[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100562855":3},{"organization":4,"armGroups":7,"interventions":22,"overallOfficials":28,"centralContacts":32,"locations":42,"responsibleParty":57,"collaborators":59,"id":66,"slug":67,"hasResults":68,"nctId":69,"briefTitle":70,"officialTitle":71,"acronym":27,"eligibilityCriteria":72,"healthyVolunteers":68,"sex":73,"minAge":74,"maxAge":27,"enrollmentInfo":75,"targetDuration":27,"studyType":78,"phases":79,"briefSummary":81,"conditions":82,"keywords":86,"overallStatus":45,"whyStopped":27,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"Laval University","OTHER",[8,14,18],{"label":9,"type":10,"description":11,"interventionNames":12},"Local Services Network (LSN) Alphonse-Desjardins","EXPERIMENTAL","The local services network (LSN) Alphonse-Desjardins is set in a urban region with the most important community hospital of the greater region of Chaudière-Appalaches. The CoMPAS+ TNCM workshops (intervention) in the LSN Alphonse-Desjardins will be conducted with health professionals and caregiver partners from the FMG of Lévis (GMF-U de Lévis), the home support services team, and the emergency department of the Hotel-Dieu de Lévis. The population that will be recruited to evaluate the impact of the intervention will have either 1) received home care services within the last 6 months before the intervention; 2) visited the emergency department of Hotel-Dieu de Lévis within the last 6 months before the intervention; or 3) consulted with their primary health care team within the last 6 months before the intervention.",[13],"Other: CoMPAS+ MNCDs Program - Quality improvement program targeting the care transitions of patients living with a major neurocognitive disorder and their caregivers",{"label":15,"type":10,"description":16,"interventionNames":17},"Local Services Network (LSN) Bellechasse","The local services network (LSN) of Bellechasse is set in a rural area. The population requiring urgent medical care are lead to Hotel-Dieu de Lévis (45 km, Alphonse-Desjardins) or Hopital de Montgagny (30 km, Montmagny-L'Islet). The CoMPAS+ TNCM workshops (intervention) in the LSN of Bellechasse will be conducted with health professionals and caregiver partners from the FMG Rive de l'Etchemin (GMF Rive de l'Etchemin) which comprises the organisational merging of 2 medical clinics. Will also participate in the workshops members the home care team. The population that will be recruited to evaluate the impact of the intervention will have either 1) received home care services within the last 6 months before the intervention; 2) visited one of the 2 emergency departments (Hotel-Dieu de Lévis or Hopital de Montmagny) within the last 6 months before the intervention; or 3) consulted with their primary care team within the last 6 months before the intervention.",[13],{"label":19,"type":10,"description":20,"interventionNames":21},"Local Services Network (LSN) Montmagny-L Islet","The local services network (LSN) Montmagny-L'Islet is set in a semi-urban region with a small community hospital. The CoMPAS+ TNCM workshops (intervention) in the LSN Montmagny-L'Islet will be conducted with health professionals and careviver partners from the FMG of Montmagny (GMF de Montmagny) which comprises the organisational merging of 5 different medical clinics in the region. Will also participate in the workshops are healthcare professionals from the home care services team, and from the emergency department of the Hopital de Montmagny. The population that will be recruited to evaluate the impact of the intervention will have either 1) received home care services within the last 6 months before the intervention; 2) visited the emergency department of Hopital de Montmagny within the last 6 months before the intervention; or 3) consulted with their family doctor within the last 6 months before the intervention.",[13],[23],{"type":6,"name":24,"description":25,"armGroupLabels":26,"otherNames":27},"CoMPAS+ MNCDs Program - Quality improvement program targeting the care transitions of patients living with a major neurocognitive disorder and their caregivers","COMPAS+ is a collaborative approach to improving healthcare quality. It brings together around 30 individuals, including healthcare professionals, deciders, and patient partners, to identify improvement goals, develop action plans, and enhance the prevention and management of chronic diseases. In this study, the investigators adapt COMPAS+ to focus on improving care transitions for patients with major neurocognitive disorders (MNCDs) and their