Health Related Quality of LifeImpact-INHANCT07686172
Interprofessional Health Needs Assessment (IHNA) for Older Adults Living at Home
A study testing Interprofessional Health Needs Assesement (INHA) in people with Health Related Quality of Life, run by University of Stavanger at 2 sites in Norway.
Trial summary
This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of the Interprofessional Health Needs Assessment (IHNA) in older adults living at home. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Health Related Quality of Life
- What is being tested?
- Interprofessional Health Needs Assesement (INHA)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 2 sitesNorway
- Study dates
- 10 Mar 2026to 30 Jun 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- 65 years and older
- applying for a municipal health and care service at home (i.e., practical assistance, home nursing, assistive devices, rehabilitation, day care center)
- the health care service will have a duration of more than 2 weeks
Who cannot join
- younger than 65 years
- diagnosed with dementia
- life expectancy shorter than 6 months
- applying for a nursing home placement
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Arnt Egil Ydstebø contact
Norway2 sites, 2 recruiting
- Recruiting
Sandnes Municipality
Sandnes, 4306
Martine Kajander, PhD, +4747859070, martine.marie.kajander@sandnes.kommune.no
- Recruiting
Stavanger Muncipality
Stavanger, 4014
Arnt Egil Ydstebø, PhD, +47 996 25 223, arnt.egil.ydstebo@stavanger.kommune.no
About this study
Official title: Implementing and Evaluating the Impact of Interprofessional Health Needs Assessment (INHA) for Older Adults Living at Home
This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of the Interprofessional Health Needs Assessment (IHNA) in older adults living at home. Specifically, the trial will assess the effects of IHNA on health-related quality of life, social care-related quality of life, survival, and health service utilization.
The primary objective is to determine the effect of IHNA on participants' health-related quality of life at 12 months. Secondary objectives are to assess its effects on social care-related quality of life, survival (time to death), health service utilization, and quality-adjusted life years (QALYs) at 6 and 12 months.
Read the detailed description
Early identification of health needs among home-dwelling elderly adults is crucial for maintaining health and function, improving quality of life, and preventing hospitalizations. When allocating municipal health and care services, healthcare professionals assess functional abilities and health needs. Based on this assessment, services such as emergency alarms, everyday rehabilitation, home nursing care, practical assistance at home, and assistive devices are assigned. However, there is no standardized approach to what should be included in these assessments or how they should be conducted.
This project develops a procedure for interprofessional health needs assessment (IHNA) to systematically identify and address the health needs of older adults living at home. IHNA integrates the older adult's values and preferences into the assessment, ensuring that interventions and services align with their priorities. IHNA incorporates screening tools to provide a structured, holistic assessment of health and social domains.
The project involves co-creation of IHNA with healthcare professionals and older adults, workplace training in the effective use of IHNA, and implementation in two Norwegian municipalities through a randomized controlled trial.
By developing interprofessional practices for assessing health needs and equipping healthcare professionals with screening tools and training, the project will help municipalities provide fairer, more effective services to home-dwelling older adults.
- Conditions
- Health Related Quality of Life
- Being tested
- Interprofessional Health Needs Assesement (INHA)
- Keywords
- health care utilization, health needs assesement, geriatric assessment, quality of life, independent living
- Medical subject headings
- Patient Acceptance of Health Care
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Interprofessional Health Needs Assesement (INHA)Other
Interprofessional teams with a nurse, physiotherapist, or occupational therapist from Stavanger and Sandnes municipalities will assess participants in the intervention group using the Interprofessional Health Needs Assessment (INHA) procedure. INHA includes screening tools to assess mobility, cognition, mental health, nutrition and oral health, vision and hearing, activities of daily living, social network, physical and behavioral health.
