Telemedicine and Nursing Home (GERONTACCESS)

Impact of Telemedicine on Avoiding Emergency Hospital Admissions and Hospitalization for Nursing Home Residents

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.

Study Overview

• Status: Completed
• Conditions: Elderly; Multimorbidity
• Intervention / Treatment: Other: Usual Care; Other: Telemedicine

• Study Type: Interventional
• Enrollment (Actual): 428
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Limoges, France
    • Service de Gériatrie

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• 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

Exclusion Criteria:

• Resident unaffiliated or not beneficiary of Social Security
• Resident with a life-threatening disease

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Telemedicine; Usual care and telemedicine consultations during12 months.	Other: Usual Care; Other: Telemedicine
Active Comparator: Usual care alone; Usual care during12 months.	Other: Usual Care

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Efficacy	Proportion of patients who had an admission to the emergency or unscheduled hospitalization in health service or surgery	12 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
MAST	Cost / effectiveness of telemedicine based on the MAST model (Model of Assessment of Telemedicine ).	12 months

Collaborators and Investigators

• Sponsor: University Hospital, Limoges
• Investigators: Principal Investigator: Thierry DANTOINE, MD, CHU Limoges

Study record dates

Study Major Dates

• Study Start (Actual): July 5, 2016
• Primary Completion (Actual): January 18, 2018
• Study Completion (Actual): June 1, 2019

Study Registration Dates

• First Submitted: June 24, 2016
• First Submitted That Met QC Criteria: June 24, 2016
• First Posted (Estimate): June 28, 2016

Study Record Updates

• Last Update Posted (Actual): July 5, 2019
• Last Update Submitted That Met QC Criteria: July 2, 2019
• Last Verified: January 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: I14036/GERONTACCESS

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED