Educational Guidelines Aimed at Pre-frail Elderly: Intervention Proposal

NCT04997746 | Unknown DMC

• 1 other identifier: 20210724
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

INTRODUCTION: aging is the natural process of deterioration of the reserves of biological systems, human beings are inherent to this process. The elderly population in Brazil grows very quickly, this is due to the drop in fertility, mortality and increased life expectancy. OBJECTIVE: to promote the planning of guiding and educational actions based on the qualification of the frailty of the elderly in the Basic Health Unit of the study through the use of the Multidimensional Assessment of the Elderly in Primary Care (AMPI/AB) tool. METHODOLOGY: an experimental, longitudinal, prospective and analytical study aimed at approximately 20 pre-frail elderly people residing in a specific area of a Family Health Unit in the city of Guarulhos/SP. A survey of data referring to the application of AMPI/AB carried out in 2021 and classified as pre-fragile will be carried out, in order to later select them for research. The participant will receive educational guidance on nutrition, use of medications and nursing guidance as identified as needs. Three months after the intervention, AMPI/AB will be applied in order to observe whether the pre-frail elderly remained or changed category after the experimental multidisciplinary educational interventions.

Conditions

Health Services for the Aged; Geriatrics

Keywords

Elderly health; Patient Care Team; Family health strategy; Primary Health Care

Outcome Measures

Primary Outcomes (3)

• Correct use of medications

  Adequacy of the correct use of medications with the use of the medication box. subjective outcome

  3 months

• Advances in quality of life (subjective)

  Offering guidelines on the health of the elderly, providing them with healthier aging and quality of life, covering critical points of the elderly's health and preventing health problems, providing advances in their self-care and giving them more autonomy, solving doubts related to their comorbidities and the aging process, bringing comfort to their anguish, also including the process of death. Subjective outcome

  3 months

• Calculation of Body Mass Index

  Elderly people are expected to remain within the anthropometric parameters according to their age group, based on the calculation of BMI in kg / m \^ 2 (obtained by combining weight (in kilograms) and height (in meters)

  3 months

Study Arms (3)

educational pharmaceutical guidelines

Qualified listening of participants; General pharmaceutical educational guidelines on the use of medicines; Manufacture and supply of medicine organizer boxes.

Behavioral: Multiprofessional educational interventions

Nursing Educational Guidelines

Nursing educational guidelines; Qualified listening to participants to resolve doubts related to their comorbidities and aging, bringing comfort in relation to their anxieties. Nursing interventions will occur through verbal educational guidelines given individually and according to the reality of each participant assessed by the research, based on the nursing diagnoses obtained from the North American Nursing Diagnosis Association - NANDA-I (definitions and classification 2018- 2020) 11th edition.

Behavioral: Multiprofessional educational interventions

Nutritional Educational Guidelines

Obtaining anthropometric measurements (weight, in kilograms, height (in meters), knee height, arm and calf circumference (in centimeters) to trace the participant's nutritional profile and, subsequently, personalized and appropriate nutritional guidelines will be carried out for each situation The calculation of the Body Mass Index (BMI) must be performed by dividing the weight (W) in kilograms (kg) by the square of the height (H) in meters (m) and indicates the individual's nutritional status. The BMI for the elderly (LIPSCHITZ, 1994 apud TAVARES et al., 2015) determines underweight less than or equal to 22kg / m2, adequate or eutrophic weight between 22 and 27kg / m2 and overweight result greater than or equal to 27kg / m2 .

Behavioral: Multiprofessional educational interventions; Other: Measurement of anthropometric measurements

Interventions

Multiprofessional educational interventions BEHAVIORAL

Preventive educational interventions

Nursing Educational Guidelines; Nutritional Educational Guidelines; educational pharmaceutical guidelines

Measurement of anthropometric measurements OTHER

Measurement of height (in meters), weight (in kilograms), knee height, arm circumference and calf circumference (in centimeters)

Nutritional Educational Guidelines

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Elderly participants previously classified as pre-frail based on the Multidimensional Assessment of the Elderly instrument

You may qualify if:

• Time and space oriented seniors;
• Previously classified as pre-fragile;
• Good physical condition for taking anthropometric measurements;
• Who voluntarily agreed to participate in the research;

You may not qualify if:

• Elderly classified as "healthy";
• Unsatisfactory physical condition that makes it impossible to measure anthropometric measurements;
• Elderly with amputated limbs;
• In palliative care;
• Who refuse to voluntarily participate in the research

Sponsors & Collaborators

• Leonardo Paroche de Matos: lead
• Jadhy Aquino Antunes: collaborator
• Bianca Prado de Lima Ramos: collaborator
• Daniele Fernanda Mantovani: collaborator
• Milla de Castro: collaborator
• Victória Sanches Pereira Gimenez: collaborator

Study Sites (1)

Guarulhos City Hall

Guarulhos, São Paulo, 07175530, Brazil

Location

Study Officials

• Leonardo Matos

  Guarulhos City Hall

  STUDY DIRECTOR

Central Study Contacts

Leonardo Matos

CONTACT

+551124532168; leonardoparoche@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Advisor

Study Record Dates

• First Submitted: July 24, 2021
• First Posted: August 10, 2021
• Study Start: August 1, 2021
• Primary Completion: December 1, 2021
• Study Completion: January 1, 2022
• Last Updated: August 16, 2021

Record last verified: 2021-08

Locations

BR (1)