Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly
Introduction: The elderly population is at high risk of functional decline, which will induce significant costs due to long-term care. Dependency could be delayed by preventing one of its major determinants: falls. Light paths coupled with personal emergency response systems could prevent the functi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2016-08-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/2050312116665764 |
| _version_ | 1819070424100634624 |
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| author | Florent Lachal Achille Edem Tchalla Noëlle Cardinaud Isabelle Saulnier Hichem Nessighaoui Cécile Laubarie-Mouret Thierry Dantoine |
| author_facet | Florent Lachal Achille Edem Tchalla Noëlle Cardinaud Isabelle Saulnier Hichem Nessighaoui Cécile Laubarie-Mouret Thierry Dantoine |
| author_sort | Florent Lachal |
| collection | DOAJ |
| description | Introduction: The elderly population is at high risk of functional decline, which will induce significant costs due to long-term care. Dependency could be delayed by preventing one of its major determinants: falls. Light paths coupled with personal emergency response systems could prevent the functional decline through fall prevention. Methods: This study aimed to evaluate the effectiveness of light paths coupled with personal emergency response systems on the functional decline in an elderly population living at home. It is a secondary analysis on data from a previous cohort. In all, 190 older adults (aged 65 years or more) living at home participated. Participants in the exposed group were equipped with home-based technologies: light paths coupled with personal emergency response systems. The participants’ functional status was assessed using the Functional Autonomy Measurement System scale at baseline (T0) and at the end of the study (T12-month). Baseline characteristics were evaluated by a comprehensive geriatric assessment. Results: After 1 year, 43% of the unexposed group had functional decline versus 16% of the exposed group. Light paths coupled with personal emergency response systems were significantly associated with a decrease in the functional decline (Δ Functional Autonomy Measurement System ⩾ 5) at home (odds ratio = 0.24, 95% confidence interval (0.11–0.54), p = 0.002). Discussion: This study suggests that light paths coupled with personal emergency response systems prevent the functional decline over 12 months. This result may encourage the prescription and use of home-based technologies to postpone dependency and institutionalization, but they need a larger cost-effectiveness study to demonstrate the efficiency of these technologies. |
| first_indexed | 2024-12-21T17:05:43Z |
| format | Article |
| id | doaj.art-cd433acd48a948adbeba301fbd1f7e77 |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-12-21T17:05:43Z |
| publishDate | 2016-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-cd433acd48a948adbeba301fbd1f7e772022-12-21T18:56:32ZengSAGE PublishingSAGE Open Medicine2050-31212016-08-01410.1177/205031211666576410.1177_2050312116665764Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderlyFlorent Lachal0Achille Edem Tchalla1Noëlle Cardinaud2Isabelle Saulnier3Hichem Nessighaoui4Cécile Laubarie-Mouret5Thierry Dantoine6EA 6310 HAVAE, Université de Limoges, Limoges, FranceService de Médecine Interne Gériatrique, Pôle Clinique Médicale et Gérontologie Clinique, CHU de Limoges, Limoges, FranceService de Médecine Interne Gériatrique, Pôle Clinique Médicale et Gérontologie Clinique, CHU de Limoges, Limoges, FranceService de Médecine Interne Gériatrique, Pôle Clinique Médicale et Gérontologie Clinique, CHU de Limoges, Limoges, FranceEA 6310 HAVAE, Université de Limoges, Limoges, FranceService de Médecine Interne Gériatrique, Pôle Clinique Médicale et Gérontologie Clinique, CHU de Limoges, Limoges, FranceService de Médecine Interne Gériatrique, Pôle Clinique Médicale et Gérontologie Clinique, CHU de Limoges, Limoges, FranceIntroduction: The elderly population is at high risk of functional decline, which will induce significant costs due to long-term care. Dependency could be delayed by preventing one of its major determinants: falls. Light paths coupled with personal emergency response systems could prevent the functional decline through fall prevention. Methods: This study aimed to evaluate the effectiveness of light paths coupled with personal emergency response systems on the functional decline in an elderly population living at home. It is a secondary analysis on data from a previous cohort. In all, 190 older adults (aged 65 years or more) living at home participated. Participants in the exposed group were equipped with home-based technologies: light paths coupled with personal emergency response systems. The participants’ functional status was assessed using the Functional Autonomy Measurement System scale at baseline (T0) and at the end of the study (T12-month). Baseline characteristics were evaluated by a comprehensive geriatric assessment. Results: After 1 year, 43% of the unexposed group had functional decline versus 16% of the exposed group. Light paths coupled with personal emergency response systems were significantly associated with a decrease in the functional decline (Δ Functional Autonomy Measurement System ⩾ 5) at home (odds ratio = 0.24, 95% confidence interval (0.11–0.54), p = 0.002). Discussion: This study suggests that light paths coupled with personal emergency response systems prevent the functional decline over 12 months. This result may encourage the prescription and use of home-based technologies to postpone dependency and institutionalization, but they need a larger cost-effectiveness study to demonstrate the efficiency of these technologies.https://doi.org/10.1177/2050312116665764 |
| spellingShingle | Florent Lachal Achille Edem Tchalla Noëlle Cardinaud Isabelle Saulnier Hichem Nessighaoui Cécile Laubarie-Mouret Thierry Dantoine Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly SAGE Open Medicine |
| title | Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly |
| title_full | Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly |
| title_fullStr | Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly |
| title_full_unstemmed | Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly |
| title_short | Effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly |
| title_sort | effectiveness of light paths coupled with personal emergency response systems in preventing functional decline among the elderly |
| url | https://doi.org/10.1177/2050312116665764 |
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