Monitoring and Intervention Technologies to Manage Diabetic Older Persons: The CAPACITY Case—A Pilot Study

Pérez‐Rodríguez, Rodrigo; Guevara-Guevara, Tania; Moreno-Sánchez, Pedro A.; Villalba-Mora, Elena; Valdés-Aragonés, Myriam; Oviedo-Briones, Myriam; Carnicero, José Antonio Carranza; Rodríguez‐Mañas, Leocadio

doi:10.3389/fendo.2020.00300

Cited by 10 publications

(5 citation statements)

References 41 publications

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“…Thereby in 6 months’ time, with the provided intervention, no modifications in the ADLs are likely to be observed. However, previous studies [ 21 ] demonstrate that this is sufficient time to see changes in the frailty status, which would imply, in case these changes are positive, a reduced risk to transition to disability.…”

Section: Methodsmentioning

confidence: 98%

“…The system will aim to prevent disability by triggering timely interventions if early decline in functional capacity is detected. Further, the system will provide nutritional recommendations depending on the participants’ health profile (generic, diabetic, obese, malnourished), which in turn can have an impact in vitality [ 21 ]. Additionally, the system will enable written communication between the older adult and a health care professional through the POSITIVE application.…”

Section: Methodsmentioning

confidence: 99%

“…The impact on locomotion in terms of changes in participants' physical activity level and walking ability will be measured by Short Physical Performance Battery (SPPB) [36], Gait Speed [37] and Timed Up and Go (TUG) [38]. Participants' independency level in ADL will be evaluated according to the Barthel Index [21,31], Katz-index [39], Lawton and Brody Index [40] and World Health Organisation Disability Assessment Schedule (WHODAS) 2.0 [41]. Given the inclusion criterion that establishes a Barthel index greater than 90, the target population is independent.…”

Section: Secondary Feasibility Outcomesmentioning

confidence: 99%

“…It monitors the most relevant components associated with intrinsic capacity, such as functional level, nutritional- and emotional status of the older adults. By monitoring these components, the home monitoring kit can facilitate early detection of declines in health status [ 21 ] and thereby prevent disability and reduce costs in health care.…”

Section: Introductionmentioning

confidence: 99%

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Preventing frailty with the support of a home-monitoring and communication platform among older adults—a study protocol for a randomised-controlled pilot study in Sweden

Teriö

Pérez‐Rodríguez

Guevara

et al. 2022

Pilot Feasibility Stud

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Background POSITIVE (i.e. maintaining and imPrOving the intrinSIc capaciTy Involving primary care and caregiVErs) is a new intervention program consisting of home-monitoring equipment and a communication platform to support treatment of frailty symptoms initially in primary care and prevent disability in older adults. Methods The primary objectives are to estimate the potential efficacy of the POSITIVE system on improving frailty in at least one point in Fried’s criteria and five points in Frailty Trait Scale. The secondary objectives are to (A) assess the recruitment, retention, drop-out rates, compliance with the intervention and the intervention mechanisms of impact; (B) evaluate the usability and acceptance of the POSITIVE system, and to get estimations on; (C) the potential efficacy of the intervention on improving the participants’ physical performance, cognitive functions, mood, independency level in activities in daily living, the impact on quality of life and number of falls during the follow-up period; (D) the impact on the caregiver quality of life and caregiver burden; and (E) on the consumption of health care resources, participants’ perception of health and level of care received, and healthcare professionals’ workload and satisfaction. A randomised controlled, assessor-blinded pilot study design recruiting from a primary care centre in Stockholm Region will be conducted. Fifty older adults identified as pre-frail or frail will be randomised into a control or an intervention group. Both groups will receive a medical review, nutritional recommendations and Vivifrail physical exercise program. The intervention group will receive the POSITIVE-system including a tablet, the POSITIVE application and portable measurement devices. The participants receiving the POSITIVE program will be monitored remotely by a primary care nurse during a 6-month follow-up. Data will be collected at baseline, 3 and 6 months into the intervention though the platform, standardised assessments and surveys. A process evaluation as per Medical Research Council guidance will be conducted after the 6-month follow-up period. Discussion The implications of the study are to provide estimations on the potential efficacy of the POSITIVE system in improving frailty among older adults and to provide relevant data to inform powered studies of potential efficacy and effectiveness, as well as to inform about the feasibility of the current study design. Trial registration ClinicalTrials.gov. Registration number: NCT04592146. October 19, 2020.

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Section: Methodsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Secondary Feasibility Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Preventing frailty with the support of a home-monitoring and communication platform among older adults—a study protocol for a randomised-controlled pilot study in Sweden

Teriö

Pérez‐Rodríguez

Guevara

et al. 2022

Pilot Feasibility Stud

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“…Apart from helping older persons, CAPACITY also offers different functionalities to other relevant stakeholders, namely primary and specialized care professionals, and informal caregivers, as shown in Figure 2 . Work published [ 43 ] contains a wider description of all functionalities and services offered by the CAPACITY technological ecosystem to all involved people. In any case, this work solely focuses on the older persons as they are the center of the care.…”

Section: Methodsmentioning

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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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

Taloyan,

Kornevs,

Timm

et al. 2024

Archives of Gerontology and Geriatrics Plus

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Monitoring and Intervention Technologies to Manage Diabetic Older Persons: The CAPACITY Case—A Pilot Study

Cited by 10 publications

References 41 publications

Preventing frailty with the support of a home-monitoring and communication platform among older adults—a study protocol for a randomised-controlled pilot study in Sweden

Preventing frailty with the support of a home-monitoring and communication platform among older adults—a study protocol for a randomised-controlled pilot study in Sweden

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

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

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