Aging Clinical Trial
— PHVOfficial title:
Epidemiology of Aging of People With Disabilities - Gerontological Sector "Rumilly-Annecy-Saint-Julien-Pays de Gex-Bellegarde" : Description of the Population in an Attempt to Identify Ways to Implement to Meet the Needs in Aging
Verified date | April 2018 |
Source | Centre Hospitalier de la Région d'Annecy |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Heterogeneous modalities of aging lead to describe three categories of elderly patients:
1-healthy without frailty, 2- healthy with frailty, 3- patients with chronic disease(s) and
frailty. Frail people have a high risk of losing functional independence and as a consequence
they require more help for day to day life. It is known in elderly that physical activities,
nutrition, social environment are important to maintain functional independence.
For patients with disabilities, less is known about the occurence of dependance with aging.
That is of growing importance because life expectancy of disabled patients has increased a
lot during last decades, and because caregivers, often parents, also become elderly and
frail.
So the investigators will require tools to anticipate prevention and supportive needs for
this specific population.
The goal of this study is to evaluate if the participants (disabled patients over 40 years
old) of a well-defined region in the south-east of France (400000 inhabitants), and to assess
their needs, using the Functional Autonomy Measurement System (SMAF) developed for assessment
of the elderly, by Rejean Hebert & Nicole Dubuc's team in Sherbrooke University
(Quebec/Canada).
Status | Completed |
Enrollment | 741 |
Est. completion date | December 31, 2017 |
Est. primary completion date | September 26, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years and older |
Eligibility |
Inclusion Criteria: - adult 40 years or older - must need help allocated by government social health services (Committee on Rights and Autonomy of Disabled People = french CDAPH) - must live 1. either in dedicated units or specialized homes (french medicalized care homes, or dedicated community homes) 2. or at home but working in specialized dedicated centers (So called french Etablissement et Service d'Aide par le Travail) or requiring intervention of specialized services (Support Service for Social Life or Medical-Social Support Service for Disabled Adults) Exclusion Criteria: - patient or patient's legal guardian opposed to participate |
Country | Name | City | State |
---|---|---|---|
France | FAM du Moulin | Allinges | |
France | APF - SAVS Annecy | Annecy | |
France | ESAT "Ateliers de Novel" | Annecy | |
France | FAM Le Goëland | Annecy | |
France | SAVS - Association Départementale des Infirmes Moteurs Cérébraux | Annecy | |
France | Savs Archim'Aide | Annecy | |
France | Savs Espoir 74-Oxygene | Annecy | |
France | ESAT Bellegarde Industries | Bellegarde | |
France | EHPAD Maison de Famille du Genevois | Collonges sous Salève | |
France | ESAT Ferme de Chosal | Copponex | |
France | ADMR Haute-Savoie - SSIAD/SAD | Cran Gevrier | |
France | ADTP Site de Cran-Gevrier (Entreprises Adaptées) | Cran Gevrier | |
France | Esat Messidor | Cran Gevrier | |
France | ESAT Antenne du pays de Gex | Ferney Voltaire | |
France | Foyer des Roseaux and FAM des Iris | La Balme de Sillingy | |
France | EHPAD La Bartavelle | Meythet | |
France | FAM Le Goëland | Meythet | |
France | FAM Résidence Leirens - Armée du Salut Monnetier Mornex | Monnetier | |
France | SAVS Association Vivre en Ville 01 | Ornex | |
France | ESAT L'Arcalod | Rumilly | |
France | Association ECLAT Pays de Gex | Saint Genis | |
France | FAM Pré la Tour | Saint Jean | |
France | ESAT Le Central | Seynod | |
France | ESAT Le Semnoz | Seynod | |
France | SAMSAH Le Bilboquet | Seynod | |
France | SAMSAH Le Fil d'Ariane | Seynod | |
France | ESAT Myriade | Thônes | |
France | Centre Arthur Lavy - FAM Le Cristal | Thorens Glières | |
France | Centre Arthur Lavy - MAS l'Opaline | Thorens Glières | |
France | Association "Nous aussi" - Foyer d'hébergement - SATTHAV | Vetraz-Monthoux |
Lead Sponsor | Collaborator |
---|---|
Centre Hospitalier de la Région d'Annecy | Agence Régionale de Santé Rhône-Alpes, Conseil Départemental de haute-Savoie |
France,
Ahmed N, Mandel R, Fain MJ. Frailty: an emerging geriatric syndrome. Am J Med. 2007 Sep;120(9):748-53. — View Citation
Carlsen WR, Galluzzi KE, Forman LF, Cavalieri TA. Comprehensive geriatric assessment: applications for community-residing, elderly people with mental retardation/developmental disabilities. Ment Retard. 1994 Oct;32(5):334-40. — View Citation
Dubuc N, Hébert R, Desrosiers J, Buteau M, Trottier L. Disability-based classification system for older people in integrated long-term care services: the Iso-SMAF profiles. Arch Gerontol Geriatr. 2006 Mar-Apr;42(2):191-206. Epub 2005 Aug 25. — View Citation
Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004 Mar;59(3):255-63. Review. — View Citation
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. — View Citation
Gervais P, Hébert R, Lamontagne J, Tousignant M. [Implementation of functional autonomy measurement system: barriers and facilitators in PISE-Dordogne project]. Geriatr Psychol Neuropsychiatr Vieil. 2011 Dec;9(4):417-28. French. — View Citation
Pinsonnault E, Dubuc N, Desrosiers J, Delli-Colli N, Hébert R. Validation study of a social functioning scale: The social-SMAF (social-Functional Autonomy Measurement System). Arch Gerontol Geriatr. 2009 Jan-Feb;48(1):40-4. Epub 2007 Dec 3. — View Citation
Rubenstein LZ, Josephson KR, Wieland GD, English PA, Sayre JA, Kane RL. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. N Engl J Med. 1984 Dec 27;311(26):1664-70. — View Citation
Stuck AE, Egger M, Hammer A, Minder CE, Beck JC. Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis. JAMA. 2002 Feb 27;287(8):1022-8. Review. — View Citation
Stuck AE, Siu AL, Wieland GD, Adams J, Rubenstein LZ. Comprehensive geriatric assessment: a meta-analysis of controlled trials. Lancet. 1993 Oct 23;342(8878):1032-6. — View Citation
Vellas BJ, Wayne SJ, Romero L, Baumgartner RN, Rubenstein LZ, Garry PJ. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc. 1997 Jun;45(6):735-8. — View Citation
* Note: There are 11 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Needs in supports for aging disabled patients | classification into one of the fourteen homogenous profiles of the Fonctional Autonomy Measurement System (SMAF) tool. The SMAF tool is a software based on responses of 29 predefined items on incapacities (with 4 modalities of response for each) and care and ressources used by interviewed people. The social SMAF tool adds 6 supplementary items (also with 4 modalities of response for each). Predefined algorithms defined for not disabled elderly people leads to classification into 14 homogeneous profiles. Progression's modalities of elderly from one profile to another is well known. The goal of this study is to determine if the same tool could be used for a younger disabled population, and if not, we want to build other algorithms dedicated to this aging disabled population. That's why this study is performed in collaboration with the Sherbrooke's team who designed the SMAF tool. |
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