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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...

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Autores principales: 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
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
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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.
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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
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