Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial

Detalhes bibliográficos
Autor(a) principal: Apóstolo, João Luís Alves
Data de Publicação: 2019
Outros Autores: Dixe, Maria dos Anjos, Bobrowicz-Campos, Elzbieta Malgorzata, Areosa, Timóteo, Santos-Rocha, Rita, Braúna, Mónica, Ribeiro, Jaime, Marques, Isabel, Freitas, Joana, Almeida, Maria de Lurdes, Couto, Filipa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.8/4101
Resumo: Funding: This research was funded by the Portuguese project AAC in 02/SAICT/2016 reference number 023822, is funded by the program COMPETE 2020 under the Scientific and Technological Research Support System, with an incentive of European Regional Development Fund (ERDF). It has the support of the Nursing School of Coimbra and the Health Sciences Research Unit: Nursing. Acknowledgments: The current paper is being presented on behalf of a research group. It is part of the MIND&GAIT project—Promoting independent living in frail older adults by improving cognition and gait ability and using assistive products [74]. This is a Portuguese project with the support of COMPETE 2020 under the Scientific and Technological Research Support System, in the co-promotion phase. We acknowledge The Health Sciences Research Unit: Nursing (UICISA: E) of the Nursing School of Coimbra, the Polytechnic Institute of Leiria, the Polytechnic Institute of Santarém, the Polytechnic Institute of Coimbra, the Caritas Coimbra; the Santa Casa da Misericórdia de Coimbra and also to other members, institutions and students involved in the project.
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spelling Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trialOlder adultsFrailtyCombined interventionCognitive stimulationAnimal-Assisted activitiesPhysical exerciseDepressive symptomatologyGait analysisFunding: This research was funded by the Portuguese project AAC in 02/SAICT/2016 reference number 023822, is funded by the program COMPETE 2020 under the Scientific and Technological Research Support System, with an incentive of European Regional Development Fund (ERDF). It has the support of the Nursing School of Coimbra and the Health Sciences Research Unit: Nursing. Acknowledgments: The current paper is being presented on behalf of a research group. It is part of the MIND&GAIT project—Promoting independent living in frail older adults by improving cognition and gait ability and using assistive products [74]. This is a Portuguese project with the support of COMPETE 2020 under the Scientific and Technological Research Support System, in the co-promotion phase. We acknowledge The Health Sciences Research Unit: Nursing (UICISA: E) of the Nursing School of Coimbra, the Polytechnic Institute of Leiria, the Polytechnic Institute of Santarém, the Polytechnic Institute of Coimbra, the Caritas Coimbra; the Santa Casa da Misericórdia de Coimbra and also to other members, institutions and students involved in the project.Background: Older adults experience physical and psychological declines affecting independency. Adapted and structured combined interventions composed of cognitive stimulation and physical exercise contribute to comorbidities’ reduction. Methods: Multicenter single-blinded two-arm cluster randomized controlled trial conducted to assess effectiveness of a combined intervention (CI), composed of a cognitive stimulation program (CSP) and a physical exercise program (PEP), on psychological and physical capacities of frail older adults as to on their activities of daily living. Were recruited 50 subjects from two elderly end-user organizations. Of these, 44 (65.9% females, mean age of 80.5 8.47 years) were considered eligible, being randomly allocated in experimental (EG) or control group (CG). Data collected at baseline and post-intervention. EG received CI three times a week during 12 weeks. CG received standard care. Non-parametric measures were considered. Results: At baseline, groups were equivalent for study outcomes. The comparison of pre- and post-intervention data revealed that subjects receiving CI reduced depressive symptomatology and risk of fall based on gait and balance, and improved gait speed. Simultaneously, in the CG a significant decline on activities of daily living was observed. Significant results were found among biomechanical parameters of gait (BPG). EG’ effect size revealed to be small (0.2 r < 0.5). CG’ effect size was also small; but for activities of daily living there was an evident decrease. Conclusion: The CI is effective on managing older adults’ psychological and physical capacities.MDPIIC-OnlineApóstolo, João Luís AlvesDixe, Maria dos AnjosBobrowicz-Campos, Elzbieta MalgorzataAreosa, TimóteoSantos-Rocha, RitaBraúna, MónicaRibeiro, JaimeMarques, IsabelFreitas, JoanaAlmeida, Maria de LurdesCouto, Filipa2019-09-24T10:15:17Z2019-08-282019-08-28T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/4101enghttps://doi.org/10.3390/ijerph16173125info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:48:38Zoai:iconline.ipleiria.pt:10400.8/4101Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:48:04.313599Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
title Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
spellingShingle Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
Apóstolo, João Luís Alves
Older adults
Frailty
Combined intervention
Cognitive stimulation
Animal-Assisted activities
Physical exercise
Depressive symptomatology
Gait analysis
title_short Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
title_full Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
title_fullStr Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
title_full_unstemmed Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
title_sort Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial
author Apóstolo, João Luís Alves
author_facet Apóstolo, João Luís Alves
Dixe, Maria dos Anjos
Bobrowicz-Campos, Elzbieta Malgorzata
Areosa, Timóteo
Santos-Rocha, Rita
Braúna, Mónica
Ribeiro, Jaime
Marques, Isabel
Freitas, Joana
Almeida, Maria de Lurdes
Couto, Filipa
author_role author
author2 Dixe, Maria dos Anjos
Bobrowicz-Campos, Elzbieta Malgorzata
Areosa, Timóteo
Santos-Rocha, Rita
Braúna, Mónica
Ribeiro, Jaime
Marques, Isabel
Freitas, Joana
Almeida, Maria de Lurdes
Couto, Filipa
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv IC-Online
dc.contributor.author.fl_str_mv Apóstolo, João Luís Alves
Dixe, Maria dos Anjos
Bobrowicz-Campos, Elzbieta Malgorzata
Areosa, Timóteo
Santos-Rocha, Rita
Braúna, Mónica
Ribeiro, Jaime
Marques, Isabel
Freitas, Joana
Almeida, Maria de Lurdes
Couto, Filipa
dc.subject.por.fl_str_mv Older adults
Frailty
Combined intervention
Cognitive stimulation
Animal-Assisted activities
Physical exercise
Depressive symptomatology
Gait analysis
topic Older adults
Frailty
Combined intervention
Cognitive stimulation
Animal-Assisted activities
Physical exercise
Depressive symptomatology
Gait analysis
description Funding: This research was funded by the Portuguese project AAC in 02/SAICT/2016 reference number 023822, is funded by the program COMPETE 2020 under the Scientific and Technological Research Support System, with an incentive of European Regional Development Fund (ERDF). It has the support of the Nursing School of Coimbra and the Health Sciences Research Unit: Nursing. Acknowledgments: The current paper is being presented on behalf of a research group. It is part of the MIND&GAIT project—Promoting independent living in frail older adults by improving cognition and gait ability and using assistive products [74]. This is a Portuguese project with the support of COMPETE 2020 under the Scientific and Technological Research Support System, in the co-promotion phase. We acknowledge The Health Sciences Research Unit: Nursing (UICISA: E) of the Nursing School of Coimbra, the Polytechnic Institute of Leiria, the Polytechnic Institute of Santarém, the Polytechnic Institute of Coimbra, the Caritas Coimbra; the Santa Casa da Misericórdia de Coimbra and also to other members, institutions and students involved in the project.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-24T10:15:17Z
2019-08-28
2019-08-28T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.8/4101
url http://hdl.handle.net/10400.8/4101
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://doi.org/10.3390/ijerph16173125
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dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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