{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:38:06Z","timestamp":1790775486202,"version":"4.1.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"vor","delay-in-days":179,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Conseil D\u00e9partemental de la Guadeloupe, ARS de la Guadeloupe, Saint Martin, and Saint-Barth\u00e9lemy","award":["2020\/DPAPH\/DRM"],"award-info":[{"award-number":["2020\/DPAPH\/DRM"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Foster families for older adults could represent a transitional or alternative model to nursing homes. The aim of this study was to describe the clinical characteristics of older adults in foster families and to compare them with those of residents in nursing homes in French West Indies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>This study is a cross-sectional analysis of the KArukera Study of Aging in Foster Families (KASAF) cohort. Sociodemographic and clinical characteristics were extracted. Dependency was assessed using the Activities of Daily Living (ADL) scale and cognition using the Mini-Mental State Examination (MMSE) scale. Age, gender, ADL, and MMSE scores were compared with nursing home residents from a twin study of KASAF (n\u2005=\u2005332).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 107 older adults (mean age 81.8 years; 61.7% women) were recruited in 56 foster families between September 2020 and May 2021. In all, 25.5% had diabetes mellitus and 45.8% suffered from hypertension. The mean MMSE score was 9.3\u00a0\u00b1\u00a010.1 and 76.0% had major cognitive impairment (MMSE score &amp;lt;18); 12.5% were diagnosed with Parkinson\u2019s disease, and 42.0% of the residents were confined to bed or in a wheelchair, with a mean ADL score of 1.5\u00a0\u00b1\u00a01.8. Almost all the residents (96.3%) benefited from a medical follow-up by a nurse who visited once or twice a day. Compared to older adults living in nursing homes, those in foster families were more frequently women (61.7% vs 49.4%) and had lower ADL score (1.5 vs 2.4) and lower MMSE score (9.3 vs 11.3).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>The clinical profile of foster families\u2019 residents was quite similar to that of nursing home residents in terms of demographics, dementia, and dependency. Foster families might represent an interesting strategy to address the unmet clinical and social needs of dependent older adults, especially in countries where nursing homes are not sufficiently developed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Trials Registration Number<\/jats:title>\n                  <jats:p>NCT04545775<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geroni\/igae063","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T15:52:22Z","timestamp":1719417142000},"source":"Crossref","is-referenced-by-count":10,"title":["Clinical Characteristics of Older Adults Living in Foster Families in the French West Indies: Baseline Screening of the KArukera Study of Aging in Foster Families (KASAF) Cohort"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-241X","authenticated-orcid":false,"given":"Denis","family":"Boucaud-Maitre","sequence":"first","affiliation":[{"name":"DRCI, Centre Hospitalier Le Vinatier , Bron , France"},{"name":"Equipe EPICLIV, Universit\u00e9 des Antilles , Fort-de-France, Martinique , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3860-9957","authenticated-orcid":false,"given":"Roxane","family":"Villeneuve","sequence":"additional","affiliation":[{"name":"Inserm U1219 Bordeaux Population Health Center, University of Bordeaux , Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Rambhojan","sequence":"additional","affiliation":[{"name":"DRCI, Centre Hospitalo-Universitaire de Guadeloupe , Pointe-\u00e0-Pitre, Guadeloupe , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Simo-Tabu\u00e9","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, Centre Hospitalo-Universitaire de Martinique , Fort-de-France, Martinique , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Thibault","sequence":"additional","affiliation":[{"name":"DRCI, Centre Hospitalo-Universitaire de Guadeloupe , Pointe-\u00e0-Pitre, Guadeloupe , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Rinaldo","sequence":"additional","affiliation":[{"name":"DRCI, Centre Hospitalo-Universitaire de Guadeloupe , Pointe-\u00e0-Pitre, Guadeloupe , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Fran\u00e7ois","family":"Dartigues","sequence":"additional","affiliation":[{"name":"Inserm U1219 Bordeaux Population Health Center, University of Bordeaux , Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6662-8832","authenticated-orcid":false,"given":"Moustapha","family":"Dram\u00e9","sequence":"additional","affiliation":[{"name":"Service de G\u00e9riatrie, Centre Hospitalo-Universitaire de Martinique , Fort-de-France, Martinique , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9l\u00e8ne","family":"Amieva","sequence":"additional","affiliation":[{"name":"Inserm U1219 Bordeaux Population Health Center, University of Bordeaux , Bordeaux , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maturin","family":"Tabu\u00e9-Teguo","sequence":"additional","affiliation":[{"name":"Equipe EPICLIV, Universit\u00e9 des Antilles , Fort-de-France, Martinique , France"},{"name":"Service de G\u00e9riatrie, Centre Hospitalo-Universitaire de Martinique , Fort-de-France, Martinique , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"key":"2024073120174966500_CIT0001","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jebo.2022.06.034","article-title":"Nursing home aversion post-pandemic: Implications for savings and long-term care policy","volume":"201","author":"Achou","year":"2022","journal-title":"Journal of Economic Behavior & Organization"},{"key":"2024073120174966500_CIT0002","volume-title":"Des r\u00e9sidents de plus en plus \u00e2g\u00e9s et d\u00e9pendants dans les \u00e9tablissements pour personnes \u00e2g\u00e9es","author":"Balavoine","year":"2022"},{"issue":"4","key":"2024073120174966500_CIT0003","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/00006199-198707000-00002","article-title":"The Braden Scale for predicting pressure sore risk","volume":"36","author":"Bergstrom","year":"1987","journal-title":"Nursing Research"},{"issue":"1","key":"2024073120174966500_CIT0004","doi-asserted-by":"crossref","first-page":"5471","DOI":"10.1038\/s41598-023-32429-3","article-title":"Health trajectories of elderly living in French senior housing: A longitudinal perspective","volume":"13","author":"Boucaud-Maitre","year":"2023","journal-title":"Scientific Reports"},{"key":"2024073120174966500_CIT0005","doi-asserted-by":"crossref","first-page":"e40604","DOI":"10.2196\/40604","article-title":"The health care trajectories of older people in foster families: Protocol for an observational study","volume":"12","author":"Boucaud-Maitre","year":"2023","journal-title":"JMIR Research Protocols"},{"issue":"1","key":"2024073120174966500_CIT0006","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/S2666-7568(22)00288-4","article-title":"Foster families to support older people with dependency: A neglected strategy","volume":"4","author":"Boucaud-Maitre","year":"2023","journal-title":"Lancet Healthy Longevity"},{"issue":"2","key":"2024073120174966500_CIT0007","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1080\/03630242.2017.1282396","article-title":"Diabetes mellitus and obesity in the French Caribbean: A special vulnerability for women","volume":"58","author":"Carr\u00e8re","year":"2018","journal-title":"Women & Health"},{"key":"2024073120174966500_CIT0008","doi-asserted-by":"crossref","first-page":"684776","DOI":"10.3389\/fpubh.2021.684776","article-title":"Perceptions and experiences of older persons in two types of institution in France: Foster care family institution and medico-social one","volume":"9","author":"Chammem","year":"2021","journal-title":"Frontiers in Public Health"},{"issue":"8","key":"2024073120174966500_CIT0009","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1016\/j.jamda.2021.06.023","article-title":"Factors associated with COVID-19 hospitalizations and deaths in French nursing homes","volume":"22","author":"Couderc","year":"2021","journal-title":"Journal of the American Medical Directors Association"},{"issue":"1","key":"2024073120174966500_CIT0010","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: Revised European consensus on definition and diagnosis","volume":"48","author":"Cruz-Jentoft","year":"2019","journal-title":"Age and Ageing"},{"issue":"21","key":"2024073120174966500_CIT0011","first-page":"1141","article-title":"Le Mini-Mental State Examination (MMSE): Un outil pratique pour l\u2019\u00e9valuation de l\u2019\u00e9tat cognitif des patients par le clinicien. Version fran\u00e7aise consensuelle. Groupe de Recherche sur les Evaluations Cognitives (GRECO) [Mini-Mental State Examination: a useful method for the evaluation of the cognitive status of patients by the clinician. Consensual French version]","volume":"28","author":"Derouesne","year":"1999","journal-title":"Presse Medicale"},{"issue":"3","key":"2024073120174966500_CIT0012","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.respe.2016.01.099","article-title":"L\u2019\u00e9tat de sant\u00e9 des populations des d\u00e9partements d\u2019outre-mer en 2012, comparativement \u00e0 la m\u00e9tropole: une analyse de la base nationale de l\u2019Assurance maladie [Health status of populations living in French overseas territories in 2012, compared with metropolitan France: An analysis of the national health insurance database]","volume":"64","author":"Filipovic-Pierucci","year":"2016","journal-title":"Revue d\u2019epidemiologie et de Sante Publique"},{"issue":"3","key":"2024073120174966500_CIT0013","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"\u201cMini-mental state.\u201d A practical method for grading the cognitive state of patients for the clinician","volume":"12","author":"Folstein","year":"1975","journal-title":"Journal of Psychiatric Research"},{"issue":"2","key":"2024073120174966500_CIT0014","doi-asserted-by":"crossref","first-page":"M85","DOI":"10.1093\/geronj\/49.2.M85","article-title":"A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission","volume":"49","author":"Guralnik","year":"1994","journal-title":"Journal of Gerontology"},{"issue":"4","key":"2024073120174966500_CIT0015","doi-asserted-by":"crossref","first-page":"M221","DOI":"10.1093\/gerona\/55.4.M221","article-title":"Lower extremity function and subsequent disability: Consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery","volume":"55","author":"Guralnik","year":"2000","journal-title":"Journals of Gerontology, Series A: Biological Sciences and Medical Sciences"},{"key":"2024073120174966500_CIT0016","article-title":"12% des Guadeloup\u00e9ens en situation de grande pauvret\u00e9 en 2018","author":"Institut National de la Statistique et des