In-home physical frailty monitoring: relevance with respect to clinical tests.
BACKGROUND
Frailty detection and remote monitoring are of major importance for slowing down, and/or even stopping the frailty process in home-dwelling older people. Taking the Fried's criteria as a reference, this work aims to compare the results produced by a technological set (ARPEGE Pack) with those obtained by usual clinical tests, as well as to discuss the ability of the Pack to be used for long-run frailty remote monitoring.


METHODS
194 participants were given a number of geriatric tests and asked to make use of the ARPEGE technological tools as well as reference clinical tools to feed Fried's indicators. Spearman or Pearson's correlation coefficients were used to compare the ARPEGE results to the reference ones, depending on data statistical characteristics.


RESULTS
Good correlations were obtained for measurements of weight (0.99), grip strength (0.89) and walking speed (0.79). Results are much less satisfactory for evaluation of physical activity and exhaustion (Spearman correlation coefficients 0.25 and 0.41, respectively).


CONCLUSION
Correlations regarding weight, grip strength and walking speed confirm the validity of the data produced by the ARPEGE Pack to feed Fried's criteria. Assessing activity level and exhaustion from an abbreviated questionnaire is still questionable. However, for long-run monitoring other methods of evaluation can be explored. Beyond the quantitative results, the ARPEGE Pack has been proved to be acceptable and motivating in such a long-term frailty monitoring.
['Chkeir|Aly|A|0000-0002-9927-8031', 'Novella|Jean-Luc|JL|', 'Dramé|Moustapha|M|', 'Bera|Delphine|D|', 'Collart|Michèle|M|', 'Duchêne|Jacques|J|']
D000368:Aged D000369:Aged, 80 and over D004867:Equipment Design D015444:Exercise D005260:Female D016330:Frail Elderly D000073496:Frailty D005602:France D015577:Geriatric Assessment D018737:Hand Strength D006699:Home Care Services D006801:Humans D008297:Male D058998:Remote Sensing Technology D011795:Surveys and Questionnaires D000072797:Walking Speed
Frailty Remote monitoring Older people