Daw Park SA 5041
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/11/2007
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Approval date [1]
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18/02/2008
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Ethics approval number [1]
4808
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Summary
Brief summary
A comprehensive evidence based approach to transition care: 1. improves patient and carer ratings of the quality of the care transition at 3 months following admission to a residential transition care program, and 2. reduces unplanned days in hospital and residential aged care up to 12 months following study enrolment, when compared to usual care.
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Trial website
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Trial related presentations / publications
Masters, S., Gordon, J., Whitehead, C., Davies, O., Giles, L. C., & Ratcliffe, J. (2012). Coaching Older Adults and Carers to have their preferences Heard (COACH): A randomised controlled trial in an intermediate care setting (study protocol). Australas Med J, 5(8), 444-454.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Stacey Masters
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Address
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Department of Rehabilitation and Aged Care
Daws Road
Daw Park SA 5041
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Country
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Australia
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Phone
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+61 8 82751103
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Fax
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+61 8 82751130
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Maria Crotty
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Address
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Department of Rehabilitation and Aged Care
Daws Road
Daw Park SA 5041
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Country
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Australia
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Phone
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+61 8 82751103
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Fax
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+61 8 82751130
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Costs and advance directives at the end of life: a case of the 'Coaching Older Adults and Carers to have their preferences Heard (COACH)' trial.
2015
https://dx.doi.org/10.1186/s12913-015-1201-9
Embase
Influence of health locus of control on recovery of function in recently hospitalized frail older adults.
2015
https://dx.doi.org/10.1111/ggi.12281
N.B. These documents automatically identified may not have been verified by the study sponsor.
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