Implementation of a Clinical Decision Support System in Primary Care for the Screening and Assessment of Frailty in Patients Aged 65 and Over (FRAGICLIC)
Implementation of a Clinical Decision Support System in Primary Care for the Screening and Assessment of Frailty in Patients Aged 65 and Over: A Real-World Prospective Cohort Study
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
調査の概要
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前：Léon BANH, Dr
- 電話番号：01 60 17 65 65
- メール：leon.banh@u-pec.fr
研究連絡先のバックアップ
- 名前：Fazia chelli, Mrs
- メール：f.chelli@cnge.fr
研究場所
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Rue Charlie-Chaplin
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Torcy、Rue Charlie-Chaplin、フランス、77200
- MSPU Torcy
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コンタクト：
- Léon Banh
- 電話番号：01 60 17 65 65
- メール：leon_banh@hotmail.fr
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参加基準
適格基準
就学可能な年齢
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Proportion of patients who have benefited from at least one screening or frailty assessment associated with a personalized care plan
時間枠：From patient enrollment to the end of follow-up at 12+/-1 months
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This includes the implementation of a screening and/or assessment, whether complete or incomplete (incomplete grid and/or incomplete or not performed PCP)
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From patient enrollment to the end of follow-up at 12+/-1 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Rates of all-cause mortality and unplanned hospitalizations among patients included in the study
時間枠：From patient enrollment to the end of follow-up at 12+/-1 months
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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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From patient enrollment to the end of follow-up at 12+/-1 months
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Number, percentage, and type of personalized care plans prescribed based on the tool used and the degree of PCP implementation
時間枠：at 3 months after prescription
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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)
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at 3 months after prescription
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Acceptability of the use of the Fragiclic platform among healthcare professionals (HCP) who are users and non-users
時間枠：at the end of patients follow-up, 12 months after enrollment
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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)
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at the end of patients follow-up, 12 months after enrollment
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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)
時間枠：at the end of patients follow-up, 12 months after enrollment
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Socio-demographic profiles : age, gender, mode of practice Usage profile : number of logins, SEGAm, CGA, and PCP completed, average usage duration
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at the end of patients follow-up, 12 months after enrollment
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Number and percetange of complete implementation (patients with complete screening or assessment: complete frailty assessment grid and complete PPS)
時間枠：at the end of patients follow-up, 12 months after enrollment
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Complete implementation = patients with complete screening or assessment: complete frailty assessment grid and complete PPS
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at the end of patients follow-up, 12 months after enrollment
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 2025-A00640-49
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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