The management of frailty is a difficulty in the Temporary Accommodation Residences. Frailty represents a risk of reducing the activities of the elderly person. Jeanne \& Léon Développement® offers an activity program that integrates several dimensions (physical and/or nutritional and/or social and/or psychological). To obtain the expected benefit, effect of the Jeanne \& Léon® activities program on the residents's frailty and quality of life in temporary accommodation, the activity of at least one of these approaches is used as a global stimulant and thus activates the remaining skills to help fight against the frailty syndrome. In order to do this, the framework of the temporary accommodation, the group dynamics and the presence of a professional facilitator ensure the conditions for adherence to the program and promote the realization of stimulating activities. The phenomenon of activation initiated during the residential activity program can lead to an improvement in the components of frailty which is maintained over time. This will be assessed in terms of the occurrence of events after the activity program has been followed.
The clinical assessment will be performed by the investigating physician. Initial follow-up: Fragility and Quality of Life assessment is carried out by the trained nursing staff (doctor, nurse) of the Résidence Les Tamaris. The clinical assessment will include screening for thymic disorders. All experimenters will be specifically trained in the protocol and GCP beforehand. V0 (inclusion visit carried out within 72 hours after admission to the residence): inclusion after information and non-opposition, then randomization into the control group or the intervention group V1 (initial assessment visit performed within 96 hours after admission to the residence): initial assessment of the resident V2 (V1+ 21 days +/- 1 day: end of main study visit): final evaluation of the main study. In case of discharge from the Residence: validation of the contact information and the follow-up telephone schedule of the participant. Post-program follow-up: identification of intercurrent events by the Residence staff VS1 (V2 + 1 Month), SV2 (V2 + 3 Months): interview of participants by on-site follow-up or telephone call VS3 (V2 + 6 Months): on-site follow-up or final phone call.
Study Type
OBSERVATIONAL
Enrollment
60
Mini Mental State Examination Charlson Comorbidity Index Katz Index ICOPE step 1 The 15-item geriatric depression scale (GDS-15) Medical Outcomes Study Short Form 36 (SF-36) Short Physical Performance Battery ( SPPB)
Résidence les Tamaris- Jeanne et Léon Développement
Bois-de-Céné, France
RECRUITINGThe endpoint will be a composite score, the FRAQOL, based on a combination of functional performance assessment (Short Physical Performance Battery (SPPB) composite test) and Quality of Life (Short Form 36 (SF-36) self questionnaire).
The endpoint will be a composite score, the FRAQOL, based on a combination of functional performance assessment (Short Physical Performance Battery (SPPB) composite test) and Quality of Life (Short Form 36 (SF-36) self questionnaire). The Short Physical Performance Battery (SPPB) composite test and Short Form 36 (SF-36) self questionnaire will be assessed within 96 hours of admission to the residence, prior to program implementation, and then 3 weeks after the initial assessment SPPB: minimum value = 0 ; maximum value = 12 SPPB 0-6= Low performance SPPB 7-9 =Intermediate intermédiaires SPPB 10-12 =High performance SF36: minimum value = 0 ; maximum value = 100
Time frame: 8 months
Evolution of each item of the scores Short Form 36 self questionnaire
Evolution of each item of the scores Short Form 36 self questionnaire
Time frame: 15 months
Evolution of each item of the scores Short Physical Performance Battery (SPPB) composite test
Evolution of each item of the scores Short Physical Performance Battery (SPPB) composite test
Time frame: 15 months
Evolution of each item of the Step 1 of ICOPE(Integrated Care for Older People)
Evolution of each item of the Step 1 of ICOPE(Integrated Care for Older People) no scores: answers yes/no to different items
Time frame: 15 months
Evolution of intercurrent health events of the composite score FRAQOL at one, three and six months after the end of the program
Evolution of intercurrent health events of the composite score FRAQOL at one, three and six months after the end of the program The objective is to estimate the frequency of occurrence of intercurrent health events of the composite score FRAQOL
Time frame: 15 months
Estimation of the incremental cost associated with the occurrence of intercurrent events up to six months after program completion
Estimation of the incremental cost associated with the occurrence of intercurrent events up to six months after program completion
Time frame: 15 months
Use of the ICOPE screening questionnaire responses as a descriptive element of the study population and analysis of a potential predictive relationship on the 6-month outcome.
Use of the ICOPE screening questionnaire responses as a descriptive element of the study population and analysis of a potential predictive relationship on the 6-month outcome.
Time frame: 15 months
Valentine DUTHEILLET DE LAMOTHE
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