Determinants of Frailty Among of Informal Caregivers of Demented Patient Evaluated in Day Care Hospital.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- Assessment of the emotional, physical and financial burden on a caregiver according Zarit burden scale
研究概览
简要总结
Frailty, a transitional state between successful and pathological aging, may be benefit from early multi-interventional intervention. Fried's criteria are the more commonly used criteria to diagnose frailty. The caregivers' burden increases caregivers' morbidity .The main objective of the study was to assess the relationship between frailty among informal caregivers of demented patients and the caregiver's burden (Zarit scale). The Secondary objective was to assess determinants of frailty among caregivers.
详细描述
Frailty, a transitional state between successful and pathological aging, may be benefit from early multi-interventional intervention.
Fried's criteria are the more commonly used criteria to diagnose frailty :
- Loss of weight > 4.5 kg over one year,
- Self-reported exhaustion,
- Low muscle strength (handgrip <20% norm for age and sex),
- Low physical activity
- Low gait speed (<0.8m/s). According to the number of Fried's criteria, subjects are considered frail (≥ 3 Fried's criteria), pre-frail (1-2 Fried's criteria) or robust (0 Fried's criterion).
A large proportion of care is believed to be delivered by informal caregivers (e.g., spouses, next of kin). The caregivers' burden experienced as "enduring stress and frustration" due to caregiving, affects caregivers' mental health with depression, anxiety and sleep disorders, increases caregivers' morbidity and mortality. Multi-interventional studies (including physical and psychological wellbeing) have proven their accuracy to improve quality of life of caregivers.
In France, caregivers (>60 years) of demented people number have been estimate to 3.3 million (DREES).
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
- 是
入选标准
- •caregivers of demented patients ,
- •over > 65 years old,
- •who accept exhaustive evalutaion in day care hospital, who agree for ther data to be recorded (anonymously) for an observational study
排除标准
- •No affliation to French social insurance system
- •People under tutorship
结局指标
主要结局
Assessment of the emotional, physical and financial burden on a caregiver according Zarit burden scale
时间窗: Day 0
次要结局
- Assessment of verbal episodic memory according Grober and Buschke's test(Day 0)
- Screening for a nutritional disorder according Body Mass Index (BMI) score(Day 0)
- Screening of the undernutrition according mini nutritional assessment (MNA)(Day 0)
- Measuring cognitive impairment according Mini-Mental State Examination (MMSE) scores(Day 0)
- Assessment of humor in geriatrics according Geriatric Depression Scale (GDS)(Day 0)
- Assessment of anxiety according Goldberg scale(Day 0)