Cargando…
Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial
OBJECTIVE: To assess whether an intervention based on nurse home visits including alert buttons (NV+AB) is effective in reducing frailty compared to nurse home visits alone (NV-only) and usual care (control group) for older adults. DESIGN: Unblinded, randomized, controlled trial. SETTING: Insured po...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3558028/ https://www.ncbi.nlm.nih.gov/pubmed/23378751 http://dx.doi.org/10.2147/CIA.S38618 |
_version_ | 1782257372276719616 |
---|---|
author | Favela, Jesús Castro, Luis A Franco-Marina, Francisco Sánchez-García, Sergio Juárez-Cedillo, Teresa Bermudez, Claudia Espinel Mora-Altamirano, Julia Rodriguez, Marcela D García-Peña, Carmen |
author_facet | Favela, Jesús Castro, Luis A Franco-Marina, Francisco Sánchez-García, Sergio Juárez-Cedillo, Teresa Bermudez, Claudia Espinel Mora-Altamirano, Julia Rodriguez, Marcela D García-Peña, Carmen |
author_sort | Favela, Jesús |
collection | PubMed |
description | OBJECTIVE: To assess whether an intervention based on nurse home visits including alert buttons (NV+AB) is effective in reducing frailty compared to nurse home visits alone (NV-only) and usual care (control group) for older adults. DESIGN: Unblinded, randomized, controlled trial. SETTING: Insured population covered by the Mexican Social Security Institute living in the city of Ensenada, Baja California, Mexico. PARTICIPANTS: Patients were aged over 60 years with a frailty index score higher than 0.14. INTERVENTION: After screening and informed consent, participants were allocated randomly to the control, NV+AB, or NV-only groups. MEASUREMENTS: The primary outcome was the frailty score 9 months later. Quality of life, depression, comorbidities, health status, and health service utilization were also considered. RESULTS: The framing sample included 819 patients. Of those, 591 were not located because they did not have a landline/telephone (341 patients), they had died (107), they were ill (50), or they were not currently living in the city (28). A screening interview was applied to 228 participants, and 57 had a score ≤0.14, 171 had ≥0.14, and 16 refused to complete the baseline questionnaire. A home visit was scheduled for 155 patients. However, 22 did not complete the baseline questionnaire. The final 133 subjects were randomized into the NV+AB (n = 45), NV-only (n = 44), and control (n = 44) groups. There were no statistically significant differences in the baseline characteristics of the groups. The mean age overall was 76.3 years (standard deviation 4.7) and 45% were men. At the baseline, 61.65% were classified as frail. At end of follow-up the adjusted prevalence of frailty in NV+AB group was 23.3% versus 58.3% in the control group. CONCLUSION: An intervention based on NV+AB seems to have a positive effect on frailty scores. |
format | Online Article Text |
id | pubmed-3558028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35580282013-02-01 Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial Favela, Jesús Castro, Luis A Franco-Marina, Francisco Sánchez-García, Sergio Juárez-Cedillo, Teresa Bermudez, Claudia Espinel Mora-Altamirano, Julia Rodriguez, Marcela D García-Peña, Carmen Clin Interv Aging Original Research OBJECTIVE: To assess whether an intervention based on nurse home visits including alert buttons (NV+AB) is effective in reducing frailty compared to nurse home visits alone (NV-only) and usual care (control group) for older adults. DESIGN: Unblinded, randomized, controlled trial. SETTING: Insured population covered by the Mexican Social Security Institute living in the city of Ensenada, Baja California, Mexico. PARTICIPANTS: Patients were aged over 60 years with a frailty index score higher than 0.14. INTERVENTION: After screening and informed consent, participants were allocated randomly to the control, NV+AB, or NV-only groups. MEASUREMENTS: The primary outcome was the frailty score 9 months later. Quality of life, depression, comorbidities, health status, and health service utilization were also considered. RESULTS: The framing sample included 819 patients. Of those, 591 were not located because they did not have a landline/telephone (341 patients), they had died (107), they were ill (50), or they were not currently living in the city (28). A screening interview was applied to 228 participants, and 57 had a score ≤0.14, 171 had ≥0.14, and 16 refused to complete the baseline questionnaire. A home visit was scheduled for 155 patients. However, 22 did not complete the baseline questionnaire. The final 133 subjects were randomized into the NV+AB (n = 45), NV-only (n = 44), and control (n = 44) groups. There were no statistically significant differences in the baseline characteristics of the groups. The mean age overall was 76.3 years (standard deviation 4.7) and 45% were men. At the baseline, 61.65% were classified as frail. At end of follow-up the adjusted prevalence of frailty in NV+AB group was 23.3% versus 58.3% in the control group. CONCLUSION: An intervention based on NV+AB seems to have a positive effect on frailty scores. Dove Medical Press 2013 2013-01-23 /pmc/articles/PMC3558028/ /pubmed/23378751 http://dx.doi.org/10.2147/CIA.S38618 Text en © 2013 Favela et al, publisher and licensee Dove Medical Press Ltd This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Favela, Jesús Castro, Luis A Franco-Marina, Francisco Sánchez-García, Sergio Juárez-Cedillo, Teresa Bermudez, Claudia Espinel Mora-Altamirano, Julia Rodriguez, Marcela D García-Peña, Carmen Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
title | Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
title_full | Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
title_fullStr | Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
title_full_unstemmed | Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
title_short | Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
title_sort | nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3558028/ https://www.ncbi.nlm.nih.gov/pubmed/23378751 http://dx.doi.org/10.2147/CIA.S38618 |
work_keys_str_mv | AT favelajesus nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT castroluisa nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT francomarinafrancisco nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT sanchezgarciasergio nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT juarezcedilloteresa nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT bermudezclaudiaespinel nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT moraaltamiranojulia nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT rodriguezmarcelad nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial AT garciapenacarmen nursehomevisitswithorwithoutalertbuttonsversususualcareinthefrailelderlyarandomizedcontrolledtrial |