Mobile Unit Screening of Pathologies Associated With Chronic Diseases - Feasibility

Study Overview
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Brief Summary
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The main objective of this study is to assess the feasibility of standardized screening for comorbidities among patients with one or more of three chronic diseases (diabetes, COPD, atherosclerosis) by a mobile unit at times and localities under-served by health actors.

Detailed Description
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The investigators secondary objectives include assessing patient and GP satisfaction in relation to the mobile screening team.

Official Title
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Mobile Unit Screening of Pathologies Associated With Chronic Diseases - Part I Feasibility

Conditions
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Chronic Obstructive Pulmonary Disease, Type II Diabetes, Atherosclerosis

Intervention / Treatment
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* Other: Patient recruitment
* Procedure: Mobile team exam


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patient must have given his/her informed and signed consent The patient must be insured or beneficiary of a health insurance plan The patient has one or more of the following three diseases: (1) chronic obstructive pulmonary disease (COPD); (2) type II diabetes; (3) atherosclerosis. Exclusion Criteria: The patient is participating in another study The patient is in an exclusion period determined by a previous study The patient is under judicial protection, under tutorship or curatorship The patient refuses to sign the consent It is impossible to correctly inform the patient There is a need to take urgent therapeutic care in the opinion of the general practitioner The patient has received within the past year, a full examination including Doppler assessment of supra-aortic arteries, abdominal aorta and lower limbs; the patient has received a measure of the ankle-brachial index at the toe.

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| The study population<br>There is only one group in this study. Please see the inclusion/exclusion criteria. Intervention: Patient recruitment Intervention: Mobile team exam | Other: Patient recruitment<br>* Participating general practitioners (GPs) will inform and recruit participants from among regular patient consults. Using the provided web tools, GPs will organize a visit with the mobile team that fits the needs of the patient.<br>Procedure: Mobile team exam<br>* Each patient enrolled will receive a standardized assessment in one locality, made in about two hours, and comprising: questionnaire responses, a complete physical exam, a 12-lead ECG, spirometry before and after administration of β2-agonists, an arterial Doppler ultrasound (carotid and abdominal), ankle-brachial index (systolic pressure at the toe). At the end of two hours, each patient will evaluate their satisfaction using a survey of acceptability and leave with a full report to the attention of their general practitioner (copy sent to Physician if needed) detailing the results of the different examinations.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of eligible patients who actually received the mobile team exam |  | Day of mobile team exam (day 0) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Observance: percentage of patients included that actually received the balance sheet |  | Day of mobile team exam (day 0) | 
| Time in days between making the appointment by the general practitioner and the mobile team exam |  | Day of mobile team exam (day 0) | 
| Average per patient time necessary to carry out the mobile team exam |  | Day of mobile team exam (day 0) | 
| Average time required for the patient to fill out questionnaires |  | Day of mobile team exam (day 0) | 
| Percentage of complete mobile team exams, that is to say in which all the data and all the variables have been collected and interpreted |  | Day of mobile team exam (day 0) | 
| Percentage of GPs who participated in the study |  | Day of mobile team exam (day 0) | 
| Percentage of mobile team exams in which one or more comorbidities was discovered |  | Day of mobile team exam (day 0) | 
| GP and patient acceptability of the mobile team exam | Visual analog scales (ranging from 0 to 10) for access, delays, organization and satisfaction. | Day of mobile team exam (day 0) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mobile screening team, feasibility