A Geriatric Mobile Team for Nursing Home Residents: a Feasibility Pilot Study

NCT ID: NCT06873919

Last Updated: 2025-03-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-03-05

Study Completion Date

2026-02-28

Brief Summary

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Nursing home (NH) residents have complex healthcare needs. Barriers to collaboration hinder the delivery of high-quality care in nursing homes. To bridge the gap between hospital-based and NH-based care, various innovative approaches have been proposed, including geriatric mobile teams. In Belgium, geriatric expertise has long been confined to hospital settings. Until recently, no specific organization existed for outpatient geriatric assessment, particularly for NH residents. In April 2024, the National Institute for Health and Disability Insurance (INAMI) introduced a new reimbursement code for geriatric consultations in NHs, promoting the development of extramural geriatric activities. However, evidence on the effectiveness of mobile geriatric teams remains limited, particularly regarding hospitalization prevention.

The geriatrics department of CHU UCL Namur is implementing a one-year pilot project involving a mobile team composed of a geriatrician and a nurse to conduct geriatric assessments in the three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their general practitioner, leveraging the new reimbursement code. The project is accompanied by a clinical study assessing the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focused on cost-effectiveness.

Detailed Description

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Conditions

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Nursing Home Resident Geriatric Assessment

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Experimental group

Nursing home resident with a geriatric consultation at her place of residence

Geriatric assessment

Intervention Type OTHER

The tertiary hospital's geriatrics department is implementing a one-year mobile team composed of a geriatrician and a nurse to conduct geriatric assessments (Anamnesis and heteroanamnesis - Clinical examination - Medication review - Proposed management plan provided to the general practionner, who independently decides which recommendations to implement) in three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their primary care physician. The project is accompanied by a clinical study designed to assess the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focusing on cost-effectiveness.

Interventions

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Geriatric assessment

The tertiary hospital's geriatrics department is implementing a one-year mobile team composed of a geriatrician and a nurse to conduct geriatric assessments (Anamnesis and heteroanamnesis - Clinical examination - Medication review - Proposed management plan provided to the general practionner, who independently decides which recommendations to implement) in three nursing homes. This non-randomized pilot project aims to establish a new standard of care for residents selected by their primary care physician. The project is accompanied by a clinical study designed to assess the feasibility, effectiveness, and acceptability of this intervention. Prospectively collected data will also help define key indicators for a future large-scale study focusing on cost-effectiveness.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged over 70 years
* Presenting with one or more of the following conditions:

* Difficulties in establishing an advance care planning
* Medical complexity (multiple specialists, repeated hospitalizations)
* Polypharmacy
* Recurrent falls
* Unmanageable behavioral disorders
* Weight loss
* Memory impairment

Exclusion Criteria

* Patients with an unstable medical condition requiring urgent care
* Patients under 70 years old
* Patients whose condition requires examinations or treatments available only in a hospital setting
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CHU UCL Namur

UNKNOWN

Sponsor Role collaborator

Université Catholique de Louvain

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU UCL Namur

Yvoir, , Belgium

Site Status

Countries

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Belgium

Central Contacts

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Marie de Saint-Hubert

Role: CONTACT

+3281424027

Facility Contacts

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Julie Merche

Role: primary

+3281422175

Other Identifiers

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40025834

Identifier Type: OTHER

Identifier Source: secondary_id

GerMoT

Identifier Type: -

Identifier Source: org_study_id

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