se of an educational program for the care of elderly people at risk of frailty

Not Applicable

• Conditions: G07.345.124; Frailty

• Registration Number: RBR-4mx6m8z
• Lead Sponsor: niversidade Federal do Piauí

Brief Summary

Introduction: Lifestyle determines the heterogeneity of aging. And, health education practices, associated with motivational resources, are fundamental in the process of adapting to psychophysiological changes and the adoption and maintenance of healthy behaviors in the elderly. Objective: To evaluate the effectiveness of an educational and motivational intervention in promoting the health of elderly people at risk of frailty. Method: Randomized Clinical Trial (RCT) carried out in Primary Health Care, in Teresina, Piauí, Brazil. The RCT had a sample of 108 elderly people, divided into two distinct groups, randomly distributed. The Intervention Group (IG) (n=55) participated in an educational and motivational intervention, supported by an educational video and a brief motivational interview; and the Control Group (CG) (n=53) received routine verbal guidance from primary health care services. The outcomes assessed were self-care ability, self-perception of health, sense of self-efficacy and readiness to change behavior, using a semi-structured questionnaire and the Scale to Assess Self-Care Capacity (EACAC). Data collection took place at home and in basic health units, in two moments: pre-test and application of the intervention and post-test, after 30 days, using Nola Pender's Health Promotion Model as a theoretical-methodological framework. Statistical tests were performed with a significance level of 5% and a 95% confidence interval. The software R version 3.5.1 and the Statistical Package for the Social Sciences, version 21.0 were used. The study followed the regulations of the National Health Council, in accordance with Resolution 466/12, and the results were registered in the Brazilian Clinical Trials Registry. Results: In the RCT, the groups were homogeneous at baseline regarding sociodemographic, economic and clinical variables (p>0.05). In the intergroup comparison, clinical effectiveness was verified regarding self-care ability, self-perceived health and readiness to change behavior. In the intragroup analysis, GI showed an increase in self-care capacity (p<0.001) and a sense of self-efficacy (p<0.001), improvement in self-perception of health (p=0.001) and evolution to the motivational action phase (p=0.001) , with statistically significant differences. And the CG showed significant improvement only in the sense of self-efficacy (p<0.001). Conclusion: The educational and motivational intervention to promote the health of elderly people at risk of frailty showed clinical efficacy superior to routine verbal guidelines, causing a difference in self-care capacity, self-perception of health, readiness to change behavior and sense of self-efficacy.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2020-11-20
• Study Start: 2023-04-03
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Data analysis completed
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Elderly; be between 60 and 74 years old; assisted in the selected Basic Health Units; with preserved cognitive ability according to the Mini-Mental State Examination.

Exclusion Criteria

Elderly people with hearing, visual or speech deficits that prevented the application of the instruments; vulnerable elderly people who had sequelae that influenced daily life activities; history of lower extremity and/or spinal fractures in the last six months; closed medical diagnosis of mental disorder; elderly people participating in another educational health intervention.

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Expected Outcome 1 - Assess the increase in the capacity for self-efficacy using the Scale to Assess Self-Care Ability (EACAC), a Likert-type instrument, in which the scores of each item ranged from 1 (strongly disagree) to 5 (strongly agree) ;Outcome Found 1 - Assess the increase in self-efficacy capacity using the Scale to Assess Self-Care Ability (EACAC), a Likert-type instrument, in which the scores of each item ranged from 1 (strongly disagree) to 5 (strongly agree)