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NCT Number: NCT06873919

A Geriatric Mobile Team for Nursing Home Residents: a Feasibility Pilot Study

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.

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Key information

Conditions

Nursing Home Resident Geriatric Assessment

Age range

70 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged over 70 years
  • Presenting with one or more of the following conditions:
  • Difficulties in establishing an advance care planning
  • Medical complexity (multiple specialists, repeated hospitalizations)
  • Polypharmacy
  • Recurrent falls
  • Unmanageable behavioral disorders
  • Weight loss
  • Memory impairment

Exclusion criteria

  • 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

Treatment and study plan

Geriatric Assessment

Other

The 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.

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-inclusion

  2. 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-inclusion

Study contacts

Contact information is provided by the study sponsor or research team.

Marie de Saint-Hubert

CONTACT

[email protected]

+3281424027

Sponsors and collaborators

Lead sponsor

Université Catholique de Louvain

Other

Collaborators

  • Centre Hospitalier Universitaire UCLouvain Namur

Registry information

Official study title

A Geriatric Mobile Team for Nursing Home Residents: an Exploratory, Prospective, Single-Center, Non-Randomized, Non-Interventional Feasibility Pilot Study

Acronym: GerMoT

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Mar 13, 2025
Registry last updated
Mar 13, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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