Determining the Needs of Aging People With Disabilities

Aging Clinical Trial

— PHV  

Official 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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02735005
• Other study ID #: 2015-A00642-47
• Status: Completed
• Phase: N/A
• Start date: August 2015
• Est. completion date: December 31, 2017

Study information

• Verified date: April 2018
• Source: Centre Hospitalier de la Région d'Annecy
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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).

Recruitment information / eligibility

• 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

Related Conditions & MeSH terms

• Aging
• Disabled People
• Mental Handicap

Intervention

Other:
• SMAF assessment
After written information and non opposition expression, each enrolled patient will be assessed with the Functional Autonomy Measurement System (SMAF) tool during a 1 hour interview. The French authority has considered this study as an interventional study with minimal risk because we use a tool (SMAF) that was not developped nor validated in this specific population (disabled people older than 40y). The SMAF assessment is not made in routine in this specific population (ID RCB : 2015-A00642-47)

Locations

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

Sponsors (3)

Lead Sponsor	Collaborator
Centre Hospitalier de la Région d'Annecy	Agence Régionale de Santé Rhône-Alpes, Conseil Départemental de haute-Savoie

Country where clinical trial is conducted

France, 

References & Publications (11)

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

Outcome

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.	through study completion, an average of 1 year

External Links

•   Blanc P (2006). Une longévité accrue pour les personnes handicapées vieillissantes : un nouveau défi pour leur prise en charge. Rapport ministériel.
•   Delporte M, Guinchard M (nov 2012). Creai Nord/Pas-de-Calais. Rapport : Accompagner le vieillissement des personnes en situation de Handicap
•   Dubuc N et al 2007 Clientèles en déficience physique et intellectuelle desservies en Centre local de services communautaires : Représentation des besoins liés à l'autonomie fonctionnelle selon la classification des profils Iso-SMAF. In PRISMA volume II
•   Gohet P (Nov 2013) L'avancée en âge des personnes handicapées, contribution à la réflexion.
•   Haveman M et al 2009 Report on the State of Science on Health Risks and Ageing in People with Intellectual Disabilities.Special Interest Research Group on Ageing and Intellectual Disabilities/Faculty Rehabilitation Sciences University of Dortmund
•   Loones A, David-Alberola E, Jauneau P (dec 2008). La fragilité des personnes âgées : perceptions et mesures. Centre de Recherche pour l'Étude et l'Observation des Conditions de Vie. Cahier de recherche n°C256
•   Michaudon H (2002). Les personnes handicapées vieillissantes : une approche à partir de l'enquête Handicaps-invalidités-dépendance. In : Drees Études et Résultats; 204.
•   Michel J (may 2014). Importance du concept de fragilité pour détecter et prévenir les dépendances "évitables" au cours du vieillissement. Rapport de l'Académie Nationale de Médecine.
•   Pillard F, Rivière D (june 2009). Pratique d'une activité physique ou sportive chez les seniors. Dossier " Activités physiques ou sportives & santé " adsp n° 67
•   Rapport Jacob (2013). Un droit citoyen pour la personne handicapée. Un parcours de soins et de santé sans rupture d'accompagnement.
•   Seematter-Bagnoud L et al (2012). Le Resident Assessment Instrument et autres instruments d'évaluation des personnes âgées. Lausanne : Institut universitaire de médecine sociale et préventive. (Raisons de santé, 191)