Socio-geriatric Evaluation (ESOGER): A Clinical Tool in Telehealth to Fight Against Vulnerable Seniors's Health Alterations and Social Isolation
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 260
- 试验地点
- 2
- 主要终点
- Autonomy
研究概览
简要总结
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 à 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) conclude that it was pivotal to first identify the most vulnerable EP and second re-orient them according to their needs. Thus the investigator developed the Évaluation et orientation SOcio-GÉRiatrique (ESOGER) questionnaire available on a secure digital plateform enabling both a rapid evaluation and intervention to asses EP needs and provide the adequate ressources. 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. For this study, the investigator aims to evaluate the effect of ESOGER on EP physical and mental health, loss of autonomy, social isolation, quality of life and ressources consumption.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 65 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 65 and more
- •Living at home on the territory CIUSSS-Centre-Sud de l'île-de-Montréal (CCSMTL) of Jeanne-Mance
- •Brief Geriatric Assessment (BGA) score of 1/14 or more defining a severly to milidly frail health.
排除标准
- •Principal address outside of the CCSMTL's Jeanne-Mance 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.
研究组 & 干预措施
Group control
The participants will only take the ESOGER questionnaire at month 0 and month 3 without recommendations
Group Intervention
Experimental: Group 1 The intervention group will take the ESOGER questionnaire at month 0 and month 3 ( beginning and end) and receive recommendations following their needs.
干预措施: Recommendations (Other)
结局指标
主要结局
Autonomy
时间窗: 3 months
ADL scale score from 0= very dependent to 6= very independent and IADL scale score 0= not autonomous 4= autonomous.
Social health
时间窗: 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)
Socio-economic characteristics
时间窗: 3 months
Presence or not of socio-economic problems (binary questions)
Participant's Quality of life
时间窗: 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.
COVID-19 symptoms
时间窗: 3 months
presence or not of fever, cough, and shortness of breath (binary question)
psychological fraility
时间窗: 3 months
Anxiety verbal analogic scale, score from 0= no anxiety to 10= extremly anxious
次要结局
- Caregiver burden(3 months)
研究者
Olivier Beauchet
MD, PhD, Senior researcher, Director of laboratory
Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal
