da Silva Sobrinho Andressa Crystine, da Silva Rodrigues Guilherme, Pereira Rodrigues Karine, Finzeto Larissa Chacon, Sampaio Laura T D V, Carvalho Daniel Guilherme, de Freitas João Paulo, de Lima João Gabriel Ribeiro, Gomes Grace Angélica Oliveira, Bueno Júnior Carlos Roberto
Department of Internal Medicine, Faculty of Medicine of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
Department of Gerontology, Federal University of São Carlos (UFSCAR), São Carlos, SP, Brazil.
Mhealth. 2025 Jul 14;11:30. doi: 10.21037/mhealth-24-72. eCollection 2025.
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.
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.
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.
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.
This study is registered in the Brazilian Clinical Trials Registry (RBR-6wgkzs8).
居家护理和远程协助成为满足老年人医疗保健需求的有效、以患者为中心的方法，使他们能够在熟悉的环境中接受个性化护理的同时保持独立生活。尽管技术进步推动了远程协助的发展，但这些干预措施的成功取决于老年人及其护理人员的接受程度和依从性。本研究通过一项随机临床试验，探讨远程协助对老年人健康的影响，重点关注日常简单护理。
招募60岁及以上的个体并将其分为两组：应用组（APPG，n = 21）和对照组（CG，n = 19）。采用各种人体测量、运动、临床和生化指标对参与者进行评估。在为期14周的实验期内，参与者使用“Viva”应用程序，接受远程协助和教育资源。提供个性化支持以解决任何困难。
研究表明，“Viva”应用程序对老年参与者的健康和幸福感有显著的积极影响。具体而言，与对照组相比，应用组在灵活性[坐立前屈（S&R）：增加5.1厘米，P < 0.001]、下肢力量[坐立试验（S&ST）：增加5.2次重复，P < 0.001]和步行能力[6分钟步行试验（6MWT）：增加41.3米，P < 0.001]方面有显著改善。此外，应用组的整体健康状况得到改善（P < 0.001），认知功能[蒙特利尔认知评估（MoCA）：增加4.7分，P < 0.001]，总胆固醇水平显著降低（-25毫克/分升，P < 0.05）。健康食品消费模式的改善、白天嗜睡的减少和健康素养的提高进一步补充了这些发现，进一步强调了该应用程序在促进健康老龄化和提高生活质量方面的作用。随着技术进步和互联网接入的扩大，远程护理具有潜力。
随着技术进步和互联网接入的扩大，远程护理有可能彻底改变老年人的护理方式，使他们能够在接受个性化支持的同时安全自主地居家生活。本研究表明，远程协助组在健康结果方面有显著改善，包括久坐时间减少、身体活动增加、睡眠质量提高、胆固醇水平降低、认知功能改善和饮食习惯更健康。这些结果突出了远程协助作为促进健康和积极老龄化、降低慢性病风险以及提高老年人整体生活质量的重要策略。
本研究已在巴西临床试验注册中心注册（注册号：RBR - 6wgkzs8）。
