Telemonitoring of Activities of Daily Living in Home Care Services of Older Adults with Cognitive Deficits

NCT06888713 | Not Yet Recruiting

• 1 other identifier: PJT-195697
• Study Type: interventional
• Target: 200
• Locations: 0 countries
• Sites: N/A

Brief Summary

In Canada, it is estimated that two million people are users of publicly funded home care services, with more than half of them being 65 years and older. Although home care services are considered a priority by Canadian provinces, in Québec alone, more than 46 000 people were waiting for those services in 2022. The provision of home care services is hampered by limited funding and growing demand from among an aging population, among other factors. These challenges have led to urgent calls to better support home care in Canada to ensure optimal use of scarce human and financial resources. One of the key strategies to achieve optimal use of resources may be remote monitoring of activities of daily living (ADLs), a type of telehealth. ADL telemonitoring can remotely recognize ADLs such as preparing meals and moving around the home. Past studies have shown that ADL telemonitoring can help in better understanding older adults' home care needs, thereby allowing for more personalized ADL interventions. Previous projects have also allowed for the developement of NEARS-SAPA, a telemonitoring system for ADLs. In these past projects, it was identified how NEARS-SAPA was used by home care services and its ease of use was tested in real environments. In the present project, the benefits of ADL telemonitoring will be tested and its technological capabilities expanded, hence preparing the system for the next big step, i.e. large-scale adoption by home care services. Ultimately, ADL telemonitoring may help the healthcare system determine which service is more appropriate for which person and at what time, thereby optimizing interventions and resource management.

Conditions

Dementia

Keywords

Telemonitoring of ADL; Homecare services; IA

Outcome Measures

Primary Outcomes (2)

• Number of homecare services received to support activities of daily living (ADL)

  Number of homecares ADL services received as identified in clinical databases.

  From enrollment until around 12 months of following.

• Nature of homecare services received to support activities of daily living (ADL).

  The category of services received related to ADL as indicated in clinical databases.

  From enrollement until around 12 months of following.

Study Arms (2)

Telemonitoring of ADL group

EXPERIMENTAL

Will receive the technology in their home to document if it influenced the homecare services plan.

Other: Telemonitoring of ADL

No telemonitoring of ADL

NO INTERVENTION

Another group will be followed in therms of homecare services received, but without the technology. The control group will be gathered based on archives data only.

Interventions

Telemonitoring of ADL OTHER

Telemonitoring of ADL is based on smart environments sensors (non wearables) and gathers information about activity of daily living routines for a better understanding of homecare services needed.

Telemonitoring of ADL group

Eligibility Criteria

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

You may qualify if:

• \) be an older adult (\> 65 years old), 2) have cognitive deficits as reported in the medical record, 3) live alone, at home, 4) be a care recipient of home care services, 5) speak French or English

You may not qualify if:

• None

Sponsors & Collaborators

• Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal: lead

MeSH Terms

Conditions

Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Nathalie Bier, Ph.D.

  CRIUGM, Université de Montréal

  PRINCIPAL INVESTIGATOR

• Charles Gouin-Vallerand, Ph.D.

  Université de Sherbrooke

  PRINCIPAL INVESTIGATOR

• Kevin Bouchard, Ph.D.

  Université du Québec à Chicoutimi

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Maxime Lussier, Ph.D.

CONTACT

514-340-3540; maxime.lussier.ccsmtl@ssss.gouv.qc.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Full professor

Study Record Dates

• First Submitted: February 28, 2025
• First Posted: March 21, 2025
• Study Start: April 1, 2025
• Primary Completion (Estimated): April 1, 2028
• Study Completion (Estimated): December 31, 2028
• Last Updated: March 21, 2025

Record last verified: 2025-02