A Geriatric Mobile Team for Nursing Home Residents: A Feasibility Pilot Study (GerMoT)
A Geriatric Mobile Team for Nursing Home Residents: An Exploratory, Prospective, Single-Center, Non-Randomized, Non-Interventional Feasibility Pilot Study
Nursing home (NH) residents have complex healthcare needs. Barriers to collaboration hinder the delivery of high-quality care in nursing homes. To bridge the gap between hospital-based and NH-based care, various innovative approaches have been proposed, including geriatric mobile teams. In Belgium, geriatric expertise has long been confined to hospital settings. Until recently, no specific organization existed for outpatient geriatric assessment, particularly for NH residents. In April 2024, the National Institute for Health and Disability Insurance (INAMI) introduced a new reimbursement code for geriatric consultations in NHs, promoting the development of extramural geriatric activities. However, evidence on the effectiveness of mobile geriatric teams remains limited, particularly regarding hospitalization prevention.
The geriatrics department of CHU UCL Namur is implementing a one-year pilot project involving a mobile team composed of a geriatrician and a nurse to conduct geriatric assessments in the three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their general practitioner, leveraging the new reimbursement code. The project is accompanied by a clinical study assessing the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focused on cost-effectiveness.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
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Yvoir, Belgien, 5530
- CHU UCL Namur
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
The study population will be defined based on the population identified within the geriatric consultation project in nursing homes. Eligible patients present with geriatric syndromes identified by their primary care physician. They are over 70 years old and reside in one of the three nursing homes participating in the project.
Beskrivelse
Inclusion Criteria:
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Patients aged over 70 years
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Presenting with one or more of the following conditions:
- Difficulties in establishing an advance care planning
- Medical complexity (multiple specialists, repeated hospitalizations)
- Polypharmacy
- Recurrent falls
- Unmanageable behavioral disorders
- Weight loss
- Memory impairment
Exclusion Criteria:
- Patients with an unstable medical condition requiring urgent care
- Patients under 70 years old
- Patients whose condition requires examinations or treatments available only in a hospital setting
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
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Experimental group
Nursing home resident with a geriatric consultation at her place of residence |
The tertiary hospital's geriatrics department is implementing a one-year mobile team composed of a geriatrician and a nurse to conduct geriatric assessments (Anamnesis and heteroanamnesis - Clinical examination - Medication review - Proposed management plan provided to the general practionner, who independently decides which recommendations to implement) in three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their primary care physician. The project is accompanied by a clinical study designed to assess the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focusing on cost-effectiveness. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Feasability
Tidsramme: Throughout the entire study, during 18 months
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Throughout the entire study, during 18 months
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Acceptability
Tidsramme: Throughout the entire study, during 18 months
|
Throughout the entire study, during 18 months
|
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Determine the outcomes for a future full evaluation study.
Tidsramme: Throughout the entire study, during 18 months
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Throughout the entire study, during 18 months
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- GerMoT
- 40025834 (Anden identifikator: Fond National de la Recherche)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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