caregivers. Through reflective workshops and collaborative problem-solving, this diverse group will identify best practices and create action plans to enhance care quality.",[9,15,19],null,[29],{"name":30,"affiliation":5,"role":31},"Patrick M Archambault, MD, MSc, FRCPC","PRINCIPAL_INVESTIGATOR",[33,38],{"name":34,"role":35,"phone":36,"phoneExt":27,"email":37},"Patrick M Archambault, MD MSc FRCPC","CONTACT","4189552552","patrick.archambault.med@ssss.gouv.qc.ca",{"name":39,"role":35,"phone":40,"phoneExt":27,"email":41},"Martyne Audet, MSc","4186090734","martyne.audet.cisssca@ssss.gouv.qc.ca",[43],{"facility":44,"status":45,"city":46,"state":47,"zip":48,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":27},"Patrick Archambault","RECRUITING","Québec","Quebec","G6V 3Z1","Canada","CA",{"type":52,"coordinates":53},"Point",[54,55],-71.21454,46.81228,{"lat":55,"lon":54},{"type":31,"investigatorFullName":44,"investigatorTitle":58,"investigatorAffiliation":5,"oldNameTitle":27,"oldOrganization":27},"Patrick Archambault, MD, MSc, FRCPC. FRQS Senior Clinical Research Scholar. Professor, Department of Family Medicine and Emergency Medicine Department of Anesthesiology and Intensive Care, Université Laval.",[60,63],{"name":61,"class":62},"CISSS de Chaudière-Appalaches","OTHER_GOV",{"name":64,"class":65},"Institut national d'excellence en santé et service sociaux","UNKNOWN","100562855","constellations-living-lab-improving-the-care-transitions-of-older-adults-living-with-neurocognitive-disorders-100562855",false,"NCT06608589","CONSTELLATIONS Living Lab: Improving the Care Transitions of Older Adults Living with Neurocognitive Disorders","CONSTELLATIONS Living Lab: Development, Implementation and Evaluation of a Patient-oriented Quality Improvement Program Targeting Care Transitions of Older Adults Living with Major Neurocognitive Disorders and Their Caregivers.","Study population for the evaluation of the impact of the CoMPAS+ MNCD Program on the care transitions of patients living with MNCD and their caregivers (Micro level)\n\nInclusion criteria:\n\n* Be 65 years of age or older;\n* Be living with a major neurocognitive disorder in the process of clinical evaluation or already diagnosed;\n* Reside in the socio-sanitary region of the CISSS CA;\n* Be able to consent independently to research (for users without caregivers at the beginning of their illness);\n* Reside at home or in a retirement home or in an intermediate residence or a family-type resources;\n* Consent to the research team collecting data in their medical records (FMG Electronic Medical Record (EMR) when accessible, Hospital Electronic Patient Record (EPR) when accessible, etc.).\n\nOR\n\n* Be the caregiver of a person 65 years of age and older living with a major neurocognitive disorder in the process of clinical evaluation or already diagnosed;\n* The person being cared for must reside in the socio-sanitary region of the CISSS CA;\n* Consent to the research team collecting data from the medical records of the person being cared for (FMG Electronic Medical Record (EMR) when accessible, Hospital Electronic Patient Record (EPR) when accessible, etc.);\n* Be able to consent independently to research.\n\nExclusion criteria:\n\n* Users living with major neurocognitive disorder under 65 years of age;\n* User living in a provincial long-term care facility at the time of recruitment;\n* User 65 years of age and older living with a major neurocognitive disorder, unable to consent independently to research, without a caregiver, or without a caregiver able to consent independently to research;\n* Users aged 65 and over living with a major neurocognitive disorder, residing in a territory other than that of the CISSS CA;\n* User refusing to consent to the collection of data in their medical records; OR\n* Caregiver of a user living with a major neurocognitive disorder who does not reside in the CISSS CA territory or who is not 65 years of age or does not live at home, in a retirement home or in an IR or who died before the start of the study (T=0).\n* Caregiver refusing to consent to the collection of data in the medical records of the person being cared for.