Determining the Needs of Aging People With Disabilities
NCT ID: NCT02735005
Last Updated: 2019-06-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
741 participants
INTERVENTIONAL
2015-08-31
2017-12-31
Brief Summary
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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).
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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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.
SMAF assessment
After written information and non opposition expression, each enrolled patient will be assessed with the Functional Autonomy Measurement System (SMAF) tool during a 1 hour interview.
The French authority has considered this study as an interventional study with minimal risk because we use a tool (SMAF) that was not developped nor validated in this specific population (disabled people older than 40y). The SMAF assessment is not made in routine in this specific population (ID RCB : 2015-A00642-47)
Interventions
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SMAF assessment
After written information and non opposition expression, each enrolled patient will be assessed with the Functional Autonomy Measurement System (SMAF) tool during a 1 hour interview.
The French authority has considered this study as an interventional study with minimal risk because we use a tool (SMAF) that was not developped nor validated in this specific population (disabled people older than 40y). The SMAF assessment is not made in routine in this specific population (ID RCB : 2015-A00642-47)
Eligibility Criteria
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Inclusion Criteria
* 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
40 Years
ALL
No
Sponsors
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Agence Régionale de Santé Rhône-Alpes
OTHER
Conseil Départemental de haute-Savoie
UNKNOWN
Centre Hospitalier Annecy Genevois
OTHER
Responsible Party
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Principal Investigators
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Matthieu DEBRAY, MD
Role: PRINCIPAL_INVESTIGATOR
CH Annecy Genevois, head of the gerontological sector
Max BUCHNER
Role: PRINCIPAL_INVESTIGATOR
Foyer le pré vert - Villeurbanne
Locations
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FAM du Moulin
Allinges, , France
APF - SAVS Annecy
Annecy, , France
ESAT "Ateliers de Novel"
Annecy, , France
FAM Le Goëland
Annecy, , France
SAVS - Association Départementale des Infirmes Moteurs Cérébraux
Annecy, , 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 Messidor
Cran-Gevrier, , France
ESAT Antenne du pays de Gex
Ferney-Voltaire, , France
Foyer des Roseaux and FAM des Iris
La Balme-de-Sillingy, , France
EHPAD La Bartavelle
Meythet, , France
FAM Le Goëland
Meythet, , 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
ESAT Le Semnoz
Seynod, , France
SAMSAH Le Fil d'Ariane
Seynod, , France
SAMSAH Le Bilboquet
Seynod, , France
Centre Arthur Lavy - FAM Le Cristal
Thorens-Glières, , France
Centre Arthur Lavy - MAS l'Opaline
Thorens-Glières, , France
ESAT Myriade
Thônes, , France
Association "Nous aussi" - Foyer d'hébergement - SATTHAV
Vétraz-Monthoux, , France
Countries
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References
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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Related Links
Access external resources that provide additional context or updates about the study.
Loones A, David-Alberola E, Jauneau P (dec 2008). La fragilité des personnes âgées : perceptions et mesures. Centre de Recherche pour l'Étude et l'Observation des Conditions de Vie. Cahier de recherche n°C256
Pillard F, Rivière D (june 2009). Pratique d'une activité physique ou sportive chez les seniors. Dossier " Activités physiques ou sportives \& santé " adsp n° 67
Blanc P (2006). Une longévité accrue pour les personnes handicapées vieillissantes : un nouveau défi pour leur prise en charge. Rapport ministériel.
Haveman M et al 2009 Report on the State of Science on Health Risks and Ageing in People with Intellectual Disabilities.Special Interest Research Group on Ageing and Intellectual Disabilities/Faculty Rehabilitation Sciences University of Dortmund
Rapport Jacob (2013). Un droit citoyen pour la personne handicapée. Un parcours de soins et de santé sans rupture d'accompagnement.
Seematter-Bagnoud L et al (2012). Le Resident Assessment Instrument et autres instruments d'évaluation des personnes âgées. Lausanne : Institut universitaire de médecine sociale et préventive. (Raisons de santé, 191)
Gohet P (Nov 2013) L'avancée en âge des personnes handicapées, contribution à la réflexion.
Other Identifiers
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2015-A00642-47
Identifier Type: -
Identifier Source: org_study_id
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