Clinical trial NCT04997746: Educational Guidelines Aimed at Pre-frail Elderly: Intervention Proposal
Official title: Educational Guidelines Aimed at Pre-frail Elderly From a Family Health Unit, Guarulhos/SP - an Intervention Proposal
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Health Services for the Aged
Geriatrics
Keywords: Elderly health
Patient Care Team
Family health strategy
Primary Health Care
Lead sponsor: Leonardo Paroche de Matos
Sponsor class: OTHER
Collaborators: name: Jadhy Aquino Antunes
name: Bianca Prado de Lima Ramos
name: Daniele Fernanda Mantovani
name: Milla de Castro
name: Victória Sanches Pereira Gimenez
First posted: 2021-08-10
Enrollment: 20
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Elderly participants previously classified as pre-frail based on the Multidimensional Assessment of the Elderly instrument

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.

Detailed description: Experimental, longitudinal, prospective and analytical study aimed at pre-frail elderly people living in a specific area of a Family Health Unit in the city of Guarulhos/SP, developed with the aim of qualifying the health care of the elderly population of the territory of the Basic health Unit in 2021, using the Multidimensional Assessment of the Elderly in Primary Care (MAE/PC questionnaire) as the main data collection instrument, associated with the multidisciplinary educational intervention. Initially, a survey of data referring to MAE/PC carried out in 2021 will be carried out during the routine of care by the authors, in order to identify the elderly who were classified as pre-frail. Data referring to healthy and frail elderly people will be used in the research in a descriptive (quantitative) way. Participants will not be identified, data will be displayed in absolute numbers and frequency.

The educational activities will be carried out through home visits and collection of anthropometric measurements, at which time the Informed Consent Form will be offered to authorize participation in the research. The reference participant and/or caregiver will receive all the necessary information to consciously decide whether or not to participate in the aforementioned research and is free to withdraw at any time, which will not harm any of the parties involved. Participants will also receive educational guidance on nutrition, medication use and nursing guidance as identified as needed.

Three months after the intervention, the MAE/PC questionnaire will be reapplied in order to verify if the participant kept or changed his category after receiving the multidisciplinary recommendations.

Eligibility criteria: Inclusion Criteria:

* 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;

Exclusion Criteria:

* 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

Primary outcomes:
measure: Correct use of medications
timeFrame: 3 months
measure: Advances in quality of life (subjective)
timeFrame: 3 months
measure: Calculation of Body Mass Index
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Guarulhos
country: Brazil
facility: Guarulhos City Hall
state: São Paulo
Study officials:
affiliation: Guarulhos City Hall
name: Leonardo Matos
role: STUDY_DIRECTOR
References: