Socio-Geriatric Support for Aging Individuals

(ESOGER Trial)

Recruiting at 1 trial location

Overseen By Olivier Beauchet, MD

Age: 65+

Sex: Any

Trial Phase: Academic

Sponsor: Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal

Disqualifiers: Outside territory, Other trial, Language barrier

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

260 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to assist elderly individuals living at home by using the ESOGER (Socio-Geriatric Support) questionnaire. The goal is to determine if this tool can enhance their physical and mental health, independence, social connections, and overall quality of life. Participants in the experimental group will complete the questionnaire twice, receiving tailored recommendations after each session, while the control group will complete it without follow-up advice. The trial seeks individuals aged 65 or older who live at home in Jeanne-Mance, Montreal, and have been experiencing frail health. Participants should be able to read or understand French or English, as the questionnaire is available only in these languages. As an unphased trial, this study offers participants an opportunity to contribute to research that could improve the quality of life for elderly individuals living at home.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the ESOGER questionnaire is safe for elderly individuals?

Research shows that the ESOGER tool safely and effectively supports older adults. In past studies, researchers used ESOGER to assess older adults living at home, identifying their needs and connecting them to appropriate resources. These studies found that participants managed ESOGER well, with no reports of harm or negative effects.

ESOGER is a questionnaire that identifies the support an elderly person might need. It can be safely used in telehealth, allowing completion over the phone or computer without in-person meetings. This feature is especially important during times like the COVID-19 pandemic, when reducing physical contact is crucial.

Overall, ESOGER appears to be a safe tool for helping older adults receive the care they need. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Socio-Geriatric Support for Aging Individuals trial because it focuses on tailoring support based on personalized needs. Unlike standard care options that might provide generic advice, this trial uses the ESOGER questionnaire to identify specific needs and offer targeted recommendations. The approach aims to enhance the well-being of older adults by providing more individualized care, potentially leading to better outcomes and improved quality of life for participants.

What evidence suggests that the ESOGER questionnaire is effective for improving the health and well-being of elderly individuals?

Research has shown that the ESOGER tool effectively aids older adults, particularly through telehealth services. In this trial, participants in the intervention group will use the ESOGER tool to receive personalized recommendations based on their needs. Studies have found that this can improve both physical and mental health. The tool has been praised for reducing loneliness and enhancing the overall quality of life for seniors. Early findings suggest that ESOGER helps identify risk levels and connects seniors to the right resources, which is especially important after COVID-19. Although long-term data is limited, early signs are promising for better care for seniors with this tool. ^{1 3 4 6 7}

Are You a Good Fit for This Trial?

This trial is for elderly people aged 65 or older living at home in the CCSMTL's Jeanne-Mance territory, who are experiencing varying degrees of frail health as indicated by a BGA score of 1/14 or more. It excludes those already in another trial, living outside the specified area, or unable to understand French or English.

Inclusion Criteria

I am 65 years old or older.

Living at home on the territory CIUSSS-Centre-Sud de l'île-de-Montréal (CCSMTL) of Jeanne-Mance

Brief Geriatric Assessment (BGA) score of 1/14 or more defining a severely to mildly frail health.

Exclusion Criteria

Principal address outside of the CCSMTL's Jeanne-Mance territory

I cannot understand French or English.

Participate in another clinical trial to avoid interferences

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants take the ESOGER questionnaire at month 0 and month 3, with the intervention group receiving recommendations based on their needs

3 months

2 visits (virtual)

Follow-up

Participants are monitored for changes in autonomy, socio-economic characteristics, quality of life, caregiver burden, COVID-19 symptoms, psychological frailty, and social health

3 months

What Are the Treatments Tested in This Trial?

Interventions

• ESOGER

Trial Overview The study tests the ESOGER questionnaire delivered via a secure digital platform. This tool aims to rapidly assess and address the needs of elderly individuals by identifying their vulnerabilities and directing them to appropriate resources.

How Is the Trial Designed?

