Publications des membres du Ceped

2023



  • Chane-Po David, Gatina Jean-Hugues, Leruste Sébastien et Legrand Florian (2023) « Knowledge of type 2 diabetic patients followed for less than 5 years in primary care in the western region of Reunion Island: a cross-sectional pilot study », Pec Innovation, 2, p. 100122. DOI : 10.1016/j.pecinn.2023.100122. https://hal.science/hal-04149579.
    Résumé : BACKGROUND: The learning needs of newly diagnosed diabetic patients followed up in medical offices in Reunion Island are unknown, although necessary for the improvement of education programmes and disease control. AIM: To assess the knowledge of type 2 diabetic patients in primary care followed for less than 5 years. METHOD: A cross-sectional study was carried out, using a self-questionnaire to assess patients’ knowledge of diabetes, complications, follow-up, diet and physical activity. Patients were recruited from medical offices in the western region of Reunion Island. RESULTS: From 23(rd) April to 31(st) July 2021, 89 patients were included. The knowledge level of the total sample was moderate (mean correct answers 65 % ± 17). The best knowledge levels were in the areas "generalities on diabetes" and "complications", while the lowest levels were in the categories "follow-up" and "diet and physical activity". Glycated haemoglobin, libido disorders, frequency of urinalysis and dental consultation, and the recommended diet for patients with diabetes which is the same as for the general population, were the least known concepts. CONCLUSION: This study revealed gaps in patients’ knowledge that could be used to improve education programmes which in turn could reduce or prevent diabetes complications.
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2021



  • Legrand Florian, Eychene Jean-Marc, Audiffren Julien, Klein Armelle, Labourdette C., Nicolaï Alice, Sandron Frederic et Vidal Piere-paul (2021) « Description of Participants in the “Atout Age Mobility” Prevention Workshops at the University Hospital Center of La Reunion: A Prospective Study », The journal of nutrition, health & aging (février 16). DOI : 10.1007/s12603-021-1604-8. http://link.springer.com/10.1007/s12603-021-1604-8.
    Résumé : Introduction As the population ages, loss of autonomy is becoming a priority public health issue. "Atout Age Mobility" prevention interventions for seniors aim to limit frailty, which is a predictive and reversible factor in the loss of autonomy and disability. Objectives The objective of this study is to describe the impact of these interventions on the physical performance and quality of life of a pilot sample of participants. Design We conducted a prospective study named 5P PILOT with 3 months of follow up. Settings Subjects were recruited by convenience sampling from participants in the "Atout Age Mobility" workshops at Saint Joseph from 04/09/2017 to 29/01/2019. Participants Retired people over 55 years old with no contraindications to physical activity recruited from participants in the "Atout Age Mobility" workshops in Saint Joseph. Intervention(s) (for clinical trials) or Exposure(s) (for observational studies): All participants completed 12 weeks of physical exercise called the "Atout Age Mobility" workshop, which lasted 60 minutes each week and was supervised by physical activity coaches. Main Outcome(s) and Measure(s) Physical performance was assessed by Short physical performance battery (SPPB), 10-m gait speed and grip strength measurement. Quality of life through the SF-36 test. Results Ninety-six patients were included and 55 (57.3%) completed the study. There was a significant improvement in gait speed (1.35 +/- 0.26m/s vs. 1.27 +/- 0.24m/s; p=0.008). There was no significant change in SF-36, grip strength dominant arm and SPPB at the 0.01 significance level. Conclusion The "Atout Ages Mobility" workshops seem to significantly improve gait speed but not other aspects of physical performance or quality of life.
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  • Legrand Florian, Eychene Jean-Marc, Audiffren Julien, Klein Armelle, Labourdette Christophe, Nicolaï Alice, Sandron Frédéric et Vidal Pierre-Paul (2021) « The 5P program, personalized and participatory primary prevention pathway: Rational and design of a clinical trial in general practice », Contemporary Clinical Trials Communications, 22 (juin), p. 100786. DOI : 10.1016/j.conctc.2021.100786. https://linkinghub.elsevier.com/retrieve/pii/S2451865421000879.
    Résumé : The aging of the population is leading to an increase in the number of people with loss of autonomy, placing a strain on the health care system. Its prevention at early stages such as the frailty stage would allow an improvement in the quality of life of seniors while limiting health care expenses. The “Atout Age” prevention program set up by the health public authorities of Reunion Island for retired people and the new frailty assessment tools based on mathematical machine learning algorithms could improve the ambulatory care of senior citizens. At present, referral care remains hospital with comprehensive geriatric assessment and there is a lack of evidence of the effectiveness of a prevention pathway for loss of autonomy in primary care. For these reasons, the 5P program “Personalized and Participative Primary Prevention Pathway” has been started in order to obtain scientific evidence. In this article, we present the objectives, design and first results, used in the 5P program up to the implementation of a clinical trial in general practice. The program is articulated in 3 phases. A first phase to evaluate the acceptability of innovative screening tools for frailty. A second pilot phase evaluates the feasibility of a large-scale ambulatory clinical trial in general practice. The last phase described in this article, is a multisite, pseudo-randomized, controlled clinical trial measuring the impact of the “Atout Age” workshops on the physical performance and the quality of life of seniors compared with their usual ambulatory follow-up.
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2019

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