\n\nStudy population for the assessment of the intention to apply best practices of CoMPAS+ MNCD workshop participants (Meso level)\n\nInclusion criteria:\n\n● Be a participant in the CoMPAS+ MNCD workshops and be part of at least one of the following categories of participants:\n\n* Health professionals working in a CISSS CA health facility or with a community organization;\n* CISSS CA decision-makers or local managers;\n* Community service representative (e.g., Alzheimer's Society, L'APPUI);\n\nExclusion criteria:\n\n* Research team members\n* Workshop facilitators\n* INESSS professionals\n* Users and partner caregivers\n* Person unable to consent\n* Person refusing to consent\n\nStudy population for the evaluation of the potential to scale-up and sustainability of the CoMPAS+ MNCD Program within the CISSS CA (Meso level)\n\nInclusion criteria\n\n● Be part of one of the following categories of actors and be involved in the implementation of the CoMPAS+ MNCD Program:\n\n* Health professionals working at the CISSS CA or in the community participating in the CoMPAS+ MNCD workshops;\n* CISSS CA decision-makers;\n* Users and partner caregivers;\n* Community service representatives (e.g., Alzheimer's Society, L'APPUI);\n* Members of the research team (except the person in charge of this component (Laetitia Bert), Alexander Cornea (research assistant), Martyne Audet (scientific coordinator), Clémence Dallaire, André Côté, Félix Pageau, Catherine Paquet);\n* Research coordinator responsible for the involvement of partner users in the conduct of the workshops (Émilie Côté);\n* INESSS professionals;\n* Workshop facilitators\n* Representative of the Ministry of Health and Social Services (MSSS).\n\nExclusion criteria\n\n* Person unable to consent;\n* A person refusing to consent;\n* Member of the research team responsible for carrying out this part of the study or by the scientific coordination of this project (Laetitia Bert, Alexander Cornea, Martyne Audet (scientific coordinator), Clémence Dallaire, André Côté, Félix Pageau, Catherine Paquet).","ALL","65 Years",{"count":76,"type":77},700,"ESTIMATED","INTERVENTIONAL",[80],"NA","The prevalence of major neurocognitive disorders (MNCDs), particularly Alzheimer's disease, among older adults is increasing. These individuals and their caregivers often face challenges due to inefficient and poorly coordinated care transitions, negatively impacting patients, caregivers, healthcare professionals, and the healthcare system itself. To address this, the Quebec Ministry of Health and Social Services has released Phase 3 of its Ministerial Guidance on Major Neurocognitive Disorders, aiming to enhance care coordination between primary healthcare professionals and those living with MNCDs and their caregivers.\n\nQuebec's healthcare system comprises various organizations providing care and services to individuals with MNCDs. Each organization faces unique challenges hindering improvement initiatives. However, common obstacles persist: inadequate communication systems for sharing vital information, lack of access to data for measuring care transition quality, and the absence of patient\u002Fcaregiver satisfaction assessments to inform service enhancements. Additionally, organizations require support in managing change.\n\nThis need for improvement, coupled with the aspiration for a patient-centered learning health system (LHS), motivated the Institut national d'excellence en santé et services sociaux (INESSS), the Centre intégré de santé et de services sociaux de Chaudière-Appalaches (CISSS CA), and the research team to collaborate on adapting a proven continuous improvement program: the CoMPAS+ MNCD Program.\n\nThe Program will involve reflecting on best practices and identifying local challenges within participating Family Medicine Groups (FMGs) to propose and implement solutions. The CONSTELLATIONS Living Lab project has been tasked with co-developing, implementing, and evaluating the Program's impact on care transitions over two years. These findings will inform decision-makers and stakeholders about the Program's adaptability to the Chaudière-Appalaches region, guiding local and provincial decision-makers on healthcare system improvements and emphasizing the importance of supporting an LHS.",[83,84,85],"Alzheimer Disease","Dementia","Neurocognitive Decline",[87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106],"Quality improvement","Older adults","Learning Health Systems","Implementation science","Health care utilisation","Knowledge translation","Context adaptation","Care transitions","Burden of care","Emergency Department","Home care","Family medicine","Data management","Patient-oriented research","Participatory research","Living Lab","Health services","Neurocognitive disorders","Sustainability","Scale-up","2024-10-09",{"date":109,"type":110},"2024-10-15","ACTUAL",{"date":112,"type":110},"2023-03-14",{"date":114,"type":77},"2026-04-30",{"name":5,"class":6},1]