Based on the IHNA findings, the interprofessional teams, in collaboration with the older adult, will decide on the allocation of municipal health services, make referrals, and provide advice on available preventive and health promotion interventions from the municipality's health and care services and relevant voluntary and private actors.
| Study group | Role | What they receive |
|---|---|---|
| INHA Intervention group | Experimental | The intervention group will be assessed using INHA Receives: Other: Interprofessional Health Needs Assesement (INHA) |
| Control group | No intervention | The participants in the control group will be assessed by the standard assessment form used by the municipality and have services allocated as usual. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Health-related quality of life
Health-related quality of life will be assessed using the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L). The EQ-5D-5L descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five response levels: no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to perform. Responses are combined into a 5-digit health-state profile, with 11111 representing the best health state and 55555 the worst health state. Health state will be converted into a utility index score, with higher scores indicating better health-related quality of life. The primary outcome will be the change in EQ-5D-5L utility index score from baseline to 12 months.
Measured: Baseline, 6 months and 12 months
Secondary outcomes (5)
Self-rated health
The EuroQol Visual Analog Scale (EQ VAS) will be assessed as a secondary outcome measure of self-rated health. Participants rate their current health on a scale from 0 to 100.
A score of 100 is equivalent to the best possible health. A score of 0 is equivalent to the worst possible health. Changes in EQ VAS scores from baseline to 6 months and 12 months will be evaluated, with higher scores indicating better perceived health.
Measured: Baseline, 6 months, and 12 months
Social care related quality of life
The Adult Social Care Outcomes Toolkit (ASCOT) will be used as a secondary outcome measure of social care-related quality of life. ASCOT covers eight domains: control over daily life, personal cleanliness and comfort, food and drink, personal safety, social participation and involvement, occupation, accommodation cleanliness and comfort, and dignity. Each domain has four response options scored from 0 to 3, with higher scores indicating better outcomes. Domain responses will be combined into an overall ASCOT score, with higher scores indicating better social care-related quality of life. Changes in ASCOT scores from baseline to 6 months and 12 months will be evaluated.
Measured: Baseline, 6 months, and 12 months
Time to death (survival)
Time from baseline to death within 12 months will be obtained from municipal electronic patient records. Longer survival indicates a better outcome.
Measured: Baseline to 12 months
Health care utilization
Health care utilization will be assessed as a secondary outcome measure. Data on nursing home admissions, municipal emergency service visits, and hospital admissions will be obtained from the Norwegian Registry for Primary Health Care and the Norwegian Patient Registry. Health care utilization will be measured as the number of nursing home admissions, municipal emergency service visits, and hospital admissions during the 6- and 12-month follow-up periods. Lower health care utilization indicates better outcomes.
Measured: 6 and 12 months
Quality-Adjusted Life Years ( QALYs)
Quality-Adjusted Life Years (QALYs) will be a secondary outcome, measuring the combined effects of the intervention on survival and health-related quality of life. QALYs will be calculated over the 12-month follow-up period by combining survival with health utility values derived from the EQ-5D. Higher QALYs indicate better overall health outcomes. QALY estimates will be used to inform cost-effectiveness analyses.
Measured: Baseline, 6 months and 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2026
- Study start10 Mar 2026
- Primary completion31 Dec 2028 (estimated)
- Study completion30 Jun 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Health Related Quality of LifeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Stavanger
- Sponsor type
- University, hospital or other
- Collaborators
- Stavanger Municipality, Norway, Sandnes Municipality, Norway
- Responsible party
- Principal investigator, Marianne Storm, University of Stavanger
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07686172
- Sponsor's protocol ID
- 355225
- Other IDs
- 355225
- Acronym
- Impact-INHA
- Status last verified
- Jul 2026
- First submitted
- 17 Jun 2026
- Last updated
- 8 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Implementing and Evaluating the Impact of Interprofessional Health Needs Assessment (INHA) for Older Adults Living at Home
- ClinicalTrials.gov ID
- NCT07686172
- Acronym / sponsor ID
- Impact-INHA / 355225
- Conditions
- Health Related Quality of Life
- Keywords
- health care utilization, health needs assesement, geriatric assessment, quality of life, independent living
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- University of StavangerUniversity, hospital or other
- Collaborators
- Stavanger Municipality, Norway, Sandnes Municipality, Norway
- Study start
- 10 Mar 2026 (actual)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 30 Jun 2029 (estimated)
- First posted
- 7 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled trial aims to evaluate the effectiveness and cost-effectiveness of the Interprofessional Health Needs Assessment (IHNA) in older adults living at home. Specifically, the trial will assess the effects of IHNA on health-related quality of life, social care-related quality of life, survival, and health service utilization.
