Evaluating Quebec's Red-Cross Intervention

Aging Clinical Trial

Official title:

Seniors Waiting for Medico-social Care at the CIUSSS-Centre-Sud de l'île de Montréal's Territory Waiting List (GACO) : Evaluation of the Intervention of a New Partner - Quebec's Red-Cross

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05099042
• Other study ID #: 2022-1418
• Status: Completed
• Phase: N/A
• Start date: June 28, 2021
• Est. completion date: July 27, 2022

Study information

• Verified date: April 2024
• Source: Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 300
• Est. completion date: July 27, 2022
• Est. primary completion date: July 27, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Aging
• Social Isolation

Intervention

Other:
• Recommendations and re-orientation towards appropriate physical, mental, and social health ressources
Resources recommendations and interventions curated to the needs of the EP such as refering them to a social activity for socially isolated EP.

Locations

Country	Name	City	State
Canada	CRIUGM	Montréal	Quebec

Sponsors (1)

Lead Sponsor	Collaborator
Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	COVID-19 symptoms assessed through a questionnaire	presence or not of fever, cough, and shortness of breath (binary question)	3 months
Primary	psychological fraility	Anxiety verbal analogic scale, score from 0= no anxiety to 10= extremly anxious	3 months
Primary	Social health measured through a questionnaire	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)	3 months
Primary	Socio-economic characteristics	Presence or not of socio-economic problems (binary questions)	3 months
Primary	Participant's Quality of life	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.	3 months
Primary	Autonomy	ADL scale score from 0= very dependent to 6= very independent and IADL scale score 0= not autonomous 4= autonomous.	3 months
Secondary	Caregiver burden	Based on Zarit scale, score from 0= no burden to 16= high caregiver burden	3 months