Dementia in Long Term Care Facilities: Telemedicine for the Management of Neuropsychiatric Symptoms
DETECT
1 other identifier
interventional
143
1 country
2
Brief Summary
Telemedicine may facilitate adequate treatment of Neuropsychiatric symptoms (NPS) by identifying underlying causes and tailoring a treatment plan (pharmacological or non-pharmacologic treatments including provision of staff education and support, training in problem solving, and targeted therapy directed at the underlying causes for specific behaviors).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2015
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 1, 2015
CompletedStudy Start
First participant enrolled
June 1, 2015
CompletedFirst Posted
Study publicly available on registry
June 15, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2017
CompletedJune 1, 2023
May 1, 2023
2.4 years
June 1, 2015
May 31, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Acceptability of the TM among the LTCF staff
Acceptability of the telemedicine (TM) among the LTCF staff which will be assessed in the intervention group by quantitative indicators (proportion of the solicitation of the TM solution among patients with disruptive NPS, the delay to obtain a TM consultation and the number of the staff participants at each TM consultation) and qualitative indicators (staff global satisfaction will be evaluated by focus groups and interviewing).
6 months
Secondary Outcomes (4)
Rate of non-programmed hospitalizations and/or consultation due to disruptive NPS
6 months
The psychotropic drugs used
6 months
describe the health costs
6 months
describe the estimation of the cluster effect ("design effect")
6 months
Study Arms (2)
normal care
NO INTERVENTIONpatients who will have normal care
telemedicine
EXPERIMENTALpatients who will have telemedicine
Interventions
Eligibility Criteria
You may qualify if:
- patient aged 65 or more, with a dementia diagnosed by a specialist or the general practitioner;
- patient presenting with a disruptive NPS as defined in French Haute Autorité de Santé (HAS) recommendations (2009), that requires a specialist consultation based on the LTCF staff judgment;
- informed and written consent by the patient or the legal representative or the reliable person when appropriate;
- general practitioner agreement.
You may not qualify if:
- patient's life expectancy less than 6 months;
- Non agreement of study participation of patients or legal representative or the reliable person when appropriate.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
UHLimoges
Limoges, 87042, France
UHToulouse
Toulouse, 31300, France
Related Publications (2)
Piau A, Nourhashemi F, De Mauleon A, Tchalla A, Vautier C, Vellas B, Duboue M, Costa N, Rumeau P, Lepage B, Soto Martin M. Telemedicine for the management of neuropsychiatric symptoms in long-term care facilities: the DETECT study, methods of a cluster randomised controlled trial to assess feasibility. BMJ Open. 2018 Jun 12;8(6):e020982. doi: 10.1136/bmjopen-2017-020982.
PMID: 29895651BACKGROUNDPiau A, Vautier C, De Mauleon A, Tchalla A, Rumeau P, Nourhashemi F, Soto-Martin M. Health workers perception on telemedicine in management of neuropsychiatric symptoms in long-term care facilities: Two years follow-up. Geriatr Nurs. 2020 Nov-Dec;41(6):1000-1005. doi: 10.1016/j.gerinurse.2020.07.009. Epub 2020 Aug 6.
PMID: 32771311RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Maria Soto, MD
University Hospital, Toulouse
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 1, 2015
First Posted
June 15, 2015
Study Start
June 1, 2015
Primary Completion
November 1, 2017
Study Completion
November 1, 2017
Last Updated
June 1, 2023
Record last verified: 2023-05