The My Active and Healthy Aging (My‐AHA) ICT platform to detect and prevent frailty in older adults: Randomized control trial design and protocol

Alzheimer's and Dementia: Translational Research and Clinical Interventions - Tập 4 - Trang 252-262 - 2018
Mathew J. Summers1, Innocenzo Rainero2, Alessandro E. Vercelli3, Georg Aumayr4, Helios de Rosario5,6, Michaela Mönter7, Ryuta Kawashima8
1Sunshine Coast Mind and Neuroscience – Thompson Institute, University of the Sunshine Coast, Queensland, Australia
2Aging, Brain and Memory Clinic, Department of Neuroscience, University of Torino, Italy
3Neuroscience Institute Cavalieri Ottolenghi, Department of Neuroscience, University of Torino, Italy
4Johanniter Österreich Ausbildung und Forschung gem, GmbH, Department Research and Innovation, Vienna, Austria
5Instituto de Biomecánica de Valencia, Universitat Politècnica de València, Valencia, Spain
6CIBER de Bioingeniería Biomateriales y Nanomedicina (CIBER-BBN), Spain
7Gestió Socio Sanitaria al Mediterrani (GESMED), Válencia, Spain
8Institute of Development, Aging and Cancer Research (IDAC), Tohoku University, Sendai, Japan

Tóm tắt

AbstractIntroductionFrailty increases the risk of poor health outcomes, disability, hospitalization, and death in older adults and affects 7%–12% of the aging population. Secondary impacts of frailty on psychological health and socialization are significant negative contributors to poor outcomes for frail older adults.MethodThe My Active and Healthy Aging (My‐AHA) consortium has developed an information and communications technology–based platform to support active and healthy aging through early detection of prefrailty and provision of individually tailored interventions, targeting multidomain risks for frailty across physical activity, cognitive activity, diet and nutrition, sleep, and psychosocial activities. Six hundred adults aged 60 years and older will be recruited to participate in a multinational, multisite 18‐month randomized controlled trial to test the efficacy of the My‐AHA platform to detect prefrailty and the efficacy of individually tailored interventions to prevent development of clinical frailty in this cohort. A total of 10 centers from Italy, Germany, Austria, Spain, United Kingdom, Belgium, Sweden, Japan, South Korea, and Australia will participate in the randomized controlled trial.ResultsPilot testing (Alpha Wave) of the My‐AHA platform and all ancillary systems has been completed with a small group of older adults in Europe with the full randomized controlled trial scheduled to commence in 2018.DiscussionThe My‐AHA study will expand the understanding of antecedent risk factors for clinical frailty so as to deliver targeted interventions to adults with prefrailty. Through the use of an information and communications technology platform that can connect with multiple devices within the older adult's own home, the My‐AHA platform is designed to measure an individual's risk factors for frailty across multiple domains and then deliver personalized domain‐specific interventions to the individual. The My‐AHA platform is technology‐agnostic, enabling the integration of new devices and sensor platforms as they emerge.

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Alzheimer's and Dementia: Translational Research and Clinical Interventions

Tập 4

252-262

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