Cognitive Impairment
Conditions
Keywords
PARO, non-pharmacological intervention, economic evaluation, Cognitive Impairment
Brief summary
Many residents from establishments for dependent elderly people (EHPAD) have memory disorders with behavioural problems such as agitation, aggression and anxiety, which make it difficult to assist them on a daily basis. Studies have proven the beneficial effect of the therapeutic seal robot PARO® in behavioural disorders. The present project aims to complement these data with a medico-economic study. At present, the only study of this type has been carried out in Australia, and is not transposable to France.
Interventions
OTHERWith robotic seal PARO
The PARO robot will be made available to the patient by the caregiver in charge of the patient for 5mn before a toilet and during the duration of the care (about 10mn), at the frequency of twice a week for 16 weeks
Sponsors
Centre Hospitalier Departemental Vendee
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients over 70 years of age * With moderate or severe neurocognitive disorders of any etiology (Mini Mental State Examination (MMSE) less than or equal to 20, or not feasible) * Resident in EHPAD (establishment for dependent elderly people) or USLD (long-term care unit ) in permanent accommodation for more than 1 month at inclusion
Exclusion criteria
* Patient with presumed life expectancy of less than 3 months * Mini Mental State Examination (MMSE) not feasible for any reason other than cognitive impairment (e.g. stroke aphasia), without dementia * Known carrier of multi-drug resistant bacteria * Carrier of Pace-maker (precautionary advice from manufacturer) * Refusal to participate to the study (trusted person, guardian or curator or patient depending on the patient's mental state) * Patient under court protection * Prior inclusion in an interventional study that may alter the interpretation of the results of the analysis * Patient not affiliated to a social security system or beneficiary of such a system
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incremental cost-utility ratio | 16 weeks after implementation of toilets with/without PARO | Incremental cost-utility ratio (cost/QALY) from a societal perspective and a time horizon of 16 weeks of the use of the PARO robot |
Countries
France
Outcome results
None listed