ICT technologies as new promising tools for the managing of frailty: a systematic review

Gallucci, Alessia; Trimarchi, Pietro Davide; Abbate, Carlo; Tuena, Cosimo; Pedroli, Elisa; Lattanzio, Fabrizia; Stramba-Badiale, Marco; Cesari, Matteo; Giunco, Fabrizio

doi:10.1007/s40520-020-01626-9

Cited by 30 publications

(27 citation statements)

References 51 publications

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“…Although during the first COVID-19 outbreak the population, especially older adults, may have progressively adapted to the new daily routines and limitations, this situation has a clear negative impact on social relationships and loneliness [ 62 , 63 , 64 ]. Tackling loneliness and social relationships requires specific implementation strategies [ 65 ], and these need to be adapted and implemented to promote the adherence to exercise programs [ 23 , 66 ], particularly in these challenging times. In summary, the complex interaction between depressive symptoms, physical function, social participation and activity deserves special attention in older adults [ 67 ], and this should be kept in mind for the post-lockdown and post-COVID-19 recovery plans.…”

Section: Discussionmentioning

confidence: 99%

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Pérez

Castellano-Tejedor

Cesari

et al. 2021

IJERPH

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Due to the dramatic impact of the COVID-19 pandemic, Spain underwent a strict lockdown (March–May 2020). How the lockdown modified older adults’ physical activity (PA) has been poorly described. This research assesses the effect of the lockdown on PA levels and identifies predictors of sufficient/insufficient PA in frail older community-dwellers. Community-dwelling participants from the +ÀGIL Barcelona frailty intervention program, suspended during the pandemic, underwent a phone-assessment during the lockdown. PA was measured before and after the lockdown using the Brief Physical Activity Assessment Tool (BPAAT). We included 98 frail older adults free of COVID-19 (mean age = 82.7 years, 66.3% women, mean Short Physical Performance Battery = 8.1 points). About one third of participants (32.2%) were not meeting sufficient PA levels at the end of the lockdown. Depressive symptoms (OR = 0.12, CI95% = 0.02–0.55) and fatigue (OR = 0.11, CI95% = 0.03–0.44) decreased the odds of maintaining sufficient PA, whereas maintaining social networks (OR = 5.07, CI95% = 1.60–16.08) and reading (OR = 6.29, CI95% = 1.66–23.90) increased it. Living alone was associated with the reduction of PA levels (b = −1.30, CI95% = −2.14–−0.46). In our sample, pre-lockdown mental health, frailty-related symptoms and social relationships were consistently associated with both PA levels during-lockdown and pre-post change. These data suggest considering specific plans to maintain PA levels in frail older community-dwellers.

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Section: Discussionmentioning

confidence: 99%

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Pérez

Castellano-Tejedor

Cesari

et al. 2021

IJERPH

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“…If this pattern of socio-demographic impact, impaired general health issues, problematic lifestyle issues, loss of energy, and poor life satisfaction represent all OCSs, health care personnel must be aware of those with high neuroticism since they are an extremely vulnerable subgroup among OCSs. Based on the findings from this study, we recommend comprehensive geriatric assessment (i.e., easy accessible, standardized tests to evaluate frailty; physical, mental, cognitive, and social function) [13,15,28], to be exceeded with six questions on neuroticism suggested from The Eysenck Personality Questionnaire. As Ahles and Root emphasize, we need a multidimensional perspective to examine OCS [1].…”

Section: Discussionmentioning

confidence: 99%

Is neuroticism relevant for old cancer survivors? A controlled, population-based study (the Norwegian HUNT-3 survey)

Grov

Dahl

2020

Support Care Cancer

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Purpose Personality traits, particularly neuroticism, have an impact on people’s health and lifestyle. Due to lack of previous studies, we examined old cancer survivors (OCSs) versus cancer-free age-matched controls aged ≥ 70 years, regarding prevalence of high neuroticism, health problems in those with high and low neuroticism, and sociodemographic and clinical variables that were significantly associated with high neuroticism. Methods We merged data from a Norwegian population–based health study (the HUNT-3) and from the Cancer Registry of Norway identifying OCSs. Three cancer-free controls were drawn at random for each OCS. Neuroticism was self-rated on a brief version of Eysenck Personality Questionnaire. Between-group statistical comparisons were made between OCS and controls, and among their subgroups with high and low neuroticism. Logistic regression analyses were used to investigate independent variables significantly associated with high neuroticism. Results Twenty-nine percent of OCSs reported high neuroticism while controls reported 30%. OCSs showed significantly lower rate of good life satisfaction than controls. All other between-group comparisons were nonsignificant. Being OCSs was not significantly related to high neuroticism in the regression analyses. Sociodemographic, general health, and lifestyle issues, lack of energy, and low life satisfaction remained significantly associated with high neuroticism in the multivariable analysis. Conclusions The prevalence of high neuroticism was similar in OCSs and controls. High neuroticism was associated with negative health and lifestyle issues in both groups.

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“…A Randomized Clinical Trial (RCT; ClinicalTrials.gov Identifier: NCT03707145) has allowed demonstrating that CAPACITY is an effective tool for a fast improvement of the frailty status as well as to reduce the use of healthcare resources [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

“…And, as it has been mentioned earlier, ICTs may help identifying early risk indicators for adverse events, providing a means for self-managing them. To this extent, its use in the context of frailty still at the very beginning [ 41 ].…”

Section: Introductionmentioning

confidence: 99%

Usability, User Experience, and Acceptance Evaluation of CAPACITY: A Technological Ecosystem for Remote Follow-Up of Frailty

Pérez‐Rodríguez

Villalba-Mora

Valdés-Aragonés

et al. 2021

Sensors

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Frailty predisposes older persons to adverse events, and information and communication technologies can play a crucial role to prevent them. CAPACITY provides a means to remotely monitor variables with high predictive power for adverse events, enabling preventative personalized early interventions. This study aims at evaluating the usability, user experience, and acceptance of a novel mobile system to prevent disability. Usability was assessed using the system usability scale (SUS); user experience using the user experience questionnaire (UEQ); and acceptance with the technology acceptance model (TAM) and a customized quantitative questionnaire. Data were collected at baseline (recruitment), and after three and six months of use. Forty-six participants used CAPACITY for six months; nine dropped out, leaving a final sample of 37 subjects. SUS reached a maximum averaged value of 83.68 after six months of use; no statistically significant values have been found to demonstrate that usability improves with use, probably because of a ceiling effect. UEQ, obtained averages scores higher or very close to 2 in all categories. TAM reached a maximum of 51.54 points, showing an improvement trend. Results indicate the success of the participatory methodology, and support user centered design as a key methodology to design technologies for frail older persons. Involving potential end users and giving them voice during the design stage maximizes usability and acceptance.

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ICT technologies as new promising tools for the managing of frailty: a systematic review

Cited by 30 publications

References 51 publications

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Is neuroticism relevant for old cancer survivors? A controlled, population-based study (the Norwegian HUNT-3 survey)

Usability, User Experience, and Acceptance Evaluation of CAPACITY: A Technological Ecosystem for Remote Follow-Up of Frailty

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