Determining the Needs of Aging People With Disabilities

Not Applicable

Completed

• Conditions: Mental Handicap; Aging; Disabled People
• Interventions: Other: SMAF assessment

• Registration Number: NCT02735005
• Lead Sponsor: Centre Hospitalier Annecy Genevois

Brief 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).

Detailed Description

Not available

Study Timeline

• Study Start: 2015-08
• Study First Submitted: 2016-03-24
• Study First Submitted QC: 2016-04-06
• Study First Posted: 2016-04-12
• Primary Completion: 2016-09-26
• Study Completion: 2017-12-31
• Status Verified: 2018-04
• Last Update Submitted: 2019-06-14
• Last Update Posted: 2019-06-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 741

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
SMAF assessment	SMAF assessment	Face to face interview for the Functional Autonomy Measurement System (SMAF) tool questionnaire For disabled patients living at home, the Social SMAF questionnaire is used in addition. Data related to care consumption of each enrolled patients are collected too.

Primary Outcome Measures

Name	Time	Method
Needs in supports for aging disabled patients	through study completion, an average of 1 year	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.

Trial Locations

Locations (29)

FAM du Moulin; 🇫🇷 Allinges, France

SAVS - Association Départementale des Infirmes Moteurs Cérébraux; 🇫🇷 Annecy, France

APF - SAVS Annecy; 🇫🇷 Annecy, France

ESAT "Ateliers de Novel"; 🇫🇷 Annecy, France

FAM Le Goëland; 🇫🇷 Meythet, 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 Antenne du pays de Gex; 🇫🇷 Ferney Voltaire, France

EHPAD La Bartavelle; 🇫🇷 Meythet, France

Foyer des Roseaux and FAM des Iris; 🇫🇷 La Balme de Sillingy, 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

SAMSAH Le Fil d'Ariane; 🇫🇷 Seynod, France

ESAT Le Semnoz; 🇫🇷 Seynod, France

SAMSAH Le Bilboquet; 🇫🇷 Seynod, France

Centre Arthur Lavy - FAM Le Cristal; 🇫🇷 Thorens Glières, France

ESAT Myriade; 🇫🇷 Thônes, France

Association "Nous aussi" - Foyer d'hébergement - SATTHAV; 🇫🇷 Vetraz-Monthoux, France

Esat Messidor; 🇫🇷 Cran Gevrier, France

Centre Arthur Lavy - MAS l'Opaline; 🇫🇷 Thorens Glières, France