Dementia in Long Term Care Facilities: Telemedicine for the Management of Neuropsychiatric Symptoms.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 143
- 试验地点
- 4
- 主要终点
- Acceptability of the TM among the LTCF staff
研究概览
简要总结
Telemedicine may facilitate adequate treatment of Neuropsychiatric symptoms (NPS) by identifying underlying causes and tailoring a treatment plan (pharmacological or non-pharmacologic treatments including provision of staff education and support, training in problem solving, and targeted therapy directed at the underlying causes for specific behaviors).
详细描述
During a 6-months period, patients will be included in both arms, whenever they present a disruptive NPS that requires a specialist consultation based on the long-term care facility (LTCF) staff judgment. In the intervention group, a telemedicine (TM) consultation between the LTCF staff (medical and nurse staff) and the Memory Center from the University Hospital, will occur at inclusion (T0). Then, a second TM consultation will occur at 1 month (T1). In the control group management of NPS will be done as usual care. In both groups, patients' parameters such as non-programmed hospitalizations and/or consultations due to disruptive NPS, psychotropic drugs use, and health costs, will be evaluated at inclusion, 1 month and at 2 months. Acceptability of the TM among the LTCF staff will be assessed during the study in the intervention group.
The two university hospitals are composed of a group of institutions for elderly people located near Toulouse and Limoges.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
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
- •patient aged 65 or more, with a dementia diagnosed by a specialist or the general practitioner;
- •patient presenting with a disruptive NPS as defined in French Haute Autorité de Santé (HAS) recommendations (2009), that requires a specialist consultation based on the LTCF staff judgment;
- •informed and written consent by the patient or the legal representative or the reliable person when appropriate;
- •general practitioner agreement.
排除标准
- •patient's life expectancy less than 6 months;
- •Non agreement of study participation of patients or legal representative or the reliable person when appropriate.
结局指标
主要结局
Acceptability of the TM among the LTCF staff
时间窗: 6 months
Acceptability of the telemedicine (TM) among the LTCF staff which will be assessed in the intervention group by quantitative indicators (proportion of the solicitation of the TM solution among patients with disruptive NPS, the delay to obtain a TM consultation and the number of the staff participants at each TM consultation) and qualitative indicators (staff global satisfaction will be evaluated by focus groups and interviewing).
次要结局
- The psychotropic drugs used(6 months)
- describe the health costs(6 months)
- describe the estimation of the cluster effect ("design effect")(6 months)
- Rate of non-programmed hospitalizations and/or consultation due to disruptive NPS(6 months)