Clinical trial NCT03871569: Medico-economical Evaluation on Buccodental Teleexpertise in Nursing Home
Official title: Medico-economical Evaluation on Buccodental Teleexpertise in Nursing Home
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Tooth Diseases
Keywords: Telemedicine
dentistry
long-term-care-home
Lead sponsor: University Hospital, Montpellier
Sponsor class: OTHER
First posted: 2019-03-12
Enrollment: 171
Sex: ALL
Minimum age (years): 60
Maximum age (years): 120
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: Oral care in medical and social institutions is a real public health problem. The impact of poor oral health on the general state of residents but also on their overall quality of life is significant.

The development of a precise regulatory framework for telemedicine in France aims to transform experiments into sustainable medical activities. Odontology often set aside in this reflection, must be reintegrated. The use of tele-expertise for the oral care of nursing home residents should make it possible to replace oral health in medico-social institutions. The investigators will assess in a cluster randomized controlled study whether the buccodental telemedicine has a viable economic model and a significant impact on the overall health of facility for dependent elderly persons residents.

The medico-economic impact of the buccodental telexpertise is fundamental for the development of this innovative activity.


Eligibility criteria: Inclusion Criteria:

* Be resident of a facility for dependent elderly persons involved in the study
* Have given their Free, informed and signed consent
* Beneficiary or member of a social security scheme

Exclusion Criteria:

* incapacity to open the mouth
* contrary opinion of the medical team (end of life)
* Change of nursing home planned within 6 months
* Subject in a period of relative exclusion from another protocol
* Subject's participation in another study
* Subject deprived of liberty by judicial or administrative decision

Primary outcomes:
measure: Cost-Utility ratio of buccodental telemedicine in nursing home as compared to usual care
timeFrame: At month 6
Secondary outcomes:
measure: Cost/Efficacity ratio of buccodental telemedicine in nursing home as compared to usual care
timeFrame: At month 6
measure: Quality of life comparison: EQ5D-3L questionnaire
timeFrame: At month 6
measure: Economic impact of teleexpertise on dental treatment
timeFrame: At month 6
measure: Evaluate satisfaction rate of use of teleexpertise of nursing home staff
timeFrame: At month 6
measure: Compare the emergency score
timeFrame: At month 0 and at month 6
Other outcomes:
Locations:
city: Belmont sur Rance
country: France
facility: EHPAD Le Sherpa
city: Castelnau-le-Lez
country: France
facility: EHPAD Via Domitia
city: Gigean
country: France
facility: EHPAD Korian La Colombe
city: Marseille
country: France
facility: EHPAD Korian Perier
city: Marsillargues
country: France
facility: EHPAD La Roselière
city: Montpellier
country: France
facility: EHPAD Françoise Gauffier
city: Montpellier
country: France
facility: EHPAD Korian La Pompignane
city: Montpellier
country: France
facility: EHPAD La Carriera
city: Montpellier
country: France
facility: EHPAD Montpellieret
city: Montpellier
country: France
facility: EHPAD Pierre Laroque
city: Pezilla la rivière
country: France
facility: Résidence mutualiste de Pezilla
city: Saint-Amans-des-Cots
country: France
facility: EHPAD Saint Jean
city: St Jean Pla de Corts
country: France
facility: EHPAD Saint Jean Pla de Corts
Study officials:
affiliation: CHU de Montpellier
name: Nicolas Giraudeau, DDS, MSc
role: PRINCIPAL_INVESTIGATOR
References: