Clinical trial NCT06888713: Telemonitoring of Activities of Daily Living in Home Care Services of Older Adults with Cognitive Deficits
Official title: Telemonitoring of Activities of Daily Living in Home Care Services of Older Adults with Cognitive Deficits: a Large-scale Action Design Research Study
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Dementia
Keywords: Telemonitoring of ADL
Homecare services
IA
Lead sponsor: Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal
Sponsor class: OTHER
First posted: 2025-03-21
Enrollment: 200
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: In Canada, it is estimated that two million people are users of publicly funded home care services, with more than half of them being 65 years and older. Although home care services are considered a priority by Canadian provinces, in Québec alone, more than 46 000 people were waiting for those services in 2022. The provision of home care services is hampered by limited funding and growing demand from among an aging population, among other factors. These challenges have led to urgent calls to better support home care in Canada to ensure optimal use of scarce human and financial resources. One of the key strategies to achieve optimal use of resources may be remote monitoring of activities of daily living (ADLs), a type of telehealth. ADL telemonitoring can remotely recognize ADLs such as preparing meals and moving around the home. Past studies have shown that ADL telemonitoring can help in better understanding older adults' home care needs, thereby allowing for more personalized ADL interventions. Previous projects have also allowed for the developement of NEARS-SAPA, a telemonitoring system for ADLs. In these past projects, it was identified how NEARS-SAPA was used by home care services and its ease of use was tested in real environments. In the present project, the benefits of ADL telemonitoring will be tested and its technological capabilities expanded, hence preparing the system for the next big step, i.e. large-scale adoption by home care services. Ultimately, ADL telemonitoring may help the healthcare system determine which service is more appropriate for which person and at what time, thereby optimizing interventions and resource management.


Eligibility criteria: Inclusion Criteria:

1) be an older adult (\> 65 years old), 2) have cognitive deficits as reported in the medical record, 3) live alone, at home, 4) be a care recipient of home care services, 5) speak French or English

Exclusion Criteria:

* None

Primary outcomes:
measure: Number of homecare services received to support activities of daily living (ADL)
timeFrame: From enrollment until around 12 months of following.
measure: Nature of homecare services received to support activities of daily living (ADL).
timeFrame: From enrollement until around 12 months of following.
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: CRIUGM, Université de Montréal
name: Nathalie Bier, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Université de Sherbrooke
name: Charles Gouin-Vallerand, Ph.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Université du Québec à Chicoutimi
name: Kevin Bouchard, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: