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| Name | Class |
|---|---|
| GerontopĂ´le des Pays de la Loire | OTHER |
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The evaluation of executive functions, as well as the means of stimulating and preserving them, are at the heart of the challenges for maintaining a level of functional autonomy in the elderly, but also during the loss of this functional autonomy and when entering a situation of dependence and/or dementia. Research that has demonstrated the preponderant role of executive functions on functional abilities are examples of this. Components such as planning, organization, initiation, mental flexibility appear to be strongly correlated with the effective performance of complex activities of daily living. In addition, the capacities for autonomy were found to be significantly reduced, and significantly with the severity of the executive deficits. In addition, if these data have since contributed to determining a level of impairment of the executive processes specific to an early loss of autonomy, they are so in the context of early diagnosis of dementia and validation of a detection tool, early loss of autonomy. The scientific advances of the last five years contribute to a better understanding of the impact of executive disorders, but on the other hand, the diversity of the explanatory phenomena of these disorders considerably complicates their nosology within neuro-evolutionary pathologies. Ultimately, an analysis of executive function disorders must take into account cognitive and behavioral aspects, that is to say, beyond performance on tests identified as involving executive functions, behavioral disorders, emotional status and level of autonomy in activities of daily living. In the state of our knowledge, the consideration of executive functions represents a strategic point at the crossroads of the evaluation of the act of care and treatment. Establishing data on the prevalence of alterations in the executive functions of residents, exploring the possibilities of evaluation with a battery of tests little used in this context and linking "executive" profiles and clinical situations seems to us a relevant and interesting first step. However essential to provide a beginning of answer to these questions. This study being an exploratory study. The results of this study will constitute new prevalence data in the population of residents of nursing homes. The aim here is to establish data on the prevalence of alterations in the executive functions of residents, to explore the possibilities of evaluation with a battery of tests little used in this context and to relate the profiles "executives" and clinical situations. This in order to develop a methodology to draw up a general assessment, and to make comparisons of the different profiles, inter/intra pathologies and stages of evolution. Thus, a more in-depth knowledge of the specific profiles of Nursing Home residents will also lead to the reflection of pharmacological and non-pharmacological therapeutic strategies. Finally, it will ultimately be a question of presenting an inventory of the situation of Nursing Home to alert public policies. The main objective is to study the prevalence of impaired executive functions in nursing home residents. The secondary objectives are to explore the feasibility of carrying out executive function tests and to examine the coorelationbetween the levels of impairment of executive functions and the clinical and functional characteristics of residents.
Participants will be recruited by the investigating doctor and the healthcare team. Participants must meet the defined inclusion criteria The steps:
Screening Pre-selection of participants potentially eligible for the study (inclusion/non-inclusion criteria) and collection of data from medical records and the healthcare database.
The information can be collected by the nursing coordinator of the Nursing home. The diagnosis will be determined by the investigating physician of each center and the inclusion criteria checked.
Pre-inclusion-inclusion visit
The course of the study for the participant will consist of 4 visits with the psychologist and/or the doctor:
Pre-inclusion consultation, Visit 0: during which the participant will take a questionnaire carried out by the psychologist to assess overall cognitive functioning, and the inclusion consultation by the on-site investigator doctor to check whether the participant corresponds to all study criteria. Following this visit, the participant may choose to participate in the research by signing the consent form.
The visits will take place as follows, spread over 14 to a maximum of 65 days from Pré-inclusion
Visits
Visit 1. (20 to 45 minutes, up to 15 days after Visit 0). This visit will allow to do:
Visit 2. (About 25 minutes, 7 to 10 days after visit Visit 1). This visit will allow you to:
Visit 3. (About 30 minutes, 7 to 10 days after visit Visit 2). This visit will allow you to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| groups/cohort | Experimental | participants will perform the various neuropsychological tests provided for in the protocol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cognitive evaluations and non cognitive evaluations | Other | Cognitive evaluations with executive functions evaluations :
Non-cognitive evaluations: The Katz Autonomy Scale Neuropsychiatric Inventory version Care team Geriatric Depression Scale 15-item version Apathy inventory |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of executive functions impairment | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of passed tests | ability of nursing home residents to pass tests provided for in the protocol to evaluate executive functions | 12 months |
| Correlation between executive functions impairment and percentage of dependence residents Correlation between executive functions impairment and percentage of residents with |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gilles BERRUT | GerontopĂ´le des Pays de la Loire | Study Director |
| Leila LAIFA-MARY | Korian | Principal Investigator |
| Priscilla CLOT-FAYBESSE | Korian | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KORIAN La CĂ´te Sauvage | Ars-en-RĂ© | 17590 | France | |||
| Korian Villa Louisa |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
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| 16757076 | Background | Belleville S, Rouleau N, Van der Linden M. Use of the Hayling task to measure inhibition of prepotent responses in normal aging and Alzheimer's disease. Brain Cogn. 2006 Nov;62(2):113-9. doi: 10.1016/j.bandc.2006.04.006. Epub 2006 Jun 6. |
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|
| 12 months |
| Correlation between executive functions impairment and behavioral disorders | 12 months |
| Bordeaux |
| 33000 |
| France |
| Korian Villa Evora | Chartres | 28000 | France |
| Korian Le Catelli | L'Huisserie | 53970 | France |
| Korian Doubs Rivage | Montbéliard | 25200 | France |
| Korian Bois Robillard | Nantes | 44300 | France |
| Korian Le Baron | Orléans | 45000 | France |
| Korian Les Arcades | Paris | 75012 | France |
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