Frailty at Older Adults
Conditions
Keywords
Frailty, Clinical trial, Motivational profile
Brief summary
An effective implementation of an exercise programme such as VIVIFRAIL, in an unsupervised mode, requires a careful consideration of the patient's motivational traits and state, and the adaptation of the interventions to the current stage in the behaviour change process, as critical countermeasures to fight against abandonment and lack of compliance. A computational ecosystem with motivational support, and functional and performance assessment for an autonomous exercise programme will improve the robust and prefrail community-dwelling older adults' independence and their physical and cognitive health, while reducing healthcare utilisation.
Interventions
OTHERMOTIVA ecosystem
A personalized exercise plan based on the user's motivational profile and performance, without professional supervision or a caregiver.
Sponsors
Hospital Universitario Getafe
Universidad Politecnica de Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Intervention model description
None-Drug randomized clinical trial
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 70 years of age or older. * Obtain a score of 4 or higher on the SPPB. * Be able to ambulate, with or without assistance.
Exclusion criteria
* Be unable to give consent or refuse to do so. * Be unable to understand the instructions. * Have a diagnosis of a disease or clinical condition that, in the researcher's judgment, contraindicates physical exercise.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MOTIVA Ecosystem | From enrollment to the end of treatment at 12 months | Compare the number of exercises performed (#exercises per session) in each VIVIFRAIL program session to the total number of sessions (adherence) between the control and intervention groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SPPB (The Short Physical Performance Battery) | From enrollment to the end of treatment at 12 months | Assess the functional status of participants (Score of SPPB scale) 0-4 points: Severe limitation of mobility. 4-6 points: Moderate limitation. 7-9 points: Mild limitation. 10-12 points: Minimal limitation. |
| global assement | From enrollment to the end of treatment at 12 months | Assess the physical (SPPB test, EUROQL5d score, Lawton score, fall/ last 6 months), emotional health (Yesavage Questionnaire) of participants, before and after enrollment in the study |
| Digital assement | From enrollment to the end of treatment at 12 months | Describe whether or not there has been an improvement in the digital skills of our older adults by: 1- Score of usability \> 80.3: A (Excellent). Users love the system and will recommend it. 68 - 80: B/C (Good/Acceptable). The system is usable, but there is room for improvement. 51 - 67: D (Poor/Acceptable). The system has significant usability problems. \< 50: F (Unacceptable). The system is very difficult to use. 2-Score of UEQ test Between -0.8 and 0.8: Considered neutral (average). Scores \> 0.8: Positive. Scores \> 1.5: Excellent. |
Countries
Spain
Contacts
PRINCIPAL_INVESTIGATOROlga Laosa Zafra, MD. PhD
Fundación para la Investigación Biomédica - Hospital Universitario de Getafe
Outcome results
None listed