Evaluating Quebec's Red-Cross Intervention

NCT05099042 | Completed

• 1 other identifier: 2022-1418
• Study Type: interventional
• Target: 300
• 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 to 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) concludes that it was pivotal to first identify the most vulnerable EP and second re-orient them according to their needs. Thus the principal investigator developed the Évaluation et orientation SOcio-GÉRiatrique (ESOGER) questionnaire available on a secure digital platform enabling both a rapid evaluation and intervention to asses EP needs and provide the adequate ressources. The principal 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. Hence, the principal investigator hypothesizes that ESOGER is a clinical tool enabling first line care by the Red-Cross to vulnerable EP without a family doctor, which will lead to an improvement in their health, autonomy and quality of life. Moreover, the principal investigator also hypothesizes that for a better deployment, the tool needs to be adapted to Red-Cross' need and EP service providers.

Conditions

Social Isolation; Aging

Outcome Measures

Primary Outcomes (6)

• COVID-19 symptoms assessed through a questionnaire

  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 measured through a questionnaire

  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 - questionnaire and recommendations

EXPERIMENTAL

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 and re-orientation towards appropriate physical, mental, and social health ressources

Group control - questionnaire without recommendations

NO INTERVENTION

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

Interventions

Recommendations and re-orientation towards appropriate physical, mental, and social health ressources OTHER

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

Group intervention - questionnaire and recommendations

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
• Be registered at the waiting list of GACO at the CIUSSS-Centre-Sud de l'île-de-Montréal (CCSMTL)

You may not qualify if:

• Principal address outside of the CCSMTL 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

Location

MeSH Terms

Conditions

Social Isolation

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON 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 20, 2021
• First Posted: October 29, 2021
• Study Start: June 28, 2021
• Primary Completion: July 27, 2022
• Study Completion: July 27, 2022
• Last Updated: April 10, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)