Robotics as a Useful Tool to Improve the Hydration of the Elderly
NCT Number: NCT06520033
Acronym: Hidroponent
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Dehydration|Daily Fluid Intake|Urinary Infections
Interventions: DEVICE: humanoid robot|OTHER: Usual care
Sponsor: Universitat de Lleida
Collaborators: Agency for Management of University and Research Grants (Catalonia, Spain)|Hospital Universitari Santa Maria (Lleida, Spain)
Sex: ALL
Age: OLDER_ADULT
Enrollment: 60
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2024-05-08
Completion Date: 2024-08-30
Locations: Residència i Centre de Dia per a Gent Gran Balàfia II, Lleida, 25005, Spain

Summary:
The aim of this clinical trial is to evaluate the effectiveness of a hydration educational program executed through a robot in comparison with the usual hydration program in terms of fluid intake and general health status of the residents. The main question to be answered is whether the use of robotics through a humanoid robot increases the hydration of institutionalized older people.

Participants:

* The intervention group will receive a hydration plan executed by the robot and the control group will receive the center\&#39;s usual hydration plan.
* Healthcare personnel will receive reminders from the robot to record fluid intake through it. In the control group, health personnel will perform the fluid intake record in paper format and at the end of the shift, as usual.

Primary Outcome Measures: Daily fluid intake, Amount in milliliters (ml), From enrollment to the end of intervention at 8 weeks|Urine color, Urine color chart (Armstrong, 2000). Values = 1 - 8. Dehydration: scores \>= 4, 8 weeks|Serum osmolarity, Serum osmolarity: \[1,86\*(Na+K)+1,15\*Glucose+urea+14)\]. Dehydration \> 300mOsm/kg, 8 weeks|Blood Urea Nitrogen, BUN = Urea/2.1428. Dehydration \> 20mg/dl, 8 weeks|Number of urinary infections, Obtained through a urine sample and evaluated with the Combur-Test., 8 weeks
Secondary Outcome Measures: Dry Skin, Skin turgor: if skin remains elevated after being pulled up and released, 8 weeks|Cognitive status, The Mini Cognitive Examination (MEC) (Values = 0 - 30). Cognitive impairment: scores \<= 23, 8 weeks|Cognitive status, Global Deterioration Scale (GDS). Values = 1 - 7. Dementia: scores \>= 3, 8 weeks|Risk of falls, Downton scale. Values = 0 - 11. Risk of falls: scores \> 2, 8 weeks|Illnesses, Diseases that the participant currently presents, 8 weeks|Pharmacological treatment, Number of medicines taken by the participant per day and type of medicine., 8 weeks|Efficacy and safety of swallowing, Volume-Viscosity swallow test (V-VST): identify clinical signs of impaired efficacy (labial seal, oral and pharyngeal residue, and piecemeal deglutition) and impaired safety of swallow (voice changes, cough and decrease in oxygen saturation ≥3%). It starts with nectar viscosity and increasing bolus volume, then liquid and finally pudding viscosity, 8 weeks|Nutritional status, Assessed through the Mini Nutritional Assessment (MNA). Values = 0 - 30. Malnutrition: scores \< 17, 8 weeks|Risk of pressure ulcers, Braden Scale. Values = 6 - 23. Risk of pressure ulcers: scores \< 19, 8 weeks|Functional status, Barthel index. Values = 0 - 100. Functional impairment: scores \< 90, 8 weeks|Hospital admissions, Number of hospital admissions, 8 weeks
Other Outcome Measures: Education level, Choose between: no studies, primary studies, secondary studies and university studies., Baseline|Birthdate, Date of birth in yyyy/mm/dd format, Baseline|Marital status, The answer options are: single, married, in partnership (but not married), separated or divorced (currently without a partner), widow (If the answer is "yes"must be specified if less than one year or not)., Baseline|Date of institutionalization, Date in yyyy/mm/dd format when the resident began to be institutionalized in the center., Baseline|Sex, Female or male sex, Baseline