A Geriatric Mobile Team for Nursing Home Residents: a Feasibility Pilot Study
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age70+
SponsorUniversité Catholique de Louvain
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged over 70 years
Difficulties in establishing an advance care planning
Medical complexity (multiple specialists, repeated hospitalizations)
Polypharmacy
Disqualifiers
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
Trial population
The study population will be defined based on the population identified within the geriatric consultation project in nursing homes. Eligible patients present with geriatric syndromes identified by their primary care physician. They are over 70 years old and reside in one of the three nursing homes participating in the project.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Geriatric assessment
Other interventionThe 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.
Treatment groups
200 Participants
are divided into 1 treatment groupGroup A: Experimental group1 intervention
Trial outcomes
Primary outcomes
1
Feasability
Time frame
Immediately after the initial consultation, with follow-up assessments at 3, 6, 9, and up to 12 months post-inclusion.Secondary outcomes
1
Acceptability
Time frame
Immediately after the initial consultation, with follow-up assessments at 3, 6, 9, and up to 12 months post-inclusion2
Determine the outcomes for a future full evaluation study.
Time frame
Immediately after the initial consultation, with follow-up assessments at 3, 6, 9, and up to 12 months post-inclusionSponsors and contacts
Click on the lead sponsor to view all of their trials.
Université Catholique de Louvain
Lead sponsor
CHU UCL Namur
Collaborator
Source ClinicalTrials.gov
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