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Les nouvelles technologies : une réponse aux effets physiologiques du vieillissement et des maladies liées au grand âge

Abstract : Aging is unfortunately like living with a lot of conditions which aren’t affecting people because of homeostasis. When something goes wrong, such as a fall or a sudden and acute disease, elderly people would have terrible consequences, worse than for younger people. Thus, preventing falls, and monitoring pre-existing pathologies such as Alzheimer’s disease is a key to a good aging because geriatrician will adapt their prevention strategies for each individuals. Gerontechnologies (technologies for gerontological purposes) can help global prevention strategies for aging with relative ease. But, what is exactly a gerontechnology? What are the mechanics that can prevent falls? How to assess such devices? Is there any technical limitations we should pay attention for? Is there any clinical outcomes we should see? By reviewing previously made work on assessing technologies we showed what are the main outcomes on assessing technologies, what is lacking in such assessments and proposed a simple model for pluridisciplinary evaluations. This includes clinical outcomes (prevention), technical limitations, medico-economical outcomes, sociological outcomes (acceptability, appropriation, habits…) and intrinsic parameters of the devices. Such assessment is made possible with a controlled environment, clinical trial methodology and partnership with industry. With the result of a previous, real life conditions, clinical trial on simple assisting devices, we were able to design a large scale clinical trial with a complete evaluation of commercialized teleassistance service combined with home-based technologies. Indeed, our pilot study highlighted the potentials benefits of such devices on health, falls, functional autonomy and carers.
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Submitted on : Tuesday, October 13, 2015 - 3:47:06 PM
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Florent Lachal. Les nouvelles technologies : une réponse aux effets physiologiques du vieillissement et des maladies liées au grand âge. Médecine humaine et pathologie. Université de Limoges, 2015. Français. ⟨NNT : 2015LIMO0018⟩. ⟨tel-01215144⟩

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