One nursing home, one SSIAD and the association in charge of foster care families participated in the study. The nursing home and the ambulatory nursing care service are amongst the oldest in the region. Given their geographical location and their significant capacity, they accommodate a very varied population from all over the island (from different municipalities) and thus may be considered as reasonably representative of the general population. Participants were identified through different key informers depending on the mode of living. For individuals living in foster care families, the association in charge of this organization provided a list of potential participants. For those living at home with professional care services, the SSIAD of the city of Lamentin (the second biggest city in Martinique) selected a list of people who met the inclusion criteria. For those who lived in a nursing home, the occupational therapist of this institution selected a list of residents with a Mini Mental States (MMS) score >23. Accordingly, the key informers (ie, the association in charge of foster care, the SSIAD or the occupational therapist, respectively) asked to the eligible participants whether they agreed to be contacted by the researchers and systematically accompanied the researcher for the first contact.

The inclusion criteria for participants were: i) receiving professional care services at home (ie, meal delivery, formal care, SSIAD), or living in foster care family or in a nursing home. ii) being 65 years of age or older, with no major cognitive impairment (MMS >23), iii) speak French and iii) agreeing to participate. To ensure a diversity of situations we purposively sampled respondents based on age, sex, length of time since the change, socio-cultural level, old place of residence, number of children, and marital status. A non-probabilistic sampling procedure consisting of selecting participants considered to be typical of the target population (“reasoned sampling”) was carried out. Only 2 participants refused to participate, one from the nursing home and the other from a foster care family.

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