Aging
Conditions
Keywords
Elderly, Frailty, Tele-monitoring, Disability
Brief summary
The study aim is to assess the capacity of a technological solution for analyzing older person's functional and cognitive autonomy at home. Results from this study will also be used to elaborate the design of a further larger national multicenter randomized control trial assessing the efficacy of the solution to detect early infra-clinical disability.
Detailed description
The object of the present project is to evaluate an instrument for monitoring functional and cognitive autonomy in frail or disable elderly persons living alone at home. By assessing older person's autonomy at home and detecting early infra-clinical indicators, the solution could provide relevant clinical parameters to the caregivers and healthcare professionals in order to support the patient's follow-up, and support the detection of preliminary signs of functional loss. The device consists of a set of sensors embedded in the house with minimal invasiveness. The solution transmits the collected data to a remote storage server. Data will then be available for distance consultations by users (i.e., patients, careers or physicians). The study will conduct a wide range of evaluations of the device (technical, clinical, and economic), which will allow the optimization of the prototype. The evaluation of the solution will involve 25 frail or disable community-dwelling subjects living alone for 6 months. Comprehensive assessments will be conducted to highlight the feasibility, integration in healthcare network, and clinical relevance of the technological device.
Interventions
DEVICEInstallation of 3PEGASE Sensor
Volunteers will be equipped with the 3-PEGASE solution to monitor clinical indicators at home : By assessing older person's autonomy at home and detecting early infra-clinical indicators, the solution could provide relevant clinical parameters to the caregivers and healthcare professionals in order to support the patient's follow-up, and support the detection of preliminary signs of functional loss
Sponsors
University Hospital, Toulouse
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* patient aged 75 or more, living alone at home * frail of disable (ADL superior or equal at 3) * able to walk by themselves
Exclusion criteria
* patient presenting a Mini Mental State lower at 16/30 and without a daily intervention from a caregiver * non agreement of study participation of patients or the reliable person when appropriate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The occurrence of alerts | 6 months | The occurrence of alerts : each alert will be recorded to characterize the number and the pace of alerts during the time of follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The relevance of each alert according to the subjective opinion | 6 months | The relevance of each alert if it's legitimate or not legitimate according to the subjective opinion of ; the investigator and the voluntary subject The Classic alerts (volunteers on behalf of the person being followed) generated by the system will be defined as valid or invalid on the basis of the carers' assessment: was he legitimate to alert you? And professionals (assistance). The automatic alerts generated by the sensors will be defined as valid or not on the basis of the assessment of the tele-assistant, the carer and the voluntary subject. |
Other
| Measure | Time frame | Description |
|---|---|---|
| The occurrence of major clinical events | 6 months | The occurrence of major clinical events collected by the Clinical Research Assistant every 2 months a clinical event that required to bring in a doctor, firefighters, a call to 15 or at SOS doctor, a transport to an emergency service |
| The functional autonomy | 6 months | The functional autonomy measured every 2 months by the Activities of Daily Living (ADL) score |
| The cognitive autonomy | 6 months | The cognitive autonomy measured every two months by the Mini Mental State Examination (MMSE) score |
Countries
France
Outcome results
None listed