随机对照试验评估一个针对社区居住的虚弱老年人的预防计划：D-SCOPE 方案。
Randomized controlled trial to evaluate a prevention program for frail community-dwelling older adults: a D-SCOPE protocol.
机构信息
Department of Educational Sciences, Vrije Universiteit Brussel, 2, Pleinlaan, Brussels, 1050, Belgium.
Laboratory of Neurochemistry and Behavior, University of Antwerp, 1, Universiteitsplein, Wilrijk, 2610, Belgium.
出版信息
BMC Geriatr. 2018 Aug 27;18(1):194. doi: 10.1186/s12877-018-0875-3.
BACKGROUND
Frail community-dwelling older adults, whom might experience problems regarding physical, cognitive, psychological, social and environmental factors, are at risk for adverse outcomes such as disability, institutionalization and mortality. People in need of help do not always find their way to care and support services and are left undetected. The aim of the D-SCOPE project is to detect frail community-dwelling older adults who previously went unnoticed and to improve their access to care and support. Goal is to increase their frailty-balance, quality of life, meaning in life, life satisfaction, mastery, community inclusion and ageing well in place.
METHODS/DESIGN: The study is a prospective, longitudinal randomized four-armed controlled trial with follow-up at 6 months. The study group aims to include 900 community-dwelling older adults aged 60 years and over from 3 municipalities in Flanders (Belgium). While selecting the study group, risk profiles for frailty will be taken into account. Participants will be randomly selected from the census records in each municipality. Data will be collected prospectively at baseline (T0) and at follow-up, 6 months after baseline (T1). At baseline, participants who are at least mild frail on one of the 5 domains of frailty (CFAI-plus) or feel frail based on the subjective assessment of frailty will be randomly assigned to (1) the study group or (2) the control group. A mixed method design with the inclusion of quantitative and qualitative data analyses will be used to evaluate the efficacy and experiences of the detection and prevention program on frailty.
DISCUSSION
The study will contribute to an innovative vision concerning the organization of care and support, and a timely and accurate detection and support of community-dwelling older adults at risk for frailty.
TRIAL REGISTRATION
This trial was registered at ClinicalTrials.gov, on May 26, 2017, identifier: NCT03168204 .
背景
虚弱的社区居住老年人可能会受到身体、认知、心理、社会和环境因素的影响，他们面临着残疾、住院和死亡等不良后果的风险。有需要的人并不总是能够找到他们需要的护理和支持服务，因此这些人可能会未被发现。D-SCOPE 项目的目的是发现以前未被发现的虚弱的社区居住老年人，并改善他们获得护理和支持的途径。目标是增加他们的虚弱平衡、生活质量、生活意义、生活满意度、掌握能力、社区包容和良好的老龄化。
方法/设计：该研究是一项前瞻性、纵向、随机、四臂对照试验，随访时间为 6 个月。研究组的目标是纳入来自比利时佛兰德斯的 3 个市的 900 名 60 岁及以上的社区居住老年人。在选择研究组时，将考虑到虚弱的风险概况。参与者将从每个城市的人口普查记录中随机选择。数据将在基线（T0）和 6 个月后的随访（T1）时前瞻性收集。在基线时，根据 5 个虚弱领域（CFAI-plus）中至少有一个领域轻度虚弱或根据虚弱的主观评估感觉虚弱的参与者将被随机分配到（1）研究组或（2）对照组。将采用混合方法设计，包括定量和定性数据分析，以评估虚弱检测和预防计划的疗效和经验。
讨论
该研究将为护理和支持的组织提供创新的视角，并为有虚弱风险的社区居住老年人提供及时和准确的检测和支持。
试验注册
该试验于 2017 年 5 月 26 日在 ClinicalTrials.gov 注册，标识符为：NCT03168204。
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