Telemedicine and Nursing Home
GERONTACCESS
Impact of Telemedicine on Avoiding Emergency Hospital Admissions and Hospitalization for Nursing Home Residents
1 other identifier
interventional
428
1 country
1
Brief Summary
Telemedicine-based care provides remote health and social care to maintain people's autonomy and increase their quality of life. The rapidly aging population has come with a significant increase in the prevalence of chronic diseases and their effects, and thus the need for increased care and welfare. This solutions give a new opportunity for diagnosis, treatment, education, and rehabilitation, and make it possible to monitor patients with a number of chronic diseases. It also reduces socioeconomic disparity with regard to access to care and gives equal chances to patients from urban and rural areas. This a randomized trial of telemedicine versus usual care alone to reduce hospitalization and emergency hospital admissions for Nursing Home Residents . After an initial assessment , each participant is monitored by teleconsultation on six occasions over 12 months. Patients with usual care have an initial and a 12 months assessments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2016
Typical duration for not_applicable
1 active site
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 24, 2016
CompletedFirst Posted
Study publicly available on registry
June 28, 2016
CompletedStudy Start
First participant enrolled
July 5, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 18, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2019
CompletedJuly 16, 2025
January 1, 2019
1.5 years
June 24, 2016
July 11, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Efficacy
Proportion of patients who had an admission to the emergency or unscheduled hospitalization in health service or surgery
12 month
Secondary Outcomes (1)
MAST
12 months
Study Arms (2)
Telemedicine
EXPERIMENTALUsual care and telemedicine consultations during12 months.
Usual care alone
ACTIVE COMPARATORUsual care during12 months.
Interventions
Eligibility Criteria
You may qualify if:
- Elderly over 60 years
- Resident in nursing homes
- Resident with multiples chronic diseases with at least two comorbidities
- Having given free and informed consent in writing and signed by himself and / or his legal representative
You may not qualify if:
- Resident unaffiliated or not beneficiary of Social Security
- Resident with a life-threatening disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Service de Gériatrie
Limoges, France
Related Publications (1)
Gayot C, Laubarie-Mouret C, Zarca K, Mimouni M, Cardinaud N, Luce S, Tovena I, Durand-Zaleski I, Laroche ML, Preux PM, Tchalla A. Effectiveness and cost-effectiveness of a telemedicine programme for preventing unplanned hospitalisations of older adults living in nursing homes: the GERONTACCESS cluster randomized clinical trial. BMC Geriatr. 2022 Dec 22;22(1):991. doi: 10.1186/s12877-022-03575-6.
PMID: 36550496RESULT
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thierry DANTOINE, MD
CHU Limoges
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 24, 2016
First Posted
June 28, 2016
Study Start
July 5, 2016
Primary Completion
January 18, 2018
Study Completion
June 1, 2019
Last Updated
July 16, 2025
Record last verified: 2019-01