PMID- 36753315
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230225
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 12
DP  - 2023 Feb 8
TI  - The Health Care Trajectories of Older People in Foster Families: Protocol for an 
      Observational Study.
PG  - e40604
LID - 10.2196/40604 [doi]
LID - e40604
AB  - BACKGROUND: With aging of the population, the search for alternative models of 
      care adapted to older people with dependency is necessary. In this setting, 
      foster families (1-3 older people per family) could be an alternative to nursing 
      homes, residential care facilities, or community- and home-based care. OBJECTIVE: 
      The KArukera Study of Ageing in Foster Families is a prospective cohort study 
      designed to investigate the care pathways of older people with dependency in 
      foster care over a year. The 1-year hospitalization rate (main objective), cost 
      of hospitalization, incidence of mortality, prevalence of geriatric syndromes, 
      and quality of life of residents will be assessed. Quality of life and burnout of 
      their respective foster caregivers will also be studied. METHODS: This study 
      cohort will include 250 older people living in foster families in Guadeloupe 
      (French West Indies), as well as their respective foster caregivers. Both older 
      people and caregivers will be interviewed concurrently on site at three time 
      points: (1) at baseline, (2) at 6 months, and (3) at 12 months. For older people, 
      we will collect anthropometric measures, cognitive impairment, depressive and 
      anxiety symptoms, functional abilities, physical frailty, information on general 
      health status, quality of life, and care pathways (hospitalization, mortality, 
      and medical and paramedical consultations). We will also assess the quality of 
      life and burnout symptoms of family caregivers at each follow-up. A phone update 
      of vital status (alive or death) and care pathways of residents will be carried 
      out at 3 and 9 months after the baseline examination. RESULTS: Recruitment opened 
      in September 2020 and ended in May 2021, with 109 older people recruited and 56 
      respective foster caregivers. The 1-year follow-up was ended in June 2022. Data 
      analyses are ongoing and the first results are expected to be published in May 
      2023. CONCLUSIONS: Foster families are a potentially innovative way to 
      accommodate dependent older people. This study could help define the clinical 
      profile of older people adapted to foster families in the transition from frailty 
      to dependency. The effectiveness of foster families, in terms of hospitalizations 
      and mortality, will be compared with other models of care, particularly nursing 
      homes. In this setting, a twin study carried out in nursing homes in Guadeloupe 
      with similar aims and outcomes will be conducted. Beyond mortality and morbidity, 
      the numerous outcomes will allow us to assess the evolution of geriatric 
      syndromes over time. TRIAL REGISTRATION: ClinicalTrials.gov NCT04545775; 
      https://clinicaltrials.gov/ct2/show/NCT04545775. INTERNATIONAL REGISTERED REPORT 
      IDENTIFIER (IRRID): DERR1-10.2196/40604.
CI  - (c)Denis Boucaud-Maitre, Roxane Villeneuve, Nadine Simo-Tabue, Jean-Francois 
      Dartigues, Helene Amieva, Maturin Tabue-Teguo. Originally published in JMIR 
      Research Protocols (https://www.researchprotocols.org), 08.02.2023.
FAU - Boucaud-Maitre, Denis
AU  - Boucaud-Maitre D
AUID- ORCID: 0000-0002-7797-241X
AD  - Geriatric Units, Centre Hospitalo-Universitaire de Guadeloupe, Pointe-a-Pitre, 
      Guadeloupe.
FAU - Villeneuve, Roxane
AU  - Villeneuve R
AUID- ORCID: 0000-0003-3860-9957
AD  - Inserm U1219 Bordeaux Population Health Center, University of Bordeaux, Bordeaux, 
      France.
FAU - Simo-Tabue, Nadine
AU  - Simo-Tabue N
AUID- ORCID: 0000-0002-9604-8783
AD  - Geriatric Units, Centre Hospitalo-Universitaire de Guadeloupe, Pointe-a-Pitre, 
      Guadeloupe.
FAU - Dartigues, Jean-Francois
AU  - Dartigues JF
AUID- ORCID: 0000-0001-9482-5529
AD  - Inserm U1219 Bordeaux Population Health Center, University of Bordeaux, Bordeaux, 
      France.
FAU - Amieva, Helene
AU  - Amieva H
AUID- ORCID: 0000-0002-0119-7242
AD  - Inserm U1219 Bordeaux Population Health Center, University of Bordeaux, Bordeaux, 
      France.
FAU - Tabue-Teguo, Maturin
AU  - Tabue-Teguo M
AUID- ORCID: 0000-0002-1211-5660
AD  - Geriatric Units, Centre Hospitalo-Universitaire de Guadeloupe, Pointe-a-Pitre, 
      Guadeloupe.
LA  - eng
SI  - ClinicalTrials.gov/NCT04545775
PT  - Journal Article
DEP - 20230208
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC9947762
OTO - NOTNLM
OT  - foster family
OT  - geriatric syndromes
OT  - hospitalization
OT  - mortality
OT  - older people
OT  - quality of life
COIS- Conflicts of Interest: None declared.
EDAT- 2023/02/09 06:00
MHDA- 2023/02/09 06:01
PMCR- 2023/02/08
CRDT- 2023/02/08 11:53
PHST- 2022/06/28 00:00 [received]
PHST- 2022/12/07 00:00 [accepted]
PHST- 2022/12/07 00:00 [revised]
PHST- 2023/02/08 11:53 [entrez]
PHST- 2023/02/09 06:00 [pubmed]
PHST- 2023/02/09 06:01 [medline]
PHST- 2023/02/08 00:00 [pmc-release]
AID - v12i1e40604 [pii]
AID - 10.2196/40604 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2023 Feb 8;12:e40604. doi: 10.2196/40604.