Medico-economic Impact Evaluation in Telemedecine Follow-up in Complement of a Mobile Team in Patients With Neurological Disabilities (HANDI@CCESS)

Not Applicable

Completed

• Conditions: Severe Neurological Disabilities
• Interventions: Other: Telemedecine follow-up after an intervention at home of the mobile team; Other: Mobile team follow-up after an intervention at home of the mobile team

• Registration Number: NCT03717974
• Lead Sponsor: Pôle Saint Hélier

Brief Summary

Access to care for people with traumatic or degenerative neurological disabilities is a current public health concern. New technological tools such as telemedicine can bring expertise to the place of life of people while promoting the city-hospital link.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-09-24
• Study First Submitted: 2018-10-16
• Study First Submitted QC: 2018-10-23
• Study First Posted: 2018-10-24
• Status Verified: 2021-02
• Primary Completion: 2021-11-22
• Study Completion: 2022-01-25
• Last Update Submitted: 2022-02-10
• Last Update Posted: 2022-02-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Patients over 18
• Volunteer to participate in the study and whose primary caregiver is voluntary
• Presenting a severe neurological handicap following a neurological lesion of traumatic, vascular or degenerative origin,
• Requiring an expert opinion in MPR (rehabilitation, technical and human compensatory means, specific treatments ...) and / or in algology
• Whose access to care is reduced (difficulties of movement, distance from expert centers, situation of fragility ...) and which necessitate the displacement of professionals at home,
• Which require a coordination of care associating the professionals of the sanitary and medico-social sectors
• Living in health territory 5 in Brittany
• Mastering the French language spoken and / or written.

Exclusion Criteria

• Misunderstanding making it impossible for informed consent with the refusal of the guardian or court safeguard
• Unable to use a digital tablet or lack of a resource person who can assist the patient in the use of the tablet
• Patients who do not have access to an internet connection (white area)
• Life threatening is committed in the short term (< 3 months)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
telemedecine's follow-up	Telemedecine follow-up after an intervention at home of the mobile team	Telemedecine follow-up after an intervention at home of the mobile team
mobile team's follow-up	Mobile team follow-up after an intervention at home of the mobile team	Mobile team follow-up after an intervention at home of the mobile team

Primary Outcome Measures

Name	Time	Method
Medical-economic analysis by the calculation of the cost-effectiveness of this organization of care	6 months	Cost-effectiveness analysis by ICER (Incremental Cost-Effectiveness Ratio)

Secondary Outcome Measures

Name	Time	Method
UTAUT (Unified theory of acceptance of technology) questionnaire	6 months	Questionnaire of acceptability / acceptance of the tool and its use by professionals based on the Unified Theory of Acceptance and Use Technology (UTAUT)
DN4 scale	6 months	Digital assessment of neuropathic pain for communicating patients. If the patient score is equal to or greater than 4/10, the test is positive.
Zarit's score	6 months	The Zarit scale assesses the emotional, physical and financial burden for caregivers of caring for someone with a loss of autonomy.; The total score, which is the sum of the scores obtained for each of 22 items, varies from 0 to 88.; A score less than or equal to 20 indicates a low or no load; a score between 21 and 40 indicates a light load; a score between 41 and 60 indicates a moderate load; a score above 60 indicates a severe charge.
EVA Satisfaction	6 months	Digital assessment (0 to 10) of satisfaction.
Hospital Anxiety and Depression scale (HAD)	6 months	It can detect anxiety and depressive disorders. It has 14 items rated from 0 to 3. Seven questions relate to anxiety (total A) and seven others to the depressive dimension (total D), thus obtaining two scores (maximum score of each score = 21). 7 or less: no symptomatology 8 to 10: doubtful symptomatology 11 and above: certain symptomatology.
Doloplus scale	6 months	Behavioral Assessment Scale of Pain in Older People with Verbal Communication Disorders. This scale comprises ten items divided into three subgroups (five somatic, two psychomotor and three psychosocial).; Each item is rated from 0 to 3 (four exclusive and progressive level scoring), which results in an overall score between 0 and 30.; The pain is clearly affirmed for a score greater than or equal to 5 out of 30.
Pain evaluation	6 months	Digital assessment (0 to 10) of pain for communicating patients
Goal Attainment Scale	6 months	Goal Attainment Scale by objectives at the beginning and end of taking charge. Each item built has 5 levels of answers 0: corresponds to the achievement of the goal set by the examiner.; * 1: is a better score than expected.; * 2: corresponds to the most favorable evolution expected.; * 1: corresponds to a score lower than that expected.; * 2: corresponds to a least favorable score expected.

Trial Locations

Locations (1)

Pôle Saint-Hélier; 🇫🇷 Rennes, France