The primary objective is to determine the effect of IHNA on participants' health-related quality of life at 12 months. Secondary objectives are to assess its effects on social care-related quality of life, survival (time to death), health service utilization, and quality-adjusted life years (QALYs) at 6 and 12 months.
Detailed description
Early identification of health needs among home-dwelling elderly adults is crucial for maintaining health and function, improving quality of life, and preventing hospitalizations. When allocating municipal health and care services, healthcare professionals assess functional abilities and health needs. Based on this assessment, services such as emergency alarms, everyday rehabilitation, home nursing care, practical assistance at home, and assistive devices are assigned. However, there is no standardized approach to what should be included in these assessments or how they should be conducted.
This project develops a procedure for interprofessional health needs assessment (IHNA) to systematically identify and address the health needs of older adults living at home. IHNA integrates the older adult's values and preferences into the assessment, ensuring that interventions and services align with their priorities. IHNA incorporates screening tools to provide a structured, holistic assessment of health and social domains.
The project involves co-creation of IHNA with healthcare professionals and older adults, workplace training in the effective use of IHNA, and implementation in two Norwegian municipalities through a randomized controlled trial.
By developing interprofessional practices for assessing health needs and equipping healthcare professionals with screening tools and training, the project will help municipalities provide fairer, more effective services to home-dwelling older adults.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| INHA Intervention group | Experimental | Other: Interprofessional Health Needs Assesement (INHA)The intervention group will be assessed using INHA |
| Control group | No intervention | –The participants in the control group will be assessed by the standard assessment form used by the municipality and have services allocated as usual. |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (3 listed)
- 65 years and older
- applying for a municipal health and care service at home (i.e., practical assistance, home nursing, assistive devices, rehabilitation, day care center)
- the health care service will have a duration of more than 2 weeks
Key exclusion criteria (4 listed)
- younger than 65 years
- diagnosed with dementia
- life expectancy shorter than 6 months
- applying for a nursing home placement
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Interprofessional Health Needs Assesement (INHA)Interprofessional teams with a nurse, physiotherapist, or occupational therapist from Stavanger and Sandnes municipalities will assess participants in the intervention group using the Interprofessional Health Needs Assessment (INHA) procedure. INHA includes screening tools to assess mobility, cognition, mental health, nutrition and oral health, vision and hearing, activities of daily living, social network, physical and behavioral health. Based on the IHNA findings, the interprofessional teams, in collaboration with the older adult, will decide on the allocation of municipal health services, make referrals, and provide advice on available preventive and health promotion interventions from the municipality's health and care services and relevant voluntary and private actors. | Other | INHA Intervention group |
Primary outcome
Health-related quality of life
Time frame: Baseline, 6 months and 12 months
Health-related quality of life will be assessed using the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L). The EQ-5D-5L descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five response levels: no problems, slight problems, moderate problems, severe problems, and extreme problems/unable to perform. Responses are combined into a 5-digit health-state profile, with 11111 representing the best health state and 55555 the worst health state. Health state will be converted into a utility index score, with higher scores indicating better health-related quality of life. The primary outcome will be the change in EQ-5D-5L utility index score from baseline to 12 months.
5 secondary outcomes
Self-rated health
Time frame: Baseline, 6 months, and 12 months
Social care related quality of life
Time frame: Baseline, 6 months, and 12 months
Time to death (survival)
Time frame: Baseline to 12 months
Health care utilization
Time frame: 6 and 12 months
Quality-Adjusted Life Years ( QALYs)
Time frame: Baseline, 6 months and 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Arnt Egil Ydstebø contact
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Interprofessional Health Needs Assesement (INHA) in people with Health Related Quality of Life, run by University of Stavanger at 2 sites in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 8 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Arnt Egil Ydstebø, or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Health-related quality of life (time frame: Baseline, 6 months and 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jul 2026.