Effectiveness of a Telegeriatric Intervention in Older Adults During the Covid-19 Contingency

Study Overview
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Brief Summary
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The purpose of this studdy is to assess the effectiveness of a telegeriatric intervention

Detailed Description
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The patients were recruited from a cohort study in which the participants had previously signed an informed consent in which they allowed contact to participate in new studies, participants who met the inclusion criteria in the original database were recruited and signed an electronic informed consent of the new study. A comprehensive geriatric assessment was generated to assess whether they were candidates even due to changes in health status that could change over time since their last assessment, they were recruited until the expected sample size was obtained, and they were randomized, blinding the participants to belong to the intervention group (individualized care: geriatrics, psychology, physical activity and nutrition) or the control group (orientation in standardized health issues through audiovisual educational material)

Official Title
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Effectiveness of a Telegeriatric Intervention in Older Adults During the Covid-19 Contingency

Conditions
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Effectiveness

Intervention / Treatment
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* Other: Telegeriatric intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults 60 years and over Who agree to participate in the study. Exclusion Criteria: Older adults who are in a systematic exercise program or directed food restriction programs Physical, sensory or cognitive disabilities that prevent exercise, includes Mini Mental State Examination less than 20 points of the total score Any condition acute or chronic health conditions that clinical staff judge as an impediment to the exercise program or remote monitoring Recent major or limb surgery Orthopedic conditions that would impede the exercise program Any problem swallowing Previous mental disorders such as disorder and schizophrenia Not having personal access to the WhatsApp application via video call.

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Individualized geriatric medical counseling, psychological counseling, nutritional counseling and physical activity counseling through the internet | Other: Telegeriatric intervention<br>* Individualized, comprehensive and specialized counseling for older adults through the Internet<br>* Other names: Telenutrition intervention;|
| No Intervention: Control group<br>Health guidance through standardized audiovisual educational material through Intenert | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analog scale of the European quality of life questionnaire | The visual analog scale of the European quality of life questionnaire, adapted and validated to Spanish, Mexico (EQ5D-VAS) will be used. Which consists of a visual analog scale, its total score ranges from 0 to 100 points, the higher the score, the better the quality of life, it will be considered as a continuous quantitative variable. (Juárez-Cedillo T et al., 2015) Change from baseline to week 12 | Change from baseline to week 12 | 
| Physical performance. | It will be evaluated through the short physical performance test (SPPB), which is a test that includes three dimensions: strength. March and balance, your score ranges from 0 to 12 points, the higher the score the better the physical performance, it will be considered as a continuous quantitative variable. (Guralnik JM et al., 1989) Change from baseline to week 12 | Change from baseline to week 12 | 
| Depressive symptoms | It will be evaluated using the CESD scale 7 items validated into Spanish in Mexico. His score ranges from 0 to 21 points, the higher the score, the greater the depressive symptoms. The total score will be considered as a continuous quantitative variable. (Salinas-Rodríguez A et al., 2014) Change from baseline to week 12 | Change from baseline to week 12 | 
| Symptoms of anxiety. | It will be evaluated through the geriatric anxiety inventory, which is validated in Spanish, consists of 20 dichotomous items, its total score ranges from 0 to 20, the higher the score, the greater the anxiety symptoms. It will be considered as a continuous quantitative variable. (Márquez-González M et al., 2012) Change from baseline to week 12 | Change from baseline to week 12 | 
| Body composition | It will be evaluated by using the OMROM HBF-514C® 50 Hz portable electrical bioimpedance bascule Change from baseline to week 12 | Change from baseline to week 12 | 
| Anthropometric measures | It will be evaluated by using the SECA anthropometric tape Change from baseline to week 12 | Change from baseline to week 12 | 
| Dietary intake | It will be evaluated by using the ASA24 software for 24-hour reminder collection by multiple steps. Change from baseline to week 12 | Change from baseline to week 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Aged, Internet-Based Intervention, COVID-19