Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design
Background: The aging population of the world is increasing. Aging leads to risks for frailty and other chronic diseases and health systems must focus more on prevention to guarantee healthy aging. The primary objective was to estimate the efficacy of the POSITIVE-(The Maintaining and imPrOving the...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | Archives of Gerontology and Geriatrics Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950307824000808 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846124878080507904 |
|---|---|
| author | Marina Taloyan Maksims Kornevs Linda Timm Hassan Alinaghizadeh Minna Teriö Sanna Bjälevik-Chronan Sebastiaan Meijer Susanne Guidetti |
| author_facet | Marina Taloyan Maksims Kornevs Linda Timm Hassan Alinaghizadeh Minna Teriö Sanna Bjälevik-Chronan Sebastiaan Meijer Susanne Guidetti |
| author_sort | Marina Taloyan |
| collection | DOAJ |
| description | Background: The aging population of the world is increasing. Aging leads to risks for frailty and other chronic diseases and health systems must focus more on prevention to guarantee healthy aging. The primary objective was to estimate the efficacy of the POSITIVE-(The Maintaining and imPrOving the intrinSIc capaciTy Involving Primary Care and caregiVErs) system in improving frailty during a 6-month follow-up period. Method: A randomized controlled, assessor-blinded pilot study (RCT) with 50 individual < 70 years, pre-frail or frail was recruited from a primary care center in Stockholm Region. All participants received a drug review, nutritional recommendations, and a Vivifrail physical exercise program. In addition, the intervention group received POSITIVE including a tablet, an application, and portable measurement devices. The intervention group was monitored remotely by a primary care nurse at the primary health care centre during a six-month follow-up period. Results: At baseline there was a significance between the groups regarding the FTS-5 scale, and significantly more obese participants in the intervention group. The drug reviews showed that three of 43 participants got a review and new diseases were discovered. The test of interactions showed a tendency for significant differences over time between the groups in frailty measured by Fried Frailty Phenotype's and FTS-5 scales. Conclusion: Frailty status over time in the intervention group not differed significantly from the controls. Including individuals to the project even through a pandemic showing that the design is possible for future studies to show effects of new ways of preventing frailty at home. Trial Registration: ClinicalTrials.gov. Registration number: NCT04592146. October 19, 2020. https://clinicaltrials.gov/ct2/show/NCT04592146?term=positive&draw=2&rank=7 |
| format | Article |
| id | doaj-art-d1f9d620955e40b1bc1e570aab53a2d9 |
| institution | Kabale University |
| issn | 2950-3078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-d1f9d620955e40b1bc1e570aab53a2d92024-12-13T11:09:44ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782024-12-0114100083Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial designMarina Taloyan0Maksims Kornevs1Linda Timm2Hassan Alinaghizadeh3Minna Teriö4Sanna Bjälevik-Chronan5Sebastiaan Meijer6Susanne Guidetti7Division of Family Medicine and Primary Care, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Sweden; Academic Primary Health Care Centre, Region Stockholm, Sweden; Corresponding author to: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Academic Primary Health Care Centre, Region Stockholm, Sweden.Department of biomedical engineering and health systems, KTH Royal Institute of Technology, SwedenDivision of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, SwedenDivision of Family Medicine and Primary Care, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Sweden; Academic Primary Health Care Centre, Region Stockholm, SwedenRehab Västra, Stockholm County Healthcare Services, Region Stockholm, SwedenUnit of Development/ Social Care for Elderly, Enskede-Årsta-Vantörs City district, Stockholm, SwedenDepartment of biomedical engineering and health systems, KTH Royal Institute of Technology, SwedenDivision of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; Women's Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, SwedenBackground: The aging population of the world is increasing. Aging leads to risks for frailty and other chronic diseases and health systems must focus more on prevention to guarantee healthy aging. The primary objective was to estimate the efficacy of the POSITIVE-(The Maintaining and imPrOving the intrinSIc capaciTy Involving Primary Care and caregiVErs) system in improving frailty during a 6-month follow-up period. Method: A randomized controlled, assessor-blinded pilot study (RCT) with 50 individual < 70 years, pre-frail or frail was recruited from a primary care center in Stockholm Region. All participants received a drug review, nutritional recommendations, and a Vivifrail physical exercise program. In addition, the intervention group received POSITIVE including a tablet, an application, and portable measurement devices. The intervention group was monitored remotely by a primary care nurse at the primary health care centre during a six-month follow-up period. Results: At baseline there was a significance between the groups regarding the FTS-5 scale, and significantly more obese participants in the intervention group. The drug reviews showed that three of 43 participants got a review and new diseases were discovered. The test of interactions showed a tendency for significant differences over time between the groups in frailty measured by Fried Frailty Phenotype's and FTS-5 scales. Conclusion: Frailty status over time in the intervention group not differed significantly from the controls. Including individuals to the project even through a pandemic showing that the design is possible for future studies to show effects of new ways of preventing frailty at home. Trial Registration: ClinicalTrials.gov. Registration number: NCT04592146. October 19, 2020. https://clinicaltrials.gov/ct2/show/NCT04592146?term=positive&draw=2&rank=7http://www.sciencedirect.com/science/article/pii/S2950307824000808EffectsFrailtyMonitoringeHealthHealthcarePrevention |
| spellingShingle | Marina Taloyan Maksims Kornevs Linda Timm Hassan Alinaghizadeh Minna Teriö Sanna Bjälevik-Chronan Sebastiaan Meijer Susanne Guidetti Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design Archives of Gerontology and Geriatrics Plus Effects Frailty Monitoring eHealth Healthcare Prevention |
| title | Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design |
| title_full | Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design |
| title_fullStr | Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design |
| title_full_unstemmed | Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design |
| title_short | Estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in Sweden- a pilot study with a randomized controlled trial design |
| title_sort | estimation of efficacy of a home monitoring and communication platform to prevent frailty among older adults in sweden a pilot study with a randomized controlled trial design |
| topic | Effects Frailty Monitoring eHealth Healthcare Prevention |
| url | http://www.sciencedirect.com/science/article/pii/S2950307824000808 |
| work_keys_str_mv | AT marinataloyan estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT maksimskornevs estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT lindatimm estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT hassanalinaghizadeh estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT minnaterio estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT sannabjalevikchronan estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT sebastiaanmeijer estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign AT susanneguidetti estimationofefficacyofahomemonitoringandcommunicationplatformtopreventfrailtyamongolderadultsinswedenapilotstudywitharandomizedcontrolledtrialdesign |