The assessment of services promoting independence and recovery in elders trial (ASPIRE): a pre-planned meta-analysis of three independent randomised controlled trial evaluations of ageing in place initiatives in New Zealand

Parsons, Matthew, Senior, Hugh E. J., Kerse, Ngaire, Chen, Mei-hua, Jacobs, Stephen, Vanderhoorn, Stephen, Brown, Paul M. and Anderson, Craig (2012) The assessment of services promoting independence and recovery in elders trial (ASPIRE): a pre-planned meta-analysis of three independent randomised controlled trial evaluations of ageing in place initiatives in New Zealand. Age and Ageing, 41 6: 722-728.


Author Parsons, Matthew
Senior, Hugh E. J.
Kerse, Ngaire
Chen, Mei-hua
Jacobs, Stephen
Vanderhoorn, Stephen
Brown, Paul M.
Anderson, Craig
Title The assessment of services promoting independence and recovery in elders trial (ASPIRE): a pre-planned meta-analysis of three independent randomised controlled trial evaluations of ageing in place initiatives in New Zealand
Journal name Age and Ageing  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2012-11
Sub-type Article
DOI 10.1093/ageing/afs113
Volume number 41
Issue number 6
ISSN 0002-0729; 1468-2834
Start page 722
End page 728
Total pages 7
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2013
Language eng
Formatted abstract Introduction: Intermediate care has been developed to support older people to remain living in their own homes, combining a higher level of support with a rehabilitation focus. Evidence around their effectiveness remains mixed and there is ambiguity around the components.

Aims: To establish the impact of intermediate care on institutional free survival in frail older people referred for needs assessment in New Zealand (NZ).

Methods: pre-planned meta-analysis of three randomised controlled trials with follow-up at 3, 6, 12, 18 and 24 months. A total of 567 older people at risk of permanent institutionalisation as well as their primary informal carer (n = 234) were randomised to either intermediate or usual care. Interventions had common key features of care management, though varied in the use of ongoing care provision.

Results: The adjusted hazard ratio for the combined primary outcome of death or residential entry was 31% lower with a 95% confidence interval of (9%, 47%) for the intermediate care initiatives compared with usual care.

Conclusion: Intermediate care utilising a care management approach reduces a frail older person's risk of mortality and permanent institutionalisation.
Keyword Intermediate care
Care management
Ageing in place
Institutionalisation
Older people
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes First published online: 22 August 2012.

Document type: Journal Article
Sub-type: Article
Collections: Official 2013 Collection
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