Transforming daily support with multidisciplinary teleassistance: impact on health parameters in older adults—a randomized controlled trial
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Notice bibliographique
Résumé
Background: Home care and teleassistance emerge as effective, patient-centered approaches to meet the healthcare needs of older adults, enabling them to remain in familiar environments while receiving personalized care. Despite technological advancements driving teleassistance, the success of these interventions hinges on the acceptance and adherence of older person and their caregivers. This study explores the impact of teleassistance on older adults' health, focusing on daily and simple care, through a randomized clinical trial. Methods: Individuals aged 60 years or older were recruited and divided into two groups: the application group (APPG, n=21) and the control group (CG, n=19). Various anthropometric, motor, clinical, and biochemical measures were utilized for participant assessments. Throughout the 14-week experimental period, participants utilized the "Viva" application, receiving teleassistance and educational resources. Personalized support was provided to address any difficulties. Results: The study demonstrated that the "Viva" application had significant positive impacts on the health and well-being of older adult participants. Specifically, the APPG showed no-table improvements in flexibility [sit and reach (S&R): +5.1 cm, P<0.001], lower limb strength [sit and stand test (S&ST): +5.2 reps, P<0.001], and walking performance [6-minute walk test (6MWT): +41.3 m, P<0.001], compared to the CG. Additionally, the APPG exhibited enhanced overall health (P<0.001), cognitive function [Montreal Cognitive Assessment (MoCA): +4.7 points, P<0.001], and significant reductions in total cholesterol levels (-25 mg/dL, P<0.05). These findings were complemented by improvements in healthy food consumption patterns, reduced daytime sleepiness, and greater health literacy, further emphasizing the application's role in promoting healthy aging and improved quality of life. With technological advances and expanding internet access, telecare has the potential. Conclusions: With technological advances and expanding internet access, telecare has the potential to revolutionize care for older adults by enabling them to safely and autonomously remain at home while receiving personalized support. This study demonstrated significant improvements in health outcomes, including reduced sedentary time, enhanced physical activity, better sleep quality, lower cholesterol levels, improved cognitive function, and healthier dietary habits in the teleassisted group. These results highlight teleassistance as an essential strategy for promoting healthy and active aging, reducing the risk of chronic diseases, and improving the overall quality of life for older adults. Trial Registration: This study is registered in the Brazilian Clinical Trials Registry (RBR-6wgkzs8).
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle