Effectiveness and Organizational Conditions of Effectiveness of Telemedicine in Establishments Providing Care for the Dependent Elderly

NCT03486977 | Completed

• 1 other identifier: CHUBX 2016/32
• Study Type: observational
• Target: 373
• Locations: 1 country
• Sites: 24

Brief Summary

Study of interest of Telemedicine in establishments providing care for the dependent elderly (EHPAD in french) is a strategy for improving the course of care of residents, including the number not programmed hospitalizations, and a multidimensional analysis of the conditions of effectiveness of telemedicine will identify the keys to optimize its use.

Conditions

Health Services for the Aged

Outcome Measures

Primary Outcomes (1)

• Number of hospitalization not programmed residents on Medicine Surgery obstetrics (MCO)

  Number of hospitalizations not programmed residents on Medicine Surgery obstetrics (MCO) between the inclusion and 12 month

  12 months

Secondary Outcomes (2)

• the main diagnosis, coded by the International Classification of diseases for every hospitalization

  12 months

• Score of the specific questionnaire for measurement of the context organizational and Managerial in health care facilities

  12 months

Study Arms (2)

Establishments with telemedicine system

Establishments equipped for telemedicine (teleconsultation, casualty) as part of the regional project of the Aquitaine regional program telemedicine device deployment.

Procedure: Evaluation of disease and follow-up

Establishments without telemedicine system

Defined and equipped for telemedicine EHPAD after mating on the number of residents, the GMP (average weighted GIR), the PMP (weighted average PATHOS), the distance to a hospital with an emergency shelter service. The rate of unscheduled hospitalizations will be collected during follow-up visits in clinical departments of the healthcare of the Gironde by a research staff

Procedure: Evaluation of disease and follow-up

Interventions

Evaluation of disease and follow-up PROCEDURE

Correspondence medical consultation with specific device

Also known as: Telemedicine

Establishments with telemedicine system; Establishments without telemedicine system

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All residents of EHPAD, men and women 65 years of age and more and likely to be eligible for a teleconsultation as suffering from one of the identified chronic pathologies as a reason for teleconsultation by Regional Agency of Hearth, will be included in the study in two groups of long-term care facilities. Eligible residents will be included in a very short time of 3 months.

You may qualify if:

• Quantitative research:
• All residents of nursing home men and women 65 years of age and more and likely to be eligible for a teleconsultation or a casualty because achieved one of the identified chronic pathologies as a reason for teleconsultation, will be included in both groups of long-term care
• Medical professionals working in the nursing home agreeing to answer the specifics questionnaires
• Qualitative study:
• Doctors, physicians and coordinators nurses of Establishments Providing Care for the Dependent Elderly, nurses, orderly, psychologists, directors of Establishments
• Having a professional activity in nursing homes selected
• Having given their consent to participate in the study

You may not qualify if:

• Residents of long-term care facilities (quantitative study) Resident (or guardian/person) who expressed his opposition to participate in the study or not likely to be eligible for a teleconsultation or casualty Establishments Providing Care for the Dependent Elderly (qualitative) professionals
• Professional who expressed his opposition to participate in the study

Sponsors & Collaborators

• University Hospital, Bordeaux: lead

Study Sites (24)

EHPAD CHU Bordeaux

Pessac, Lormont, 33600, France

Location

EHPAD Le home medocain Arsac

Arsac, 33460, France

Location

EHPAD Le parc du Bequet

Bègles, 33130, France

Location

EHPAD Manon Cormier

Bègles, 33130, France

Location

EHPAD Henry Dunant

Bordeaux, 33000, France

Location

EHPAD Le Clos Serena

Bordeaux, 33000, France

Location

EHPAD Résidence les Carmes

Bordeaux, 33000, France

Location

EHPAD Cos villa Pia

Bordeaux, 33082, France

Location

EHPAD Grand Bon Pasteur

Bordeaux, 33200, France

Location

EHPAD Residence Aime Cesaire

Bordeaux, 33200, France

Location

EHPAD Le Platane du Grand Parc

Bordeaux, 33300, France

Location

EHPAD Seguin

Cestas, 33610, France

Location

EHPAD résidence du Tertre

Fronsac, 33126, France

Location

EHPAD Douceur de France

Gradignan, 33170, France

Location

EHPAD Résidence l'Arousiney

Gujan-Mestras, 33470, France

Location

EHPAD Le rétou

Lamarque, 33460, France

Location

EHPAD Les coteaux

Lormont, 33310, France

Location

Résidence de Médicis

Mérignac, 33700, France

Location

EHPAD Fontaudin

Pessac, 33600, France

Location

EHPAD Villa presentine

Rauzan, 33420, France

Location

EHPAD Jacqueline Auriol

Saint-Seurin-sur-l'Isle, 33660, France

Location

EHPAD Résidence La berge du lac

Talence, 33110, France

Location

EHPAD Villa Bontemps

Talence, 33400, France

Location

EHPAD Home Marie Curie

Villenave-d'Ornon, 33140, France

Location

Related Publications (5)

• Han JH, Morandi A, Ely EW, Callison C, Zhou C, Storrow AB, Dittus RS, Habermann R, Schnelle J. Delirium in the nursing home patients seen in the emergency department. J Am Geriatr Soc. 2009 May;57(5):889-94. doi: 10.1111/j.1532-5415.2009.02219.x.

  PMID: 19484845 RESULT

• Morandi A, Han JH, Callison C, Ely EW, Schnelle JF. Delirium in nursing home residents across care transitions: a preliminary report. J Am Geriatr Soc. 2009 Oct;57(10):1956-8. doi: 10.1111/j.1532-5415.2009.02472.x. No abstract available.

  PMID: 19807810 RESULT

• Vellas B. Integrating Frailty into Clinical Practice to Prevent the Risk of Dependency in the Elderly. Nestle Nutr Inst Workshop Ser. 2015;83:99-104. doi: 10.1159/000382092. Epub 2015 Oct 20.

  PMID: 26485153 RESULT

• Graverholt B, Forsetlund L, Jamtvedt G. Reducing hospital admissions from nursing homes: a systematic review. BMC Health Serv Res. 2014 Jan 24;14:36. doi: 10.1186/1472-6963-14-36.

  PMID: 24456561 RESULT

• Salles N, Saillour-Glenisson F, Sibe M, Langlois E, Kret M, Durrieu J, Arditi N, Abraham M, Perry F. Effectiveness and organizational conditions of effectiveness of telemedicine in nursing homes. A study protocol of a comparative prospective cohort (EFFORT study). Digit Health. 2021 Jan 24;7:2055207620982422. doi: 10.1177/2055207620982422. eCollection 2021 Jan-Dec.

  PMID: 33598307 DERIVED

MeSH Terms

Interventions

Telemedicine

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Nathalie SALLES, MD, PhD

  University Hospital, Bordeaux

  PRINCIPAL INVESTIGATOR

• Florence SALLIOUR, PhD

  University Hospital, Bordeaux

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 23, 2018
• First Posted: April 3, 2018
• Study Start: November 1, 2017
• Primary Completion: July 12, 2019
• Study Completion: July 12, 2019
• Last Updated: January 7, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (24)