Technologies for participatory medicine and health promotion in the elderly population

Laura Nieto-Riveiro, Betania Groba, M Carmen Miranda, Patricia Concheiro, Alejandro Pazos, Thais Pousada, Javier Pereira, Laura Nieto-Riveiro, Betania Groba, M Carmen Miranda, Patricia Concheiro, Alejandro Pazos, Thais Pousada, Javier Pereira

Abstract

Introduction: The progressive aging of the population is a socio-demographic phenomenon experienced by most countries in the world in recent decades, especially in Japan and in many European Union countries. During this process, so-called "geriatric syndromes" frequently occur. The focus of this study is the quality of life of the elderly in relation to these 3 factors: risk of falls, urinary incontinence, and insomnia.

Objective: The main purpose is to determine the impact of a multifactorial intervention program implemented with institutionalized elderly people. The program is focused on the treatment of the aforementioned factors.

Methods and analysis: The study will be carried out with elderly people living in three residences for the elderly in A Coruña Province (Galicia, Spain).It is a prospective and longitudinal study, with a temporary series design of a "quasi-experimental" type that evaluates the effect of an intervention in 1 given population by doing assessments pre- and post-intervention, but there is no comparison with a control group.The intervention will be based on a multifactorial program, including the following phases: the use of wearable devices (wearable fitness trackers to register physical activity and sleep), the use of an App on a Tablet to record the participants' occupations and activities, counseling about performance in activities of daily living, the implementation of a physical activity program, and the treatment of the pelvic floor (according to each research line). The Quality of Life (QoL) will be assessed before and after the intervention, with the use of the questionnaire EuroQol-5D-5L. Data analysis will be applied with all registered variables through a quantitative perspective.

Ethics and dissemination: The protocol has been approved by the host institution's ethics committee (Research Ethics Committee of Galicia) under the number 2017/106. Results will be disseminated via peer-reviewed journal articles and conferences. This clinical trial is registered at ClinicalTrials.gov identifier: NCT03504813.

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Scheme of Multifactorial Intervention Program.

References

    1. Barry A, McGwire SPK. Global AgeWatch Index 2015. Age International, Editor 2015.
    1. Instituto Nacional de Estadistica. (Spanish Statistical Office) . [cited 2018 Mar 27]. Available from: .
    1. Organization WH. WHO | What are the public health implications of global ageing? WHO: World Health Organization; 2011.
    1. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167–78.
    1. World Health Orgnization. WHO | Falls [Internet]. WHO. World Health Organization; 2018 [cited 2018 Mar 27]. Available from:
    1. World Health Organization. ICD-10 Version: 2008 [Internet. WHO, Editor. Genebra; 2008 [cited 2018 Mar 27]. Available from: .
    1. Alberich T, Barranco Carrillo A, Funes Jiménez E, Espadas Alcázar MA, Melón González O. Intervención social y sanitaria con mayores manual para el trabajo con la 3a. y 4a. edad. In: Intervención social y sanitaria con mayores: manual para el trabajo con la 3a y 4a edad, 2008, ISBN 978-84-9849-217-0, págs 125–172 [Internet]. Dykinson; 2008 [cited 2018 Mar 27]. p. 125–72. Available from: .
    1. Millán Calenti JC. Gerontología y geriatría: valoración e intervención. Editorial Médica Panamericana 2011.
    1. 2009;Luis María Berrueta Maeztu AD, Ma Jesús Ojer Ibiricu D, Ainhoa Trébol Urra D, et al. Terapia ocupacional en geriatría y gerontología occupational therapy in geriatrics and gerontology. 6:1885–2527.
    1. Gershenfeld N, Krikorian R, Cohen D. The internet of things. Sci Am 2004;291:76–81.
    1. Giner P, Cetina C, Fons J, Pelechano V. Developing Mobile Workflow Support in the Internet of Things. [cited 2018 Mar 27]; Available from: .
    1. Mendes R. Bibliography of Community Organization. President's Committee on Juvenile Delinquency and Youth Crime. Office GP, editor. Washington DC; 1965.
    1. Chan A-W, Tetzlaff JM, Altman DG, et al. SPIRIT 2013 Statement: defining standard protocol items for clinical trials. Rev Panam Salud Publica 2015;38:506–14.
    1. Aceytuno M, Ascensión E, Miralles R, Prado B, Riera M, Roqueta C, et al. Guía de buena práctica clínica en Geriatría. Incontinencia urinaria. SEGG, editor. Barcelona; 2008 [cited 2018 Mar 27]. Available from: .
    1. Universidad Pública de Navarra. ViviFrail. [cited 2018 Mar 27]. Available from: .
    1. Davies A, De Souza LH, Frank AO. Changes in the quality of life in severely disabled people following provision of powered indoor/outdoor chairs. Disabil Rehabil 2003;25:286–90.
    1. EQ-5D instruments – EQ-5D. [cited 2018 Mar 26]. Available from: .
    1. Grill E, Stier-Jarmer M, uuml M, et al. Validation of the comprehensive ICF Core Set for patients in geriatric post-acute rehabilitation facilities. J Rehabil Med 2011;43:102–12.
    1. Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud 1988;10:64–7.
    1. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119–26.
    1. Folstein MF, Folstein SE, McHugh PR. Mini-mental: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189–98.
    1. Charlson M, Szatrowski TP, Peterson J, et al. Validation of a combined comorbidity index. J Clin Epidemiol 1994;47:1245–51.
    1. Ferreira CHJ, Barbosa PB, Souza F, et al. Inter-rater reliability study of the modified Oxford Grading Scale and the Peritron manometer. Physiotherapy 2011;97:132–8.
    1. Sandvik H, Seim A, Vanvik A, et al. A severity index for epidemiological surveys of female urinary incontinence: comparison with 48-hour pad-weighing tests. Neurourol Urodyn 2000;19:137–45.
    1. Badia Llach X, Castro Díaz D, Perales Cabañas L, et al. The development and preliminary validation of the IU-4 questionnaire for the clinical classification of urinary incontinence. Actas Urol Esp 2018;23:565–72.
    1. Krhut J, Zachoval R, Smith PP, et al. Pad weight testing in the evaluation of urinary incontinence. Neurourol Urodyn 2014;33:507–10.
    1. Laycock J, Jerwood D. Pelvic Floor Muscle Assessment: the PERFECT Scheme. Physiotherapy 2001;87:631–42.
    1. Hajebrahimi S, Corcos J, Lemieux MC. International consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self-administration. Urology 2004;63:1076–8.
    1. Babes J, Gonllez MP, Vallejo J, S&z3 J Gibert4 J, Ayuso5 JL, et al. S162 PI Affective disorders and antidepressants [m] Oviedo Sleep Questionnaire (QSQ): a new semistructured Interview for sleep disorders. [cited 2018 Mar 26]; Available from: .
    1. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28:193–213.
    1. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142–8.
    1. Delbaere K, Close JCT, Mikolaizak AS, et al. The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing 2010;39:210–6.
    1. Sage, Dancey CP, Reidy J, Rowe R. Senior L in P. Statistics for the health sciences: a non-mathematical introduction. 2012;563 p.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren