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CompletedNCT02472015DETECTUpdated Jun 1, 2023

Dementia in Long Term Care Facilities: Telemedicine for the Management of Neuropsychiatric Symptoms

An interventional study of telemedicine in Dementia, sponsored by University Hospital, Toulouse. Completed at 2 sites in France. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-06-01.

Sponsored by University Hospital, Toulouse · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
143
Allocation
Randomized
Ages
65 Years and older
Sex
All
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Study summary

Telemedicine may facilitate adequate treatment of Neuropsychiatric symptoms (NPS) by identifying underlying causes and tailoring a treatment plan (pharmacological or non-pharmacologic treatments including provision of staff education and support, training in problem solving, and targeted therapy directed at the underlying causes for specific behaviors).

Read the detailed description

During a 6-months period, patients will be included in both arms, whenever they present a disruptive NPS that requires a specialist consultation based on the long-term care facility (LTCF) staff judgment. In the intervention group, a telemedicine (TM) consultation between the LTCF staff (medical and nurse staff) and the Memory Center from the University Hospital, will occur at inclusion (T0). Then, a second TM consultation will occur at 1 month (T1). In the control group management of NPS will be done as usual care. In both groups, patients' parameters such as non-programmed hospitalizations and/or consultations due to disruptive NPS, psychotropic drugs use, and health costs, will be evaluated at inclusion, 1 month and at 2 months. Acceptability of the TM among the LTCF staff will be assessed during the study in the intervention group.

The two university hospitals are composed of a group of institutions for elderly people located near Toulouse and Limoges.

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Conditions studied

  • Dementia

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Keywords

  • neuropsychiatric symptoms
  • dementia
  • telemedicine
  • long-term care facilities
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In context

Dementia

2,172 studies on the registry are indexed under Dementia; 540 are open to participants now.

This study's enrollment of 143 is above the median of 83 across 1,629 interventional studies indexed under Dementia.

Browse Dementia studies →

Lead sponsor

University Hospital, Toulouse is the lead sponsor of 794 studies on the registry; 214 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • patient aged 65 or more, with a dementia diagnosed by a specialist or the general practitioner;
  • patient presenting with a disruptive NPS as defined in French Haute Autorité de Santé (HAS) recommendations (2009), that requires a specialist consultation based on the LTCF staff judgment;
  • informed and written consent by the patient or the legal representative or the reliable person when appropriate;
  • general practitioner agreement.

Exclusion criteria

Exclusion Criteria:

  • patient's life expectancy less than 6 months;
  • Non agreement of study participation of patients or legal representative or the reliable person when appropriate.
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
143 participants (actual)

Study arms

  • No intervention
    normal care

    patients who will have normal care

  • Experimental
    telemedicine

    patients who will have telemedicine

    Procedure: telemedicine

Interventions

  • Proceduretelemedicine

    psycho-behavioural care by telemedicine

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What researchers measure

Primary outcomes

  1. Acceptability of the TM among the LTCF staff

    Acceptability of the telemedicine (TM) among the LTCF staff which will be assessed in the intervention group by quantitative indicators (proportion of the solicitation of the TM solution among patients with disruptive NPS, the delay to obtain a TM consultation and the number of the staff participants at each TM consultation) and qualitative indicators (staff global satisfaction will be evaluated by focus groups and interviewing).

    Time frame: 6 months

Secondary outcomes

  1. Rate of non-programmed hospitalizations and/or consultation due to disruptive NPS

    Calculation of the rate of non-programmed hospitalizations and/or consultation due to disruptive NPS in both groups

    Time frame: 6 months

  2. The psychotropic drugs used

    Description of psychotropic drugs used in both groups

    Time frame: 6 months

  3. describe the health costs

    Description of the health costs in both groups

    Time frame: 6 months

  4. describe the estimation of the cluster effect ("design effect")

    Estimation of the cluster effect ("design effect") in both groups

    Time frame: 6 months

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Study locations

2 sites
  • UHLimoges
    Limoges, 87042, France
  • UHToulouse
    Toulouse, 31300, France
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References and documents

Publications

  • Piau A, Nourhashemi F, De Mauleon A, Tchalla A, Vautier C, Vellas B, Duboue M, Costa N, Rumeau P, Lepage B, Soto Martin M. Telemedicine for the management of neuropsychiatric symptoms in long-term care facilities: the DETECT study, methods of a cluster randomised controlled trial to assess feasibility. BMJ Open. 2018 Jun 12;8(6):e020982. doi: 10.1136/bmjopen-2017-020982. PubMed 29895651 ↗
  • Piau A, Vautier C, De Mauleon A, Tchalla A, Rumeau P, Nourhashemi F, Soto-Martin M. Health workers perception on telemedicine in management of neuropsychiatric symptoms in long-term care facilities: Two years follow-up. Geriatr Nurs. 2020 Nov-Dec;41(6):1000-1005. doi: 10.1016/j.gerinurse.2020.07.009. Epub 2020 Aug 6. PubMed 32771311 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02472015
Lead sponsor
University Hospital, Toulouse
Responsible party
Sponsor
First posted
Jun 15, 2015
Start date
Jun 2015
Primary completion
Nov 2017
Completion
Nov 2017
Last update
Jun 1, 2023

Study contacts

Maria Soto, MD
principal investigator · University Hospital, Toulouse

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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