Interest of Telemedicine in Primary Care in an Multidisability Population Institutionalized (TEDDY)
研究概览
地位
详细说明
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名：Sabine Crestani, MD
- 电话号码：+33 05 67 77 81 61
- 邮箱：crestani.s@chu-toulouse.fr
学习地点
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Montauban、法国、82 000
- FAM la Vitarelle
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接触：
- Dounia Akrouh
- 电话号码：+33 05 63 20 35 35
- 邮箱：dounia.akrouh@asei.asso.fr
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首席研究员：
- Dounia Akrouh
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Montauban、法国、82 000
- MAS de Granès
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接触：
- Dounia Akrouh
- 电话号码：+33 05 63 20 35 35
- 邮箱：dounia.akrouh@asei.asso.fr
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首席研究员：
- Dounia Akrouh
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Rieux-Volvestre、法国、31 310
- Mas Azure
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接触：
- Noémie Roussel
- 电话号码：+33 06 75 17 21 76
- 邮箱：noemie.roussel@asei.asso.fr
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接触：
- Germain Huc, MD
- 电话号码：+33 05 81 44 10 01
- 邮箱：germain.huc@asei.asso.fr
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首席研究员：
- Noémie Roussel
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副研究员：
- Germain Huc, MD
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Toulouse、法国、31 059
- Larrey Hospital - Toulouse University Hospital
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接触：
- Sabine Crestani, MD
- 电话号码：+33 05 67 77 81 61
- 邮箱：crestani.s@chu-toulouse.fr
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接触：
- Virginie Woisard, PHD
- 电话号码：+33 05 31 15 56 48
- 邮箱：woisard.v@chu-toulouse.fr
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首席研究员：
- Sabine Crestani, MD
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副研究员：
- Virginie Woisard, PHD
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Toulouse、法国、31200
- MAS Jean de la Fontaine
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接触：
- Anne Breuillaud
- 电话号码：+33 05 34 25 55 66
- 邮箱：anne.breuillaud@asei.asso.fr
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接触：
- Gauthier Forni
- 电话号码：+33 07 65 56 88 66
- 邮箱：gauthier.forni@asei.asso.fr
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首席研究员：
- Anne Breuillaud
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副研究员：
- Gauthier Forni
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Patients aged ≥ 18 years living in a medical institution (MAS type, FAM from the ASEI network)
- Indication of a medical swallowing assessment in hospital
- Person affiliated to or beneficiary of a social security system.
- Free, informed and written consent signed by the participant or their guardian
Exclusion Criteria:
- Participation in another research including a period of exclusion still ongoing
- non-movable patient
- Pregnant woman, Woman of childbearing age without contraception
- any contraindication to nasofibroscopy and/or fluoroscopy
学习计划
研究是如何设计的？
设计细节
- 主要用途：诊断
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：Patients with a deglutition disorder
All participants will have deglutition disorder.
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The teleconsultation will be scheduled by the UVD programming IDE after contact by the structure team.
This teleconsultation will take place in the presence of the patient's care assistant as well as medical staff (IDE, occupational therapist, physiotherapist, speech therapist, etc.) from the institution and a doctor specializing in swallowing and a speech therapist for the university hospital.
The resident will do a food test under the eyes of CHU specialists.
The patient will be able to test several textures (more or less solid/liquid) prepared in the center in order to be more accurate in their daily life.
The meal will be in his familiar environment with his usual caregivers and tools.
The CHU team will be able to interact directly with the institution's staff in order to have all the information necessary to determine their conclusions : questions, details on the patient's degree of compliance, etc.
Treatment for swallowing disorders in the hospital sector consists of the patient coming to the university hospital or to a day hospital in order to carry out a swallowing assessment consisting of invasive examinations such as nasofibroscopy (NF), swallowing fluoroscopy (VFS) as well as eating a meal outside the patient's usual context, sometimes in the presence of other people foreign to the patient (source of distractibility and sometimes anxiety).
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Recommendations on food textures
大体时间：1 month
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Recommendations regarding food textures will be assessed using the IDDSI (International Dysphagia Diet Standardization Initiative) scale during the V1 telemedicine visit and the V2 outpatient visit 15 days later. This scale consists of 8 categories ranging from 0 ("liquid texture") to 7 ("normal texture"), which are used to assess patients' swallowing abilities. This scale will be used to assess the recommended solid-textured diet (IDDSI 3 to 7) and liquid-textured diet (IDDSI 0 to 4). The relevance between the results of the telemedicine and the outpatient visit will be assessed. |
1 month
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Evaluation of the satisfaction in the structures team
大体时间：1 month
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Satisfaction will be assessed using a satisfaction questionnaire to be completed by caregivers or paramedical staff at medical facilities for the first telemedicine assessment (V1), and then by caregivers accompanying the patient for the second assessment in a hospital setting (V2). It will consist of 8 questions answered on a scale ranging from 1 to 10. These questions will address satisfaction, the extent to which the consultation was tailored to the patient's needs and disability, the patient's dietary habits and the level of difficulty in conducting the consultation. A "free text comments" field will be available. |
1 month
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Description of telemedicine treatment: feasibility
大体时间：2 weeks
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It will be assessed based on a description of how the teleconsultation (V1) is organized and the patient's care pathway, the presence of the usual caregiver during meals, a description of the difficulties encountered in evaluating feasibility and the level of discomfort during the food trial using the ECPA scale (Behavioral Scale for Non-Communicative Older Adults) (composite criterion). The last scale is based on the observation of the patient's behavior and assesses facial expressions, movements, interactions with others and behavior during the meal. The higher the score, the more severe is the pain. |
2 weeks
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Description of telemedicine treatment: evaluation methods
大体时间：2 weeks
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It will be assessed based on the description of the remote ecological evaluation, the assessment of the validity of the telemedicine examination among the various stakeholders, and the collection of data on the type of IDDSI food textures before and after treatment (composite criterion).
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2 weeks
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Description of care in the hospital sector: feasibility
大体时间：1 month
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It will be assessed by describing the nature of the hospital visit (inpatient stay or outpatient visit), the presence of the usual caregiver, and the difficulties encountered in assessing feasibility, as well as the level of discomfort associated with medical procedures, using the ECPA scale (composite criterion).
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1 month
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Description of care in the hospital sector: evaluation methods
大体时间：1 month
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It will be assessed based on the description of the examinations and procedures performed under optimal conditions:
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1 month
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合作者和调查者
调查人员
- 首席研究员：Sabine Crestani、Service ORL - Hôpital Larrey
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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