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Frailty and Complexity Among Home Service Recipients

NCT ID: NCT03883425

Last Updated: 2020-12-02

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

231 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-09-01

Study Completion Date

2020-11-30

Brief Summary

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The purpose of the study is to develop frailty and complexity computation algorithms based on the French version of the interRAI-HC and, in doing so, to provide homecare nurses with valid and reliable screening tools for their routine practice. By relying on a prospective observational case-control longitudinal study, the study intends to assess the predictive validity of the proposed indices with respect to undesirable health outcomes. Repeated measurement occasions, separated by 6-month intervals, will also allow for estimation of intra-individual change in frailty and complexity. In the study, elders living in the community and aged 65 or older are the target population, and three samples will be considered based on the a priori risks of adverse outcomes (case 1: formal home service recipients; case 2: formal home care recipients; control: free of formal home care or service). These groups will be compared on the observed rates of frailty and complexity and on their evolution over time. Results will allow for identification of subgroups of the aged population for whom early screening of frailty and complexity appears most relevant. Based on the findings, practice guideline will be proposed. They will entail the interpretation of the scores and recommendations for mounting adapted preventive strategies. Finally, the study will contribute to enhancing knowledge on the relation between frailty, a well-known concept in gerontology, and complexity, a concept increasingly referred to in the care literature but that still deserves operational and consensual definitions.

Detailed Description

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Conditions

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Frail Elderly Syndrome

Keywords

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Home Care Services Geriatric Assessment Aging Frailty Complexity Nursing

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Case 1: formal home service recipients

Adults aged 65 or older living at home who receive formal home service (household, meal delivery, transportation, shopping) at least one a week

interRAI-HC assessments

Intervention Type OTHER

Standardized geriatric assessments done with the interRAI-HC instrument (Canadian French version 9.1) by trained nurses

Case 2: formal home care recipients

Adults aged 65 or older living at home who receive formal home care (shower/bath nursing assistance, nursing care) at least once a week

interRAI-HC assessments

Intervention Type OTHER

Standardized geriatric assessments done with the interRAI-HC instrument (Canadian French version 9.1) by trained nurses

Control: free of formal home care or home service

Adults aged 65 or older living at home who do not receive formal home care or home service.

interRAI-HC assessments

Intervention Type OTHER

Standardized geriatric assessments done with the interRAI-HC instrument (Canadian French version 9.1) by trained nurses

Interventions

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interRAI-HC assessments

Standardized geriatric assessments done with the interRAI-HC instrument (Canadian French version 9.1) by trained nurses

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* living in the community (private home)
* resident of Canton Geneva, Switzerland
* ability to hold a conversation in French (expression, comprehension)
* oriented in time and space

Exclusion Criteria

* living in hospital / nursing home
* not resident of Canton Geneva, Switzerland
* not fluent in French
* disoriented in time and space
* person under tutorship
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Swiss National Science Foundation

OTHER

Sponsor Role collaborator

Geneva institution for homecare and assistance (imad)

UNKNOWN

Sponsor Role collaborator

School of Health Sciences Geneva

OTHER

Sponsor Role lead

Responsible Party

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Catherine Ludwig

UAS associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Catherine Ludwig, PhD

Role: PRINCIPAL_INVESTIGATOR

School of Health Sciences Geneva

Locations

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School of Health Sciences Geneva

Geneva, , Switzerland

Site Status

Countries

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Switzerland

References

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Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, Gilgen R, Hirdes JP, Topinkova E. Comprehensive clinical assessment in community setting: applicability of the MDS-HC. J Am Geriatr Soc. 1997 Aug;45(8):1017-24. doi: 10.1111/j.1532-5415.1997.tb02975.x.

Reference Type BACKGROUND
PMID: 9256857 (View on PubMed)

Ludwig C, Busnel C. Derivation of a frailty index from the resident assessment instrument - home care adapted for Switzerland: a study based on retrospective data analysis. BMC Geriatr. 2017 Sep 7;17(1):205. doi: 10.1186/s12877-017-0604-3.

Reference Type BACKGROUND
PMID: 28882127 (View on PubMed)

Busnel C, Vallet F, Ashikali EM, Ludwig C. Assessing multidimensional complexity in home care: congruencies and discrepancies between patients and nurses. BMC Nurs. 2022 Jun 24;21(1):166. doi: 10.1186/s12912-022-00942-x.

Reference Type DERIVED
PMID: 35751082 (View on PubMed)

Ludwig C, Busnel C. Protocol of a case-control longitudinal study (fraXity) assessing frailty and complexity among Swiss home service recipients using interRAI-HC assessments. BMC Geriatr. 2019 Aug 5;19(1):207. doi: 10.1186/s12877-019-1230-z.

Reference Type DERIVED
PMID: 31382880 (View on PubMed)

Other Identifiers

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AGP 84770

Identifier Type: -

Identifier Source: org_study_id