Educational Guidelines Aimed at Pre-frail Elderly: Intervention Proposal

August 9, 2021 updated by: Leonardo Paroche de Matos

Educational Guidelines Aimed at Pre-frail Elderly From a Family Health Unit, Guarulhos/SP - an Intervention Proposal

INTRODUCTION: aging is the natural process of deterioration of the reserves of biological systems, human beings are inherent to this process. The elderly population in Brazil grows very quickly, this is due to the drop in fertility, mortality and increased life expectancy. OBJECTIVE: to promote the planning of guiding and educational actions based on the qualification of the frailty of the elderly in the Basic Health Unit of the study through the use of the Multidimensional Assessment of the Elderly in Primary Care (AMPI/AB) tool. METHODOLOGY: an experimental, longitudinal, prospective and analytical study aimed at approximately 20 pre-frail elderly people residing in a specific area of a Family Health Unit in the city of Guarulhos/SP. A survey of data referring to the application of AMPI/AB carried out in 2021 and classified as pre-fragile will be carried out, in order to later select them for research. The participant will receive educational guidance on nutrition, use of medications and nursing guidance as identified as needs. Three months after the intervention, AMPI/AB will be applied in order to observe whether the pre-frail elderly remained or changed category after the experimental multidisciplinary educational interventions.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Experimental, longitudinal, prospective and analytical study aimed at pre-frail elderly people living in a specific area of a Family Health Unit in the city of Guarulhos/SP, developed with the aim of qualifying the health care of the elderly population of the territory of the Basic health Unit in 2021, using the Multidimensional Assessment of the Elderly in Primary Care (MAE/PC questionnaire) as the main data collection instrument, associated with the multidisciplinary educational intervention. Initially, a survey of data referring to MAE/PC carried out in 2021 will be carried out during the routine of care by the authors, in order to identify the elderly who were classified as pre-frail. Data referring to healthy and frail elderly people will be used in the research in a descriptive (quantitative) way. Participants will not be identified, data will be displayed in absolute numbers and frequency.

The educational activities will be carried out through home visits and collection of anthropometric measurements, at which time the Informed Consent Form will be offered to authorize participation in the research. The reference participant and/or caregiver will receive all the necessary information to consciously decide whether or not to participate in the aforementioned research and is free to withdraw at any time, which will not harm any of the parties involved. Participants will also receive educational guidance on nutrition, medication use and nursing guidance as identified as needed.

Three months after the intervention, the MAE/PC questionnaire will be reapplied in order to verify if the participant kept or changed his category after receiving the multidisciplinary recommendations.

Study Type

Observational

Enrollment (Anticipated)

20

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Brazil
    • São Paulo
      • Guarulhos, São Paulo, Brazil, 07175530

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

60 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Elderly participants previously classified as pre-frail based on the Multidimensional Assessment of the Elderly instrument

Description

Inclusion Criteria:

  • Time and space oriented seniors;
  • Previously classified as pre-fragile;
  • Good physical condition for taking anthropometric measurements;
  • Who voluntarily agreed to participate in the research;

Exclusion Criteria:

  • Elderly classified as "healthy";
  • Unsatisfactory physical condition that makes it impossible to measure anthropometric measurements;
  • Elderly with amputated limbs;
  • In palliative care;
  • Who refuse to voluntarily participate in the research

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
educational pharmaceutical guidelines
Qualified listening of participants; General pharmaceutical educational guidelines on the use of medicines; Manufacture and supply of medicine organizer boxes.
Behavioral: Multiprofessional educational interventions
Preventive educational interventions
Nursing Educational Guidelines

Nursing educational guidelines; Qualified listening to participants to resolve doubts related to their comorbidities and aging, bringing comfort in relation to their anxieties.

Nursing interventions will occur through verbal educational guidelines given individually and according to the reality of each participant assessed by the research, based on the nursing diagnoses obtained from the North American Nursing Diagnosis Association - NANDA-I (definitions and classification 2018- 2020) 11th edition.
Behavioral: Multiprofessional educational interventions
Preventive educational interventions
Nutritional Educational Guidelines
Obtaining anthropometric measurements (weight, in kilograms, height (in meters), knee height, arm and calf circumference (in centimeters) to trace the participant's nutritional profile and, subsequently, personalized and appropriate nutritional guidelines will be carried out for each situation The calculation of the Body Mass Index (BMI) must be performed by dividing the weight (W) in kilograms (kg) by the square of the height (H) in meters (m) and indicates the individual's nutritional status. The BMI for the elderly (LIPSCHITZ, 1994 apud TAVARES et al., 2015) determines underweight less than or equal to 22kg / m2, adequate or eutrophic weight between 22 and 27kg / m2 and overweight result greater than or equal to 27kg / m2 .
Behavioral: Multiprofessional educational interventions
Preventive educational interventions
Other: Measurement of anthropometric measurements
Measurement of height (in meters), weight (in kilograms), knee height, arm circumference and calf circumference (in centimeters)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Correct use of medications
Time Frame: 3 months
Adequacy of the correct use of medications with the use of the medication box. subjective outcome
3 months
Advances in quality of life (subjective)
Time Frame: 3 months
Offering guidelines on the health of the elderly, providing them with healthier aging and quality of life, covering critical points of the elderly's health and preventing health problems, providing advances in their self-care and giving them more autonomy, solving doubts related to their comorbidities and the aging process, bringing comfort to their anguish, also including the process of death. Subjective outcome
3 months
Calculation of Body Mass Index
Time Frame: 3 months
Elderly people are expected to remain within the anthropometric parameters according to their age group, based on the calculation of BMI in kg / m ^ 2 (obtained by combining weight (in kilograms) and height (in meters)
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Leonardo Paroche de Matos

Collaborators

Jadhy Aquino Antunes
Bianca Prado de Lima Ramos
Daniele Fernanda Mantovani
Milla de Castro
Victória Sanches Pereira Gimenez

Investigators

  • Study Director: Leonardo Matos, Guarulhos City Hall

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

August 1, 2021

Primary Completion (Anticipated)

December 1, 2021

Study Completion (Anticipated)

January 1, 2022

Study Registration Dates

First Submitted

July 24, 2021

First Submitted That Met QC Criteria

July 31, 2021

First Posted (Actual)

August 10, 2021

Study Record Updates

Last Update Posted (Actual)

August 16, 2021

Last Update Submitted That Met QC Criteria

August 9, 2021

Last Verified

August 1, 2021

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 20210724

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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