title: [Difficulties encountered and solutions provided in the implementation of a multidisciplinary intervention for the prevention of dependency in the older population in rural areas: the MINDED study].
abstract: Prevent increased number of dependent elderly has become a new priority for European public health. To achieve this, it is necessary to identify the frail older persons at risk of becoming dependent. Detecting frailty also allows to better understand an old patient's physiological reserves before making a therapeutic decision. To date, research tries to realize simple frailty screening tools allowing the clinician to better target - care provided to old adults during their first consultation. Furthermore, frailty is a reversible syndrome, so a global geriatric evaluation will allow the implementation of an individual program of early multi-domain care. The Multidomain intervention to prevent disability project in elders (MINDED), a randomized trial to prevent disability in elders, aims, in its second phase, to test the feasibility and to verify logistical, methodological and organizational aspects of the multi-domain intervention of the pilot study. In this paper, we shall describe the difficulties encountered and the solutions found during this feasibility phase.
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Fougère
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Vellas
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Andrieu
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Demougeot
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
authors.forename: Céline
authors.initials: C
authors.lastname: Cluzan
authors.affiliation: Gérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France, Inserm UMR1027, Université de Toulouse III Paul Sabatier, Toulouse, France.
authors.forename: Matteo
authors.initials: M
authors.lastname: Cesari
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006233:Persons with Disabilities; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D005602:France; D005853:Geriatrics / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects
keywords: MINDED; dependency; frailty; multi-domain intervention; older person; prevention