Evaluating Quebec's Red-Cross Intervention

Not Applicable

Completed

• Conditions: Aging; Social Isolation
• Interventions: Other: Recommendations and re-orientation towards appropriate physical, mental, and social health ressources

• Registration Number: NCT05099042
• Lead Sponsor: Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal

Brief Summary

With the COVID-19 pandemic, elderly people (EP) living at home have seen their health deteriorated, thus increasing their needs in support and care. Indeed, while it was estimated that before the pandemic120 000 unattended living at home EP required care and services (taking bath, access to medication and food, etc.), the number doubled after COVID-19. Therefore, the waiting list for socio-medical services for unattended vulnerable clientele without a family doctor grew from 1300 to 1715 EP in a couple of months during the pandemic. With these numbers, it becomes clear that an intervention is needed. Truly, the Institut National d'Excellence en Santé et Services Sociaux (INESSS) concludes that it was pivotal to first identify the most vulnerable EP and second re-orient them according to their needs.

Thus the principal investigator developed the Évaluation et orientation SOcio-GÉRiatrique (ESOGER) questionnaire available on a secure digital platform enabling both a rapid evaluation and intervention to asses EP needs and provide the adequate ressources. The principal investigator's previous research has demonstrated that ESOGER is one of the rare clinical tools of first contact in telehealth while being global, multidimensional, and equitable.

Hence, the principal investigator hypothesizes that ESOGER is a clinical tool enabling first line care by the Red-Cross to vulnerable EP without a family doctor, which will lead to an improvement in their health, autonomy and quality of life. Moreover, the principal investigator also hypothesizes that for a better deployment, the tool needs to be adapted to Red-Cross' need and EP service providers.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-06-28
• Study First Submitted: 2021-09-20
• Study First Submitted QC: 2021-10-18
• Study First Posted: 2021-10-29
• Primary Completion: 2022-07-27
• Study Completion: 2022-07-27
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-09
• Last Update Posted: 2024-04-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Aged 65 and more
• Living at home
• Be registered at the waiting list of GACO at the CIUSSS-Centre-Sud de l'île-de-Montréal (CCSMTL)

Exclusion Criteria

• Principal address outside of the CCSMTL territory
• Participate at another clinical trial, to avoid interferences
• Not understand written or spoken French or English, questionnaires are only available in French and English.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group intervention - questionnaire and recommendations	Recommendations and re-orientation towards appropriate physical, mental, and social health ressources	The intervention group will take the ESOGER questionnaire at month 0 and month 3 ( beginning and end) and receive recommendations following their needs.

Primary Outcome Measures

Name	Time	Method
Socio-economic characteristics	3 months	Presence or not of socio-economic problems (binary questions)
Autonomy	3 months	ADL scale score from 0= very dependent to 6= very independent and IADL scale score 0= not autonomous 4= autonomous.
COVID-19 symptoms assessed through a questionnaire	3 months	presence or not of fever, cough, and shortness of breath (binary question)
Participant's Quality of life	3 months	Measured by the EQ-5D scale with two parts, scale 1 score from 1= no problem to 5 ( sever health problems) and scale 2 visual analogic scale score from 0= worst possible health to 100= best possible health.
Social health measured through a questionnaire	3 months	Issues related to medication and food delivery and access to home care. Presence or not of a shortage in food, medication and home care ( binary question)
psychological fraility	3 months	Anxiety verbal analogic scale, score from 0= no anxiety to 10= extremly anxious

Secondary Outcome Measures

Name	Time	Method
Caregiver burden	3 months	Based on Zarit scale, score from 0= no burden to 16= high caregiver burden

Trial Locations

Locations (1)

CRIUGM; 🇨🇦 Montréal, Quebec, Canada