Clinical trial NCT02735005: Determining the Needs of Aging People With Disabilities
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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Disabled People
Aging
Mental Handicap
Lead sponsor: Centre Hospitalier Annecy Genevois
Sponsor class: OTHER
Collaborators: name: Agence Régionale de Santé Rhône-Alpes
name: Conseil Départemental de haute-Savoie
First posted: 2016-04-12
Enrollment: 741
Sex: ALL
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

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).


Eligibility criteria: 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

Primary outcomes:
measure: Needs in supports for aging disabled patients
timeFrame: through study completion, an average of 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Allinges
country: France
facility: FAM du Moulin
city: Annecy
country: France
facility: APF - SAVS Annecy
city: Annecy
country: France
facility: ESAT "Ateliers de Novel"
city: Annecy
country: France
facility: FAM Le Goëland
city: Annecy
country: France
facility: SAVS - Association Départementale des Infirmes Moteurs Cérébraux
city: Annecy
country: France
facility: Savs Archim'Aide
city: Annecy
country: France
facility: Savs Espoir 74-Oxygene
city: Bellegarde
country: France
facility: ESAT Bellegarde Industries
city: Collonges sous Salève
country: France
facility: EHPAD Maison de Famille du Genevois
city: Copponex
country: France
facility: ESAT Ferme de Chosal
city: Cran Gevrier
country: France
facility: ADMR Haute-Savoie - SSIAD/SAD
city: Cran Gevrier
country: France
facility: ADTP Site de Cran-Gevrier (Entreprises Adaptées)
city: Cran Gevrier
country: France
facility: Esat Messidor
city: Ferney Voltaire
country: France
facility: ESAT Antenne du pays de Gex
city: La Balme de Sillingy
country: France
facility: Foyer des Roseaux and FAM des Iris
city: Meythet
country: France
facility: EHPAD La Bartavelle
city: Meythet
country: France
facility: FAM Le Goëland
city: Monnetier
country: France
facility: FAM Résidence Leirens - Armée du Salut Monnetier Mornex
city: Ornex
country: France
facility: SAVS Association Vivre en Ville 01
city: Rumilly
country: France
facility: ESAT L'Arcalod
city: Saint Genis
country: France
facility: Association ECLAT Pays de Gex
city: Saint Jean
country: France
facility: FAM Pré la Tour
city: Seynod
country: France
facility: ESAT Le Central
city: Seynod
country: France
facility: ESAT Le Semnoz
city: Seynod
country: France
facility: SAMSAH Le Fil d'Ariane
city: Seynod
country: France
facility: SAMSAH Le Bilboquet
city: Thorens Glières
country: France
facility: Centre Arthur Lavy - FAM Le Cristal
city: Thorens Glières
country: France
facility: Centre Arthur Lavy - MAS l'Opaline
city: Thônes
country: France
facility: ESAT Myriade
city: Vetraz-Monthoux
country: France
facility: Association "Nous aussi" - Foyer d'hébergement - SATTHAV
Study officials:
affiliation: CH Annecy Genevois, head of the gerontological sector
name: Matthieu DEBRAY, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Foyer le pré vert - Villeurbanne
name: Max BUCHNER
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ahmed N, Mandel R, Fain MJ. Frailty: an emerging geriatric syndrome. Am J Med. 2007 Sep;120(9):748-53. doi: 10.1016/j.amjmed.2006.10.018.
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. doi: 10.1093/gerona/56.3.m146.
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. doi: 10.1093/gerona/59.3.m255.
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. doi: 10.1056/NEJM198412273112604.
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. doi: 10.1016/0140-6736(93)92884-v.
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. doi: 10.1001/jama.287.8.1022.
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.
citation: Pinsonnault E, Dubuc N, Desrosiers J, Delli-Colli N, Hebert 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. doi: 10.1016/j.archger.2007.10.001. Epub 2007 Dec 3.
citation: Dubuc N, Hebert 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. doi: 10.1016/j.archger.2005.07.001. Epub 2005 Aug 25.
citation: Gervais P, Hebert 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. doi: 10.1684/pnv.2011.0306. French.
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. doi: 10.1111/j.1532-5415.1997.tb01479.x.