Frailty Prevention in Elders From Reunion Island: Detection of Frailty, Age-related Issues and Risk of Falling Among Community Dwelling Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 147
- 试验地点
- 2
- 主要终点
- Change in the number of falls
研究概览
简要总结
In Reunion Island, people encounter environmental and social conditions leading to premature ageing and subsequent frailty.
The study evaluates tools, supported by the latest scientific advances in "machine learning" to detect, identify and measure frailty in order to give health professionals the means to act early through preventive actions.
详细描述
The 5P research program is a 6-years program that started in 2016.
Its objective is to set up tools, supported by the latest scientific advances in "machine learning" to detect, identify and measure frailty in order to give health professionals the means to act early through preventive actions.
The diversity and transversal nature of the research disciplines in this program make it original. This allows it, through common protocols, to explore the concept of frailty and the care pathway of the elderly through different prisms of complementary observations.
This program is deployed in three stages: proof of principle, proof of concept (called 5P-PILOT) and "the Scaling up" (called 5P-ECHELLE). It combines an evaluation of the acceptability of technological detection tools, a measurement of the impact of prevention workshops on the loss of autonomy among independent frail elderly people and an evaluation of tools to help detect frailty.
The ageing of the population poses a real societal challenge. The loss of autonomy, which is the result of multiple individual or environmental factors for the ageing person, has a costly impact in terms of recourse to care and on the people around them. It is therefore urgent to act on the levers of frailty by acting as early as possible to prevent its irreversibility.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Persons over 65 years of age
- •Retired persons
- •Person affiliated to or benefiting from a social security scheme.
- •Free and informed consent given
排除标准
- •Persons referred to in Articles L1121-5 to L1121-8 of the French Public Health Code (corresponding to all protected persons), pregnant women, parturients, nursing mothers, persons deprived of their liberty by judicial or administrative decision, persons subject to a legal protection measure
- •Difficulty in understanding the French language
结局指标
主要结局
Change in the number of falls
时间窗: Change from baseline in the number of falls to 6 months.
Collection of falls by diary with monthly telephone survey for 6 months. A fall is defined as an event in which an individual inadvertently falls to the ground or any other surface below the level of origin.
次要结局
- Height in meters(Assessed at baseline)
- Medical Outcomes Study 36-item Short-Form (SF-36)(Assessed at baseline)
- The Short Physical Performance Battery (SPPB)(Assessed at baseline)
- Who's Integrated care for older people (ICOPE) screening tool(Assessed at baseline)
- The frailty of groups with equal resources (FRAGIRE) grid.(Assessed at baseline)
- Change in balance performance(Change from baseline in balance performance to 6 months.)
- Change in gait performance(Change from baseline in balance and gait performance to 6 months.)
- Frailty according to "Fried et al" criteria(Assessed at baseline)
- Falls Risk for Older People in the Community (FROP-COM)(Assessed at baseline)
- The Evaluation of precariousness and health inequalities in the examination centers" (EPICES) score(Assessed at baseline)
- Weight in kilograms(Assessed at baseline)
- The "Codex" score(Assessed at baseline)
- Hearing Handicap Inventory for the Elderly Screening (HHIE-S)(Assessed at baseline)
- World Health Organization (WHO) visual acuity measurement(Assessed at baseline)
- Standardised Assessment of Personality - Abbreviated Scale (SAPAS) Moran(Assessed at baseline)
- Hospital Anxiety and Depression Scale (HADS)(Assessed at baseline)
- Mini Mental State Examination (MMSE)(Assessed at baseline)
- The Mini Nutritional Assessment (MNA)(Assessed at baseline)
研究者
Florian Legrand
Postdoctoral Researcher
Universite de La Reunion