Digital care-coordination support for family caregivers after an emergency-department discharge

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

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.

Why it matters

Who can join: the full rules

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 it's running

• Hôpital Paris Saint-Joseph
  Paris, France Recruiting

Study contacts

• Study coordinator: Camilla GERLIER, Doctor
• Email: cgerlier@ghpsj.fr
• Phone: 01·44·12·80·23

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.