Ignite Creation Date:
2024-05-06 @ 3:08 PM
Last Modification Date:
2024-10-26 @ 1:43 PM
Study NCT ID:
NCT04537039
Status:
WITHDRAWN
Last Update Posted:
2024-01-02
First Post:
2020-07-30
Brief Title:
Home Care Services Screening for Frailty
Sponsor:
Elsan
Organization:
Elsan
Study Overview
Official Title:
Prospective Multicentric Study Aiming to Assess the Relevance of a Frailty Screening by Home Care Services
Status:
WITHDRAWN
Status Verified Date:
2023-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
The COVID outbreak did not allow home visits
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
An improvement in professional practices on the topic of frailty is desirable as much for ambulatory care teams professionals in home care services than for hospital care teams medical and paramedical Geriatric prevention screening for frailty are major challenges for the years to come and require involvement and a know-how
The main hypothesis is that the screening of the frailty of the elderly by the home care services is relevant and reliable therefore making it possible to detect a state of frailty and organize preventive care at the earliest
The objectives of this research work are
to demonstrate that the use of a questionnaire simple and already validated for a medical use can be administered by home care services with just as much relevance
to democratize the detection of frailty by demonstrating that home care services have an important role to play in terms of screening and therefore an equally important impact in terms of public health
to recall the importance of screening in medical practice including for the elderly
The main hypothesis is that the screening of the frailty of the elderly by the home care services is relevant and reliable therefore making it possible to detect a state of frailty and organize preventive care at the earliest
The objectives of this research work are
to demonstrate that the use of a questionnaire simple and already validated for a medical use can be administered by home care services with just as much relevance
to democratize the detection of frailty by demonstrating that home care services have an important role to play in terms of screening and therefore an equally important impact in terms of public health
to recall the importance of screening in medical practice including for the elderly
Detailed Description:
The continued increase in life expectancy is one of the most significant achievements of these years in Europe while in 1960 life expectancy was 736 years for women and 67 years for men in 2010 it was significantly higher respectively 848 years and 781 years Total life expectancy is increasing but disability-free life expectancy is declining
Thus the years of life gained would now be accompanied by functional limitations activity restrictions and degradation of autonomy One of the challenges of our society promoted as part of the European Innovation Partnership for Active and Healthy Aging as well as in the National Health Strategy 2018-2022 is the prevention of disabilities and age-related dependence by ensuring that our patients can not only live longer but also lead a healthy active and independent life
The vast majority of older people live at home without significant disability including in the most advanced age groups These elderly pauci- or mono-pathological persons evolve in a manner comparable to younger adults in acute illness hospitalization or during physical and or psychological stress the so-called fragile elderly unmask an underlying state of vulnerability and may enter into dependency
In 2011 the French Society of Geriatrics and Gerontology SFGG adopted the following definition of frailty Frailty is a clinical syndrome It reflects a decrease in physiological capacity reserve which alters the mechanisms of adaptation to stress Its clinical expression is modulated by comorbidities and by psychological social economic and behavioral Frailty syndrome is a marker of risk of mortality and pejorative events including disabilities falls hospitalization and institutionalization Age is a major determinant of frailty Addressing the determinants of frailty can reduce or delay its consequences Thus fragility would be part of a process potentially reversible
According to the latest data from the SHARE survey Survey on Health Aging and Retirement in Europe which is a multidisciplinary longitudinal Survey involving more than 80000 Europeans aged over 50 with collection of data on health status social situation family mutual aid social networks and economic employment retirement wealth frailty represents in France 32 of people aged 50 to 64 and 15 of people over 65 Other data of interest 43 of people over 65 are pre-fragile
Thus being able to identify fragility early is a major issue in order to implement corrective actions and avoid or at least delay entry into addiction To do so several simple primary care screening tools have been developed like self-assessment such as the FiND8 self-questionnaire or tools intended to be used by physicians such as the FRAIL tool from Morley or the tool for identifying the frailty of the gerontopole of Toulouse
These screening strategies remain mainly for the time in the medical field while home care services SAD daily actors in the elderly person life are still too little involved The development of Home Care Frailty Scale a 29-item multidimensional assessment tool for the risk of decline to dependency based on data from the interRAI Resident Assessment Instrument however demonstrates that SAD represent an interesting screening strategy
Thus the years of life gained would now be accompanied by functional limitations activity restrictions and degradation of autonomy One of the challenges of our society promoted as part of the European Innovation Partnership for Active and Healthy Aging as well as in the National Health Strategy 2018-2022 is the prevention of disabilities and age-related dependence by ensuring that our patients can not only live longer but also lead a healthy active and independent life
The vast majority of older people live at home without significant disability including in the most advanced age groups These elderly pauci- or mono-pathological persons evolve in a manner comparable to younger adults in acute illness hospitalization or during physical and or psychological stress the so-called fragile elderly unmask an underlying state of vulnerability and may enter into dependency
In 2011 the French Society of Geriatrics and Gerontology SFGG adopted the following definition of frailty Frailty is a clinical syndrome It reflects a decrease in physiological capacity reserve which alters the mechanisms of adaptation to stress Its clinical expression is modulated by comorbidities and by psychological social economic and behavioral Frailty syndrome is a marker of risk of mortality and pejorative events including disabilities falls hospitalization and institutionalization Age is a major determinant of frailty Addressing the determinants of frailty can reduce or delay its consequences Thus fragility would be part of a process potentially reversible
According to the latest data from the SHARE survey Survey on Health Aging and Retirement in Europe which is a multidisciplinary longitudinal Survey involving more than 80000 Europeans aged over 50 with collection of data on health status social situation family mutual aid social networks and economic employment retirement wealth frailty represents in France 32 of people aged 50 to 64 and 15 of people over 65 Other data of interest 43 of people over 65 are pre-fragile
Thus being able to identify fragility early is a major issue in order to implement corrective actions and avoid or at least delay entry into addiction To do so several simple primary care screening tools have been developed like self-assessment such as the FiND8 self-questionnaire or tools intended to be used by physicians such as the FRAIL tool from Morley or the tool for identifying the frailty of the gerontopole of Toulouse
These screening strategies remain mainly for the time in the medical field while home care services SAD daily actors in the elderly person life are still too little involved The development of Home Care Frailty Scale a 29-item multidimensional assessment tool for the risk of decline to dependency based on data from the interRAI Resident Assessment Instrument however demonstrates that SAD represent an interesting screening strategy
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None