Etudes Economiques (INSEE)","year":"2022"},{"key":"2024073120174966500_CIT0017","author":"Institut National de la Statistique et des Etudes Economiques (INSEE)","year":"2023","journal-title":"En 2021, plus de d\u00e9c\u00e8s que de naissances en Guadeloupe"},{"issue":"5","key":"2024073120174966500_CIT0018","doi-asserted-by":"crossref","first-page":"3657","DOI":"10.1111\/1475-6773.12867","article-title":"The impact of dementia special care units on quality of care: An instrumental variables analysis","volume":"53","author":"Joyce","year":"2018","journal-title":"Health Services Research"},{"key":"2024073120174966500_CIT0019","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1001\/jama.1963.03060120024016","article-title":"Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function","volume":"185","author":"Katz","year":"1963","journal-title":"Journal of American Medical Association"},{"issue":"Pt 3","key":"2024073120174966500_CIT0020","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1093\/brain\/awl347","article-title":"Atypical parkinsonism in Guadeloupe: A common risk factor for two closely related phenotypes","volume":"130","author":"Lannuzel","year":"2007","journal-title":"Brain"},{"key":"2024073120174966500_CIT0021","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.jns.2018.02.019","article-title":"Further evidence for a distinctive atypical degenerative parkinsonism in the Caribbean: A new cluster in the French West Indian Island of Martinique","volume":"388","author":"Lannuzel","year":"2018","journal-title":"Journal of the Neurological Sciences"},{"issue":"3","key":"2024073120174966500_CIT0022","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: self-maintaining and instrumental activities of daily living","volume":"9","author":"Lawton","year":"1969","journal-title":"Gerontologist"},{"issue":"5","key":"2024073120174966500_CIT0023","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1007\/s12603-015-0457-4","article-title":"Validation of the Mini Nutritional Assessment Short Form in a population of frail elders without disability. Analysis of the Toulouse frailty platform population in 2013","volume":"19","author":"Lilamand","year":"2015","journal-title":"Journal of Nutrition, Health & Aging"},{"issue":"2","key":"2024073120174966500_CIT0024","doi-asserted-by":"crossref","first-page":"e12957","DOI":"10.1111\/ecc.12957","article-title":"Prevalence of cancer and management in elderly nursing home residents. A descriptive study in 45 French nursing homes","volume":"28","author":"Liuu","year":"2019","journal-title":"European Journal of Cancer Care"},{"issue":"3","key":"2024073120174966500_CIT0032","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/00006842-200205000-00016","article-title":"Assessing quality of life in older adults with cognitive impairment","volume":"64","author":"Logsdon","year":"2002","journal-title":"Psychosomatic Medicine"},{"key":"2024073120174966500_CIT0026","volume-title":"World Alzheimer report 2013\u2014Journey of caring: An analysis of long-term care for dementia","author":"Prince","year":"2013"},{"key":"2024073120174966500_CIT0027","volume-title":"Long term care protection for older persons: A review of coverage decits in 46 countries","author":"Scheil-Adlung","year":"2015"},{"key":"2024073120174966500_CIT0028","author":"United Nations, Department of Economic and Social Affairs, Population Division","year":"2017","journal-title":"World Population Ageing 2017\u2014Highlights (ST\/ESA\/SER.A\/397)"},{"issue":"4","key":"2024073120174966500_CIT0029","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.3390\/ijerph18041522","article-title":"Mapping research conducted on long-term care facilities for older people in Brazil: A scoping review","volume":"18","author":"Wachholz","year":"2021","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"4","key":"2024073120174966500_CIT0030","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1080\/13607860902774386","article-title":"Transcultural adaptation and psychometric validation of a French-language version of the QoL-AD","volume":"13","author":"Wolak","year":"2009","journal-title":"Aging & Mental Health"},{"issue":"4","key":"2024073120174966500_CIT0031","first-page":"CD009844","article-title":"Home or foster home care versus institutional long-term care for functionally dependent older people","volume":"4","author":"Young","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"}],"container-title":["Innovation in Aging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/innovateage\/advance-article-pdf\/doi\/10.1093\/geroni\/igae063\/58356107\/igae063.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/innovateage\/article-pdf\/8\/7\/igae063\/58703851\/igae063.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/innovateage\/article-pdf\/8\/7\/igae063\/58703851\/igae063.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T03:13:12Z","timestamp":1722481992000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/innovateage\/article\/doi\/10.1093\/geroni\/igae063\/7700940"}},"subtitle":[],"editor":[{"given":"Steven M","family":"Albert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":31,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7,6]]}},"URL":"https:\/\/doi.org\/10.1093\/geroni\/igae063","relation":{},"ISSN":["2399-5300"],"issn-type":[{"value":"2399-5300","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024]]},"published":{"date-parts":[[2024]]},"article-number":"igae063"}}