Health Behavior, Lifestyle, Healthy, Nutrition, Physical Activity, Sarcopenia, Sleep
Conditions
Brief summary
Social innovation in aging needs to bring new ideas and services to meet new social and welfare needs identified in recent years. In our environment, people ≥60 years old accounted for 20% -24% of the population in 2015, and it is expected to increase to ≥30% by 2050. Older people living in rural areas have been severely affected by confinement, and new needs are being generated. To better understand the needs, an innovative element of this project is to involve the elderly-young people (60-74 years) from rural areas in the generation of solutions, which will make these solutions especially adapted to their needs. It also aims to study the effectiveness of a health education intervention based on participatory research, where young seniors co-create and implement the intervention among their peers, and focused on improving lifestyles, to prevent or to improve sarcopenia. The objectives of this project are: To characterize the elderly (60 to 74 years) who live independently in rural areas of the province of Tarragona, to actively involve them, through a process of participatory research to generate solutions. To achieve this goal, it is proposed to make a diagnosis of their health status (lifestyles, risk of malnutrition and sarcopenia), and conduct group interviews (focus groups) including earlier elderly people from rural areas. In addition, participants will receive the intervention co-created by themselves, and the effectiveness of the intervention created will be evaluated.
Detailed description
Social innovation in aging needs to bring new ideas and services to meet new social and welfare needs identified in recent years. In our environment, people ≥60 years old accounted for 20% -24% of the population in 2015, and it is expected to increase to ≥30% by 2050. For the first time in history, most people can aspire to live well beyond the age of 60. On the other hand, the Covid-19 pandemic has severely affected people ≥60 years of age, and may make the welfare and health problems of this population more evident, such as unhealthy lifestyles, the risk of malnutrition, and sarcopenia (defined as loss of muscle mass, strength, and function), which leads to significant dependency and quality of life problems. In addition, older people living in rural areas have been severely affected by confinement, and new needs are being generated. To better understand the needs, an innovative element of this project is to involve the elderly-young people (60-74 years) from rural areas in the generation of solutions, which will make these solutions especially adapted to their needs. Therefore increase the adherence to the solutions created, and also the long-term sustainability of the solutions. It also aims to study the effectiveness of a health education intervention based on participatory research, where young seniors co-create and implement the intervention among their peers, and focused on improving lifestyles, to prevent or to improve sarcopenia. The objectives of this project are: To characterize the elderly (60 to 74 years) who live independently in rural areas of the province of Tarragona, to actively involve them, through a process of participatory research to generate solutions. To achieve this goal, it is proposed to make a diagnosis of their health status (lifestyles, risk of malnutrition and sarcopenia), and conduct group interviews (focus groups) including earlier elderly people from rural areas, and the sectors involved, to determine their needs, interests, and barriers to pursuing healthy lifestyles. Based on the information obtained in the diagnosis and group interviews, there will be processes for co-creating solutions based on proposed activities or changes in their immediate environment. During the co-creation process, the elderly and the sectors involved in the 4-helix (government, industry, university, and civil society) will be involved. In addition, participants will receive the intervention co-created by themselves, and the effectiveness of the intervention created will be evaluated.
Interventions
BEHAVIORALCitizen Science intervention
Intervention generated by a participatory research process (co-creation) in the elderly population living in rural areas to co-create solutions to improve their lifestyles, quality of life and health.
Sponsors
University Rovira i Virgili
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
This is an educational program, so that, the intervention group will know that will receive some educational and behavioral activities, and the control group will know that they will not receive any kind of activities.
Intervention model description
Randomized Controlled Trial (cluster)
Eligibility
Sex/Gender
ALL
Age
60 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
* People ≥60 years and ≤74 years, * That they have informed consent, * Living at home (living independently), Community-dwelling early-elderly * That they can continue the study, * They live in the province of Tarragona.
Exclusion criteria
* Failure to comply with the inclusion criteria will be considered an exclusion criterion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnosis of severe sarcopenia (muscle function) | Baseline and through study completion, an average of 1 year | Change of muscle function (≤0.8 m / s) |
| Diagnosis of severe sarcopenia (muscle mass) | Baseline and through study completion, an average of 1 year | Change of muscle mass (\<20kg in men and \<15kg in women measured by bioimpedance) |
| Risk of sarcopenia (muscle strength) | Baseline and through study completion, an average of 1 year | Change of muscle strength: \<27kg in men and \<16kg in women measured by a dynamometer |
| Diagnosis of sarcopenia (muscle strength) | Baseline and through study completion, an average of 1 year | Change of muscle strength (\<27kg in men and \<16kg in women measured by a dynamometer) |
| Diagnosis of sarcopenia (muscle mass) | Baseline and through study completion, an average of 1 year | Change of muscle mass (\<20kg in men and \<15kg in women measured by bioimpedance) |
| Diagnosis of severe sarcopenia (muscle strength) | Baseline and through study completion, an average of 1 year | Change of muscle strength (\<27kg in men and \<16kg in women measured by a dynamometer) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| height | Baseline and through study completion, an average of 1 year | Height using a tallimeter |
| Nutrition | Baseline and through study completion, an average of 1 year | Food frequency questionnaire (not scale) |
| Physical activity | Baseline and through study completion, an average of 1 year | International physical activity questionnaire for elderly * Low category: non-physical activity or it is not enough to achieve moderate or high category * Moderate category: 3 or more days / weeks (vigorous physical activity, at least 25 minutes/day), or 5 or more (moderate physical activity, at least 30 minutes/day), or 5 or more days / weeks of a combination of walking, or moderate-vigorous physical activity (at least 600 METS). * High category: 7 or more days / week of a combination of walking, or moderate-vigorous physical activity (at least 3000 METS). |
| Sleep behaviour | Baseline and through study completion, an average of 1 year | Pittsburg questionnaire The questionnaire contains a total of 19 questions, grouped into 10 questions. The 19 questions are combined to form seven areas with their corresponding score, each of which shows a range between 0 and 3 points. In all cases, a score of 0 indicates ease, while a score of 3 indicates severe difficulty, within their respective area. The score of the seven areas is finally added to give an overall score, which ranges from 0 to 21 points. 0 indicates ease of sleeping and 21 severe difficulty in all areas. |
| Risk of malnutrition | Baseline and through study completion, an average of 1 year | Mini Nutritional Assessment 12-14 points: normal nutritional status 8-11 points: risk of malnutrition 0-7 points: malnutrition |
| Weight | Baseline and through study completion, an average of 1 year | Weight using a balance |
Other
| Measure | Time frame | Description |
|---|---|---|
| Age | Baseline and through study completion, an average of 1 year | Age in years |
| Gender | Baseline | Female or male |
Countries
Spain
Contacts
Primary ContactRosa Solà, Dr
Backup ContactLucia Tarro, Dr
Outcome results
None listed