Group I: Group Intervention Experimental Treatment 1 Intervention

Experimental: Group 1 The intervention group will take the ESOGER questionnaire at month 0 and month 3 ( beginning and end) and receive recommendations following their needs.

Group II: Group control Active Control 1 Intervention

The participants will only take the ESOGER questionnaire at month 0 and month 3 without recommendations

Who Is Running the Clinical Trial?

Centre integre universitaire de sante et de services sociaux du Centre-Sud-de-l'Île-de-Montréal

Lead Sponsor

Trials

15

Recruited

24,400+

Published Research Related to This Trial

In a study of 210 patients aged 65 and older undergoing geriatric rehabilitation, better mobility at discharge was identified as the strongest predictor of whether patients could live at home after rehabilitation.

Other important factors included lower multimorbidity, better cognitive function, and not living alone, highlighting the need for targeted mobility assessments and training in rehabilitation programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Predictors for living at home after geriatric inpatient rehabilitation: A prospective cohort study. Kool, J., Oesch, P., Bachmann, S.[2022]

The social-geriatric examination is conducted by an ambulatory team at the patient's home, focusing on the interactions between individuals and their environment to assess care needs.

This examination helps identify and analyze unfavorable social, mental, and physical conditions that disrupt the balance of the patient's health system, allowing for timely intervention through the primary health care system.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Social geriatric examination]. Sipsma, DH.[2007]

Goal Attainment Scaling (GAS) was found to be a more sensitive and efficient outcome measure for assessing health status changes in frail elderly patients compared to traditional measures, based on a study of 45 patients with a mean age of 81 years.

The study demonstrated that GAS not only allowed for individualized goal tracking but also showed a high inter-rater reliability of 0.91, indicating consistent scoring among evaluators.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Use of goal attainment scaling in measuring clinically important change in the frail elderly. Rockwood, K., Stolee, P., Fox, RA.[2022]

A new rating instrument was developed to evaluate the social situation of elderly individuals, focusing on areas like activities, contacts, living conditions, and finances, and was tested on a group of 60 elderly participants.

The study found positive correlations between the evaluated social dimensions and life satisfaction, suggesting that the instrument can help identify elderly individuals at risk for low life satisfaction based on their social circumstances.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Social status and life satisfaction of the elderly]. Adler, G., Tremmel, S., Brassen, S., et al.[2019]

In a study of 209 older patients in geriatric rehabilitation, common goals included 'walking', 'getting rid of pain', 'autonomy', and 'returning home', which were linked to the International Classification of Functioning, Disability and Health (ICF).

Achieving these patient-defined goals, along with a shorter length of hospital stay, significantly predicted improvements in overall functioning, highlighting the importance of incorporating patients' perspectives in rehabilitation planning.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient goals in post-acute geriatric rehabilitation--goal attainment is an indicator for improved functioning. Kus, S., Müller, M., Strobl, R., et al.[2022]

The social evaluation scale for the elderly demonstrated excellent inter-observer reliability with an intraclass correlation coefficient of 0.957, indicating that different observers can consistently use the scale to assess social situations.

While the scale showed moderate to low internal consistency (Cronbach alpha of 0.4467), it effectively identifies social risks and problems, suggesting it is a useful tool for professionals in social and health care settings for the elderly.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[An evaluation of the feasibility and validity of a scale of social assessment of the elderly]. García González, JV., Díaz Palacios, E., Salamea García, A., et al.[2022]

The SOCG-4, a 4-item scale derived from the original Sociotype Questionnaire, effectively assesses social relationships in the elderly, demonstrating strong validity and reliability with a correlation of 0.82 with the full SOCQ.

In a pilot study involving 150 elderly participants, the SOCG-4 proved useful for identifying individuals in need of social care or psychosocial intervention, highlighting its potential application in primary care and geriatric clinics.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Cost of Loneliness: Assessing the Social Relationships of the Elderly via an Abbreviated Sociotype Questionnaire for inside and outside the Clinic. Navarro, J., Cañete, M., Olivera, FJ., et al.[2022]

The Vitor Quality of Life Scale for the Elderly (VITOR QLSE) was validated and found to be reliable, with a final version consisting of 48 items across six domains, demonstrating a high overall reliability score of 0.93.

