Evolution and Adaptation to Caregiver of a Socio-geriatric Evaluation

NCT05062590 | Recruiting

• 1 other identifier: 2022-616
• Study Type: interventional
• Target: 260
• Locations: 1 country
• Sites: 1

Brief Summary

With the COVID-19 pandemic, elderly people (EP) living at home have seen their health deteriorated, thus increasing their needs in support and care. Indeed, while it was estimated that before the pandemic120 000 unattended living at home EP required care and services (taking bath, access to medication and food, etc.), the number doubled after COVID-19. Therefore, the waiting list for socio-medical services for unattended vulnerable clientele without a family doctor grew from 1300 à 1715 EP in a couple of months during the pandemic. With these numbers, it becomes clear that an intervention is needed. Truly, the Institut National d'Excellence en Santé et Services Sociaux (INESSS) conclude that it was pivotal to first identify the most vulnerable EP and second re-orient them according to their needs. Thus the investigator developed the Évaluation et orientation SOcio-GÉRiatrique (ESOGER) questionnaire available on a secure digital plateform enabling both a rapid evaluation and intervention to asses EP needs and provide the adequate ressources. Investigator's previous research has demonstrated that ESOGER is one of the rare clinical tools of first contact in telehealth while being global, multidimensional, and equitable. For this study, the investigator aims to evaluate the effect of ESOGER on EP physical and mental health, loss of autonomy, social isolation, quality of life and ressources consumption.

Conditions

Social Isolation; Aging

Outcome Measures

Primary Outcomes (6)

• COVID-19 symptoms

  presence or not of fever, cough, and shortness of breath (binary question)

  3 months

• psychological fraility

  Anxiety verbal analogic scale, score from 0= no anxiety to 10= extremly anxious

  3 months

• Social health

  Issues related to medication and food delivery and access to home care. Presence or not of a shortage in food, medication and home care ( binary question)

  3 months

• Socio-economic characteristics

  Presence or not of socio-economic problems (binary questions)

  3 months

• Participant's Quality of life

  Measured by the EQ-5D scale with two parts, scale 1 score from 1= no problem to 5 ( sever health problems) and scale 2 visual analogic scale score from 0= worst possible health to 100= best possible health.

  3 months

• Autonomy

  ADL scale score from 0= very dependent to 6= very independent and IADL scale score 0= not autonomous 4= autonomous.

  3 months

Secondary Outcomes (1)

• Caregiver burden

  3 months

Study Arms (2)

Group Intervention

EXPERIMENTAL

Experimental: Group 1 The intervention group will take the ESOGER questionnaire at month 0 and month 3 ( beginning and end) and receive recommendations following their needs.

Other: Recommendations

Group control

NO INTERVENTION

The participants will only take the ESOGER questionnaire at month 0 and month 3 without recommendations

Interventions

Recommendations OTHER

Ressources recommendations and interventions curated to the needs of the EP such as refering them to a social activity for socially isolated EP

Group Intervention

Eligibility Criteria

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

You may qualify if:

• Aged 65 and more
• Living at home on the territory CIUSSS-Centre-Sud de l'île-de-Montréal (CCSMTL) of Jeanne-Mance
• Brief Geriatric Assessment (BGA) score of 1/14 or more defining a severly to milidly frail health.

You may not qualify if:

• Principal address outside of the CCSMTL's Jeanne-Mance territory
• Participate at another clinical trial, to avoid interferences
• Not understand written or spoken French or English, questionnaires are only available in French and English.

Sponsors & Collaborators

• Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal: lead

Study Sites (1)

CRIUGM

Montreal, Quebec, H3W 1W5, Canada

RECRUITING

MeSH Terms

Conditions

Social Isolation

Interventions

Health Planning Guidelines

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Intervention Hierarchy (Ancestors)

Health Planning; Health Care Economics and Organizations

Central Study Contacts

Olivier Beauchet, MD

CONTACT

514-340-3540; olivier.beauchet@umontreal.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, PhD, Senior researcher, Director of laboratory

Study Record Dates

• First Submitted: September 21, 2021
• First Posted: September 30, 2021
• Study Start: April 4, 2022
• Primary Completion: June 1, 2025
• Study Completion: March 1, 2026
• Last Updated: February 23, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)