Age-related Cognitive Decline
Conditions
Keywords
cognitive impairment, caregiver quality of life, caregiver burden, caregiver vulnerability
Brief summary
The purpose of this prospective monocenter observational study is to assess the impact of the first introduction of formal home help (personalized autonomy allowance for seniors) on the quality of life of home caregivers of elderly patients with neurocognitive impairment.
Detailed description
An aging population is leading to an increase in neurodegenerative disorders that are responsible for loss of autonomy. In order to keep patients with neurocognitive impairment at home, the availability of home caregivers is essential. The neurocognitive deterioration of elderly patients is a significant burden for home caregivers and can affect their quality of life. The implementation of formal home help (personalized autonomy allowance for seniors) can relieve home caregivers and improve their quality of life. Conduct of research: Elderly patients followed in the geriatric department of the Mulhouse French hospital, and for whom a formal home help (personalized autonomy allowance for seniors) is initiated will be recruited. The evolution of home caregiver's quality of life, burden and vulnerability, will be assessed during three months.
Interventions
OTHERHome help
Setting up of a formal home help
Sponsors
Groupe Hospitalier de la Region de Mulhouse et Sud Alsace
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient 60 years of age or older * Diagnosis of neurocognitive disorders * MMSE score less than or equal to 26 * GIR score inferior or equal to 4 * Introduction of formal home help (personalized autonomy allowance for seniors program) * Patient living in Haut-Rhin department (France) * Patient receiving regular informal help at home (at least once a week) * Availability of the current home helper to participate in the sudy * Non-opposition to participation in the study
Exclusion criteria
* Introduction of formal home care not related to the personalized autonomy allowance program * Patient under legal protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver quality of life | 90 days | Variation of caregiver quality of life between inclusion and 90 days. Quality of life is assessed with the PIXEL study evaluation scale. This is a 20-item scale, subdivided in four domains: behavioral capacities to face difficulties generated by the patient, relation with the environment, psychological perception of the situation, perception of a possible distress. Score ranges from 0 to 100 points (5 points for each item). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver burden | 90 days | Variation of caregiver burden between inclusion and 90 days. Burden is assessed with the 7-item mini-Zarit scale. Score ranges from 0 to 7. |
| Caregiver quality of life according to the type of formal home care | 90 days | Variation of caregiver quality of life between inclusion and 90 days. Quality of life is assessed with the PIXEL study evaluation scale. |
| Caregiver vulnerability according to the type of formal home care | 90 days | Vulnerability is assessed through another PIXEL study 20-item evaluation scale. |
| Caregiver vulnerability | 90 days | Variation of caregiver vulnerability between inclusion and 90 days. Vulnerability is assessed through another PIXEL study 20-item evaluation scale. Score ranges from 0 to 100 points. |
| Variation of quality of life score according to each domain | 90 days | Evolution of quality of life according to each domain of the PIXEL study evaluation scale. |
| Description of the aids set up within the framework of the personalized autonomy allowance for seniors program. | 90 days | Formal home help can include several home services: meal delivery, domestic help, home care nurse, etc. |
| Caregiver burden according to the type of formal home care | 90 days | Variation of caregiver burden between inclusion and 90 days. Burden is assessed with the 7-item mini-Zarit scale. Score ranges from 0 to 7. |
Countries
France
Outcome results
None listed