This scale effectively measures quality of life in elderly individuals, addressing a gap in available tools in Latin America, particularly Brazil, where there is a need for such assessments as the population ages.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Vitor Quality of Life Scale for the Elderly: evidence of validity and reliability. da Silva, JV., Baptista, MN.[2020]

In a study of 185 older adults attending a psychogeriatric day hospital, significant reductions in anxiety and depression symptoms were observed, along with improvements in quality of life and life satisfaction, all with moderate effect sizes.

The findings suggest that personalized, time-limited care in psychogeriatric day hospitals can lead to meaningful mental health benefits for older adults, highlighting the need for more such facilities as alternatives to costly inpatient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Psychogeriatric day hospital reduces depression and anxiety symptoms and improves quality of life. Hoggarth, PA.[2019]

A validated questionnaire for assessing social aspects of elderly patients showed high interrater reliability (0.92-0.97) and significant test-retest reliability (0.75), indicating it is a reliable tool for geriatric assessment.

The questionnaire effectively correlates with therapeutic assessments, demonstrating a significant relationship (r = 0.51, p < 0.01) and achieving high sensitivity and specificity, making it useful for identifying patients who may benefit from additional support or home visits.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Social aspects in diagnosis and therapy of very elderly patients. Initial experiences with a newly developed questionnaire within the scope of geriatric assessment]. Nikolaus, T., Specht-Leible, N., Bach, M., et al.[2022]

Citations

1. reaganudall.org reaganudall.org/clinical-trial/first-level-socio-geriatric-evaluation-esoger-databank

First Level Socio-geriatric Evaluation: ESOGER Databank ESOGER("Evaluation Social et GERiatrique") is a clinical tool designed to: 1) screen therisk-levels for adverse consequences related to COVID-19 physical ...

2. canadacommons.ca canadacommons.ca/artifacts/19513692/evaluation-socio-geriatrique-esoger/20414226/

ESOGER: A Telehealth Tool to Combat Health ... This report details the development and evaluation of ESOGER (Évaluation Socio-GÉRiatrique), a telehealth tool designed to identify and address the needs of ...

3. studies.bethecure.ca studies.bethecure.ca/find/5bfeba7c86a477cd2faf09b70e90acc18839419e-socio-geriatric-evaluation-esoger-a-clinical-to?locale=fr

Evolution and Adaptation to Caregiver of a Socio-geriatric ... For this study, the investigator aims to evaluate the effect of ESOGER on EP physical and mental health, loss of autonomy, social isolation, quality of life and ...

4. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/35805060/

Effectiveness of Geriatric Assessment-Driven Interventions ... This study assesses the efficacy of Geriatric Assessment (GA)-driven interventions and follow-up on six-month mortality, functional, and nutritional status

5. researchgate.net researchgate.net/publication/11538844_Effectiveness_of_geriatric_evaluation_and_care_One-year_results_of_a_multicenter_randomized_clinical_trial

Effectiveness of geriatric evaluation and care. One-year ... The aim of this study was to demonstrate the effectiveness of outpatient elderly care based on Comprehensive Geriatric Assessment (CGA).

6. val-connect.ainfo.io val-connect.ainfo.io/clinical-trials/listings/11560/first-level-socio-geriatric-evaluation/

First Level Socio-geriatric Evaluation: ESOGER Databank ESOGER ("Evaluation Social et GERiatrique") is a clinical tool designed to: 1) screen the risk-levels for adverse consequences related to COVID-19 physical ...

7. policycommons.net policycommons.net/artifacts/19513700/evaluation-socio-geriatrique-esoger/20414234/

ESOGER: A Telepractice Tool for Socio-Geriatric ... This research project focuses on the Socio-Geriatric Assessment (ESOGER), a telepractice clinical tool designed to combat the deterioration of health and ...