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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:
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
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients who have benefited from at least one screening or frailty assessment associated with a personalized care plan | This includes the implementation of a screening and/or assessment, whether complete or incomplete (incomplete grid and/or incomplete or not performed PCP) | From patient enrollment to the end of follow-up at 12+/-1 months |
| Measure | Description | Time Frame |
|---|---|---|
| Rates of all-cause mortality and unplanned hospitalizations among patients included in the study | 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) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged 65 years older among GP's patients in primary care
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Léon BANH, Dr | Contact | 01 60 17 65 65 | leon.banh@u-pec.fr | |
| Fazia chelli, Mrs | Contact | f.chelli@cnge.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MSPU Torcy | Torcy | Rue Charlie-Chaplin | 77200 | France |
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| From patient enrollment to the end of follow-up at 12+/-1 months |
| Number, percentage, and type of personalized care plans prescribed based on the tool used and the degree of PCP implementation | 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) | at 3 months after prescription |
| Acceptability of the use of the Fragiclic platform among healthcare professionals (HCP) who are users and non-users | 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) | at the end of patients follow-up, 12 months after enrollment |
| 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) | Socio-demographic profiles : age, gender, mode of practice Usage profile : number of logins, SEGAm, CGA, and PCP completed, average usage duration | at the end of patients follow-up, 12 months after enrollment |
| Number and percetange of complete implementation (patients with complete screening or assessment: complete frailty assessment grid and complete PPS) | 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 |