Implementing the chronic care model for frail older adults in the Netherlands: study protocol of ACT (frail older adults: care in transition)

Table 1 Overview of outcomes, baseline measurements and follow-up measurements

Older adults		Instrument	Baseline	6 Months	12 Months	18 Months	24 Months
Patient outcomes	1. Quality of Life	SF-12 [26]	x	x	x	x	x
	2. Health-related Quality of Life	EuroQol (EQ-5D) [27]	x	x	x	x	x
	3. Independence in ADL	Katz ADL index [28]	x	x	x	x	x
	4. Psychological Wellbeing	RAND-36 subscale [29]	x	x	x	x	x
	5. Social Functioning	1 item on RAND-36 scale	x	x	x	x	x
	6. Self-reported Health	2 items on RAND-36 scale	x	x	x	x	x
	7. Acute Hospital Admissions	1 item of our data set and Cost Dairies	x	x	x	x	x
Quality of Care	8. Care Needs	CANE [30]	x		x		x
Process Outcomes: Achieved transition	9. Patient-reported Client-centred Care	CCCQ [31]	x	x	x	x	x
	10. Coordination of Care from the patient’s perspective	2 items on QUOTE [32]	x	x	x	x	x
Informal Caregivers		Instrument	Baseline	6 Months	12 Months	18 Months	24 Months
Carer outcomes	12. Quality of life	SF-12	x	x	x	x	x
	13. Self-rated Burden of Care	CarerQol [33]	x	x	x	x	x
Older adults and informal caregivers		Instrument	Baseline	6 Months	12 Months	18 Months	24 Months
Costs	Direct and Indirect Costs	Cost diaries

SF-12 Short Form-12 questionnaire; EuroQol (EQ-5D) measures of 5 dimensions of health-related quality of life; Katz ADL Katz Activities of Daily Living; RAND-36 measure of health-related quality of life; CANE Camberwell assessment of needs in the elderly; Arm 1-4 allocation arm number 1–4; CCCQ Client-centred Care Questionnaire; QUOTE QUality Of care Through the patient’s Eyes; CarerQol care-related quality of life of informal caregivers

ISSN: 1471-2318