Frailty at Older Adults, Geriatric Assessment, Implementation Research, Interprofessional Collaboration, Primary Care
Conditions
Brief summary
This observational study aims to evaluate the real-life use of a digital tool (Fragiclic) by general practitioners (GPs) and nurses to screen and assess frailty in adults aged 65 and over. Frailty is a syndrome that increases the risk of loss of autonomy, falls, hospitalizations, or death. The tool includes simple screening questionnaires (such as SEGAm) and a comprehensive assessment (CGA - Comprehensive Geriatric Assessment) to better manage patients' health. The main question it aims to answer is: * What proportion of patients aged 65 and over will benefit from frailty screening or assessment using Fragiclic over 12 months? A secondary question is \- Does the use of Fragiclic reduce the risk of unplanned hospitalizations or death in these patients? For the secondary question, researchers will compare patients who received screening or assessment (with or without a Personalized Care Plan (PCP)) to those who did not, to determine if Fragiclic improves their health outcomes. Participants will not have additional tasks: Their GP or nurse will use Fragiclic during routine consultations. Some patients may be asked to provide information about their health or quality of life (via their healthcare provider). All data will be collected anonymously and securely
Interventions
None listed
Sponsors
CNGE Conseil
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients aged 65 years or older * Patient or trusted person who provided oral non-opposition after receiving full information about the protocol * Managed by the general practitioner if the patient or nurse during the study period. If patients are assessed by a nurse : Patients whose general practitioner is a participating physician in the study
Exclusion criteria
* Patients unable to express non-opposition or without a trusted person available to express non-opposition * Patients whose general practitioner (GP) is not a participating GP in the study * Patients or trusted persons who do not speak French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients who have benefited from at least one screening or frailty assessment associated with a personalized care plan | From patient enrollment to the end of follow-up at 12+/-1 months | This includes the implementation of a screening and/or assessment, whether complete or incomplete (incomplete grid and/or incomplete or not performed PCP) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rates of all-cause mortality and unplanned hospitalizations among patients included in the study | From patient enrollment to the end of follow-up at 12+/-1 months | The rates of all-cause mortality and unplanned hospitalizations among patients included in the study, based on whether they underwent screening or assessment (complete or incomplete implementation) versus no implementation, and according to the assessment tool used within the Fragiclic site (SEGAm alone +/- PCP vs. CGA alone +/- PCP vs. SEGAm+CGA +/- PCP) |
| Number, percentage, and type of personalized care plans prescribed based on the tool used and the degree of PCP implementation | at 3 months after prescription | Number, percentage, and type of personalized care plans (PPS) prescribed based on the tool used (SEGAm alone vs. EGS alone vs. SEGAm + EGS), and the degree of PPS implementation (actions implemented) |
| Acceptability of the use of the Fragiclic platform among healthcare professionals (HCP) who are users and non-users | at the end of patients follow-up, 12 months after enrollment | Feasibility (number of SEGAm, EGS, and PPS completed by users, completion time, patient refusals, number of users, and monthly logins) Perceived satisfaction with the use of the tool (qualitative study) Perceived usefulness of the tool (actions implemented, observed health outcomes) (qualitative study) Perceived difficulties in screening, frailty assessment, and implementing care and support actions (qualitative study) |
| Socio-demographic profiles of healthcare professionals (HCP) who are users and non-users (age, gender, mode of practice) and usage profiles (number of logins, SEGAm, EGS, and PPS completed, average usage duration) | at the end of patients follow-up, 12 months after enrollment | Socio-demographic profiles : age, gender, mode of practice Usage profile : number of logins, SEGAm, CGA, and PCP completed, average usage duration |
| Number and percetange of complete implementation (patients with complete screening or assessment: complete frailty assessment grid and complete PPS) | at the end of patients follow-up, 12 months after enrollment | Complete implementation = patients with complete screening or assessment: complete frailty assessment grid and complete PPS |
Countries
France
Contacts
CONTACTLéon BANH, Dr
CONTACTFazia chelli, Mrs
Outcome results
None listed