Evaluation of a Residential In-Reach Program in Regional and Rural Australia
Condition(s) studied
Investigational drug(s) / intervention(s)
Residential In-Reach Program: All enrolled residential aged care homes will be able to access the residential-in-reach (RIR) program intervention. The RIR program provides a consultation service from a central hospital to an aged care facility in the Grampians region in the state of Victoria, Australia. Aged care staff will make a telehealth referral to central hub, where a nurse practitioner will triage the patient and make recommendations (for example, monitor resident condition, more examples: comprehensive assessment for unwell residents, liaison with the General Practitioners for diagnosis and treatment plan, provide education and support to staff) or further referrals (for example, refer to geriatrician or call an ambulance).
Study summary
Residential In-Reach (RIR) programs are designed to provide responsive care for residents in residential aged care homes (RACH) with the aim of avoiding unnecessary hospital transfers. The evidence for their clinical and cost-effectiveness and implementation has been established in urban settings, but there is a small amount of low-quality evidence for rural and regional settings. The Grampians Region Health Service Partnership Resi-In-Reach Redesign Committee will be implementing a new RIR program to be offered to all RACHs in the Grampians region, this project aims to evaluate the clinical and cost-effectiveness of this program, and its implementation in the rural and regional setting. A stepped-wedge trial will be conducted so that as the RIR program is gradually rolled-out across the region, outcomes can be compared in the same facilities across time and between different facilities. The primary outcome measure will be presentation to emergency departments and urgent care centres, and data will also be collected on other clinical outcomes and barriers and enablers of implementing the program. It is anticipated that there will be a reduction in hospital presentations, and a range of barriers and enablers unique to the rural and regional setting will emerge.
Eligibility
Primary outcome measure(s)
- Rate of presentations from residential aged care homes to emergency departments and emergency care centres — From enrolment to the end of the trial for 14 months
Primary clinical effectiveness outcome Collection schedule: * Once at the end of the evaluation * At the level of each residential aged care home presentation to hospital each month Collection approach: Extraction from hospital records and extraction from residential aged care home systems
Trial sites (8)
| Facility | City | Region | Status |
|---|---|---|---|
| East Grampians Health Service | Ararat | Victoria | Recruiting |
| Grampians Health | Ballarat | Victoria | Recruiting |
| Beaufort and Skipton Health Service | Beaufort | Victoria | Recruiting |
| Central Highlands Rural Health | Daylesford | Victoria | Recruiting |
| Maryborough District Health Service | Maryborough | Victoria | Recruiting |
| West Wimmera Health Service | Nhill | Victoria | Recruiting |
| East Wimmera Health Service | Saint Arnaud | Victoria | Recruiting |
| Rural Northwest Health | Warracknabeal | Victoria | Recruiting |
More Monash University trials in Australia
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT06901167 on ClinicalTrials.gov ↗ ← All trials in Australia