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Effectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trial

2019-08-28Journal article Open access
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dc.contributor.authorApóstolo, João Luís Alves
dc.contributor.authorDixe, Maria dos Anjos
dc.contributor.authorBobrowicz-Campos, Elzbieta Malgorzata
dc.contributor.authorAreosa, Timóteo
dc.contributor.authorSantos-Rocha, Rita
dc.contributor.authorBraúna, Mónica
dc.contributor.authorRibeiro, Jaime
dc.contributor.authorMarques, Isabel
dc.contributor.authorFreitas, Joana
dc.contributor.authorAlmeida, Maria de Lurdes
dc.contributor.authorCouto, Filipa
dc.date.accessioned2019-09-24T10:15:17Z
dc.date.available2019-09-24T10:15:17Z
dc.date.issued2019-08-28
dc.descriptionFunding: This research was funded by the Portuguese project AAC in 02/SAICT/2016 reference number 023822, is funded by the program COMPETE 2020 under the Scientific and Technological Research Support System, with an incentive of European Regional Development Fund (ERDF). It has the support of the Nursing School of Coimbra and the Health Sciences Research Unit: Nursing. Acknowledgments: The current paper is being presented on behalf of a research group. It is part of the MIND&GAIT project—Promoting independent living in frail older adults by improving cognition and gait ability and using assistive products [74]. This is a Portuguese project with the support of COMPETE 2020 under the Scientific and Technological Research Support System, in the co-promotion phase. We acknowledge The Health Sciences Research Unit: Nursing (UICISA: E) of the Nursing School of Coimbra, the Polytechnic Institute of Leiria, the Polytechnic Institute of Santarém, the Polytechnic Institute of Coimbra, the Caritas Coimbra; the Santa Casa da Misericórdia de Coimbra and also to other members, institutions and students involved in the project.
dc.description.abstractBackground: Older adults experience physical and psychological declines affecting independency. Adapted and structured combined interventions composed of cognitive stimulation and physical exercise contribute to comorbidities’ reduction. Methods: Multicenter single-blinded two-arm cluster randomized controlled trial conducted to assess effectiveness of a combined intervention (CI), composed of a cognitive stimulation program (CSP) and a physical exercise program (PEP), on psychological and physical capacities of frail older adults as to on their activities of daily living. Were recruited 50 subjects from two elderly end-user organizations. Of these, 44 (65.9% females, mean age of 80.5 8.47 years) were considered eligible, being randomly allocated in experimental (EG) or control group (CG). Data collected at baseline and post-intervention. EG received CI three times a week during 12 weeks. CG received standard care. Non-parametric measures were considered. Results: At baseline, groups were equivalent for study outcomes. The comparison of pre- and post-intervention data revealed that subjects receiving CI reduced depressive symptomatology and risk of fall based on gait and balance, and improved gait speed. Simultaneously, in the CG a significant decline on activities of daily living was observed. Significant results were found among biomechanical parameters of gait (BPG). EG’ effect size revealed to be small (0.2 r < 0.5). CG’ effect size was also small; but for activities of daily living there was an evident decrease. Conclusion: The CI is effective on managing older adults’ psychological and physical capacities.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doihttps://doi.org/10.3390/ijerph16173125
dc.identifier.urihttp://hdl.handle.net/10400.8/4101
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/1660-4601/16/17/3125pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectOlder adultspt_PT
dc.subjectFrailtypt_PT
dc.subjectCombined interventionpt_PT
dc.subjectCognitive stimulationpt_PT
dc.subjectAnimal-Assisted activitiespt_PT
dc.subjectPhysical exercisept_PT
dc.subjectDepressive symptomatologypt_PT
dc.subjectGait analysispt_PT
dc.titleEffectiveness of a combined intervention on psychological and physical capacities of frail older adults: a cluster randomized controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSuiçapt_PT
oaire.citation.endPage18pt_PT
oaire.citation.issue17pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume16pt_PT
person.familyNameAlves Apostolo
person.familyNameDixe
person.familyNameAreosa
person.familyNameAlencar Leão da Costa
person.familyNameRibeiro
person.givenNameJoao Luis
person.givenNameMaria dos Anjos
person.givenNameTimóteo
person.givenNameMônica Braúna
person.givenNameJaime
person.identifier794059
person.identifier.ciencia-id7F12-4F74-F6C0
person.identifier.ciencia-idDB15-BD76-2B75
person.identifier.ciencia-idAF13-F639-B70E
person.identifier.ciencia-idC211-D603-A024
person.identifier.ciencia-id631E-EEED-A510
person.identifier.orcid0000-0002-3050-4264
person.identifier.orcid0000-0001-9035-8548
person.identifier.orcid0000-0002-9350-8190
person.identifier.orcid0000-0003-0091-899X
person.identifier.orcid0000-0002-1548-5579
person.identifier.ridB-9257-2018
person.identifier.ridF-1706-2015
person.identifier.scopus-author-id55885797900
person.identifier.scopus-author-id57210886457
person.identifier.scopus-author-id55432224100
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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