Effectiveness of a Socio-Community Health Intervention on Pre-Frailty in Older Adults

NCT ID: NCT06663150

Last Updated: 2024-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-15

Study Completion Date

2026-11-30

Brief Summary

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The objective of this study is: To evaluate the effectiveness of a health intervention with a socio-community approach on frailty in older adults with pre-frailty.

Specific Objectives:

To characterize the study population according to sociodemographic and clinical variables.

To evaluate the effect of the intervention on the functionality domain at 3 and 6 months.

To evaluate the effect of the intervention on the cognitive-emotional domain at 3 and 6 months.

To evaluate the effect of the intervention on the socio-community domain at 3 and 6 months.

To evaluate the effect of the intervention on frailty in older adults. To determine the proportion of participants hospitalized during the study period.

To determine the proportion of participants who visited the emergency room during the study period.

To determine the proportion of participants in long-term care facilities. To determine the proportion of adverse events associated with the intervention.

Study Hypothesis

The mean frailty score pre-intervention is equal to the mean frailty score post-intervention.

The mean frailty score pre-intervention is different from the mean frailty score post-intervention.

Detailed Description

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Conditions

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Frail Elderly Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control group

The control group will maintain the usual care provided by their healthcare service provider.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental group

Education Component: Lectures and workshops aimed at enhancing awareness and personal growth through knowledge and emotional reflection.

Cognitive Component: One-hour sessions divided into introduction (15 min), cognitive stimulation activities (35 min), and closure with reflection and a brief survey.

Physical Activity Component: A 10-minute warm-up, followed by 30 minutes of guided exercises for balance, coordination, and strength, ending with a 10-minute cool-down.

Nutrition Component: Practical workshops focused on healthy eating, including menu planning and food preparation.

Socio-Community and Occupational Component: Encourages community integration and social networking, with gardening activities for growing herbs and vegetables.

Autonomous Activities: Participants implement physical activity recommendations in daily life, with weekly follow-ups by the research team using the RedCap platform for monitoring.

Group Type EXPERIMENTAL

health intervention with a socio-community approach

Intervention Type BEHAVIORAL

The intervention consists of five components, including education, cognitive stimulation, physical activity, nutrition, and socio-community aspects. The duration of the intervention will be 6 months and will be conducted in either in-person or virtual format, individually or in groups, depending on the nature of each component. Mode of Delivery:

The intervention will be offered in both in-person and synchronous virtual formats. Participants who are unable to attend in person or who face difficulties doing so on any occasion will have the option to join the sessions through a real-time videoconferencing platform. In both modalities, the professionals in charge will supervise and guide the activities, ensuring proper execution and adherence to the study's objectives. The research team will maintain a detailed record of attendance and participation using the RedCap platform for appropriate tracking.

Interventions

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health intervention with a socio-community approach

The intervention consists of five components, including education, cognitive stimulation, physical activity, nutrition, and socio-community aspects. The duration of the intervention will be 6 months and will be conducted in either in-person or virtual format, individually or in groups, depending on the nature of each component. Mode of Delivery:

The intervention will be offered in both in-person and synchronous virtual formats. Participants who are unable to attend in person or who face difficulties doing so on any occasion will have the option to join the sessions through a real-time videoconferencing platform. In both modalities, the professionals in charge will supervise and guide the activities, ensuring proper execution and adherence to the study's objectives. The research team will maintain a detailed record of attendance and participation using the RedCap platform for appropriate tracking.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Individuals ≥ 60 years old classified as pre-frail in the last 3 months and documented in their medical history.
* Individuals who meet the requirements and provide voluntary informed consent for their participation.
* Individuals available to remain in Bogotá D.C. during the study period.

Exclusion Criteria

* Individuals receiving care at community-focused medical centers.
* Individuals attending community dining programs, physical activity programs, community groups, care blocks, volunteering, or other related activities.
* Individuals who have experienced falls in the last 6 months with clinical consequences (hospitalization, fractures, traumatic brain injury).
* Individuals with a clinical history of moderate cognitive impairment, neurodegenerative diseases (e.g., Parkinson's disease), and/or neuro-musculoskeletal disorders, active cancer, end-stage renal disease, unstable ischemic heart disease, uncontrolled arrhythmias, severe aortic stenosis, uncontrolled hypertension (\>180/100 mmHg), or advanced heart failure, exacerbation of chronic diseases (COPD, heart failure), unrehabilitated severe hearing loss, deafness, or blindness with communication limitations.
* Acute conditions requiring hospitalization, such as acute myocardial infarction or urinary tract infections.
* Bone fractures in the last 3 months.
* Individuals unable to follow instructions or with behavioral changes that hinder their participation in the study.
* Individuals with severe psychiatric illness that, in the physician's judgment, prevents proper adherence to the study intervention.
* Institutionalized individuals in long-term care facilities.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inter-American Development Bank

OTHER

Sponsor Role collaborator

Keralty SAS. Colombia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lina Sofía Morón-Duarte, PhD

Role: STUDY_CHAIR

keralty

Central Contacts

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Nancy Yomayusa Gonzalez, Dr

Role: CONTACT

+57 601 4871920

Kelly Rocio Chacón-Acevedo, Msc

Role: CONTACT

Other Identifiers

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092-24 UNV

Identifier Type: -

Identifier Source: org_study_id

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