Digital care-coordination support for family caregivers after an emergency-department discharge
Real World Evidence to Assess the Value of a Digital Care Coordination and Monitoring Program for Supporting Caregivers of Adults Discharged From the Emergency Department.
This pilot tests whether the Monka digital app helps family caregivers of adults discharged from the emergency department reduce caregiver burden and improve post-discharge outcomes.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Fondation Hôpital Saint-Joseph Academic / other |
| Locations | 1 site (Paris) |
| Trial ID | NCT07348081 on ClinicalTrials.gov |
What this trial studies
This prospective, longitudinal real-world pilot offers the Monka digital solution to non-professional caregivers of adults being discharged from an emergency department or short-stay unit. Caregiver–patient dyads are enrolled at discharge and caregivers use Monka while researchers collect data at baseline, 30 days, and 90 days. The primary outcome is change in caregiver burden measured by the ZBI-12; secondary outcomes include caregiver SF-12 quality-of-life, patient Clinical Frailty Scale, and adverse events (ED visits, unplanned hospitalizations, falls, institutionalization, death) within 90 days. The protocol also measures Monka usability, acceptability, satisfaction, correlation of algorithm-generated vulnerability scores with established measures, and reasons for non-adoption.
Who should consider this trial
Good fit: Ideal candidates are adult patients discharged home from the emergency department who have an adult non-professional caregiver with internet access and both give informed consent.
Not a fit: Patients without an adult non-professional caregiver, caregivers who lack a phone/tablet/computer or internet access, non‑French speakers, or those discharged to long‑term care are unlikely to benefit.
Why it matters
Potential benefit: If successful, the program could reduce caregiver burden, improve caregiver quality of life, and help prevent post-discharge complications for vulnerable patients.
How similar studies have performed: Related digital caregiver-support programs have shown promise in improving caregiver outcomes in other settings, but high-quality real-world data specifically for ED-to-home frailty care are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: FOR THE PATIENT * Person aged 18 or over, treated in the Emergency Department or Emergency Beds * Affiliated with Social Security * Having an adult non-professional relative helping them with one or more activities of daily living * Having a medical decision to return home within the next 72 hours * Who has given their free, informed, and express consent FOR THE CAREGIVER * Individuals aged 18 or older * Who are non-professional caregivers as defined in Article L. 113-1-3 of the Social Action and Families Code, living with or separately from the person being cared for (20) * Providing assistance to the patient with one or more activities of daily living, i.e., shopping, medical appointments, coordination of care, administrative tasks, and moral support * Access to a cell phone, computer, or tablet with an internet connection * Having given their free, informed, and express consent Exclusion Criteria: FOR THE PATIENT * Non-French speakers * People living in a medical institution or scheduled for institutionalization within the next 3 months * People receiving home hospitalization (HAD) or palliative care at home * People under legal protection, deprived of their liberty, or under legal guardianship (tutelage or curatelle) FOR THE CAREGIVER * Non-French speakers * People with cognitive or psychiatric disorders that prevent them from understanding and using the MONKA solution * People under legal protection, deprived of their liberty, or under legal guardianship (tutelage or curatelle)
Where this trial is running
Paris
- Hôpital Paris Saint-Joseph — Paris, France (Recruiting)
Study contacts
- Study coordinator: Camilla GERLIER, Doctor
- Email: cgerlier@ghpsj.fr
- Phone: 01·44·12·80·23
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.