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| Name | Class |
|---|---|
| Clinique Mutualiste la Sagesse | OTHER |
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Access to care for people with traumatic or degenerative neurological disabilities is a current public health concern. New technological tools such as telemedicine can bring expertise to the place of life of people while promoting the city-hospital link.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| telemedecine's follow-up | Experimental | Telemedecine follow-up after an intervention at home of the mobile team |
|
| mobile team's follow-up | Active Comparator | Mobile team follow-up after an intervention at home of the mobile team |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telemedecine follow-up after an intervention at home of the mobile team | Other | After a first visit of the mobile team at home, patients are followed by telemedicine. Moreover, in case of pain, a specialized consultation by an algologist of "La Sagesse" will be realized. |
| Measure | Description | Time Frame |
|---|---|---|
| Medical-economic analysis by the calculation of the cost-effectiveness of this organization of care | Cost-effectiveness analysis by ICER (Incremental Cost-Effectiveness Ratio) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| UTAUT (Unified theory of acceptance of technology) questionnaire | Questionnaire of acceptability / acceptance of the tool and its use by professionals based on the Unified Theory of Acceptance and Use Technology (UTAUT) | 6 months |
| Hospital Anxiety and Depression scale (HAD) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Philippe Gallien, Doctor | Pole Saint-Hélier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pôle Saint-Hélier | Rennes | 35000 | France |
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Monocentric, randomized controlled pilot study
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| Mobile team follow-up after an intervention at home of the mobile team | Other | After a first visit of the mobile team at home, patients are followed by mobile team. Moreover, in case of pain, a specialized consultation by an algologist of "La Sagesse" will be realized. |
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It can detect anxiety and depressive disorders. It has 14 items rated from 0 to 3. Seven questions relate to anxiety (total A) and seven others to the depressive dimension (total D), thus obtaining two scores (maximum score of each score = 21). 7 or less: no symptomatology 8 to 10: doubtful symptomatology 11 and above: certain symptomatology. |
| 6 months |
| Pain evaluation | Digital assessment (0 to 10) of pain for communicating patients | 6 months |
| DN4 scale | Digital assessment of neuropathic pain for communicating patients. If the patient score is equal to or greater than 4/10, the test is positive. | 6 months |
| Doloplus scale | Behavioral Assessment Scale of Pain in Older People with Verbal Communication Disorders. This scale comprises ten items divided into three subgroups (five somatic, two psychomotor and three psychosocial). Each item is rated from 0 to 3 (four exclusive and progressive level scoring), which results in an overall score between 0 and 30. The pain is clearly affirmed for a score greater than or equal to 5 out of 30. | 6 months |
| Zarit's score | The Zarit scale assesses the emotional, physical and financial burden for caregivers of caring for someone with a loss of autonomy. The total score, which is the sum of the scores obtained for each of 22 items, varies from 0 to 88. A score less than or equal to 20 indicates a low or no load; a score between 21 and 40 indicates a light load; a score between 41 and 60 indicates a moderate load; a score above 60 indicates a severe charge. | 6 months |
| Goal Attainment Scale | Goal Attainment Scale by objectives at the beginning and end of taking charge. Each item built has 5 levels of answers 0: corresponds to the achievement of the goal set by the examiner.
| 6 months |
| EVA Satisfaction | Digital assessment (0 to 10) of satisfaction. | 6 months |