Effects on Physical and Mental Prognosis and Quality of Life of Elderly People With Depressive Symptoms: Development of Wearable Devices and Telemedicine as Assessment Tools
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 240
- 主要终点
- Actigraphy
研究概览
简要总结
Mild mental illnesses such as depression, anxiety, and sleep disorders in the elderly are also major health issues for Taiwanese. Mild mental illnesses that cannot be effectively treated may worsen existing chronic diseases. However, there is a lack of objective, convenient and effective assessment tools for the cognitive, emotional, sleep and other mental health of the elderly. The development of these assessment tools can be used to quantify the degree of abnormality, provide early diagnosis, and evaluate the effectiveness of long-term care.
In recent years, the progress of physiological sensing technology and wearable devices,telemedicine devices and various computer information integration software has provided objective clinical data. This study will use "wearable devices", "telemedicine" and "computer information software" to evaluate whether elderly with mild mental illness have a poor prognosis. In this way, an intelligent care model for "cognitive, emotional, sleep and other mental health" for elderly is developed.
详细描述
Mild mental illnesses such as depression, anxiety, and sleep disorders in the elderly are also major health issues for Taiwanese. Mild mental illnesses that cannot be effectively treated may worsen existing chronic diseases. However, there is a lack of objective, convenient and effective assessment tools for the cognitive, emotional, sleep and other mental health of the elderly. The development of these assessment tools can be used to quantify the degree of abnormality, provide early diagnosis, and evaluate the effectiveness of long-term care.
In recent years, the progress of physiological sensing technology and wearable devices,telemedicine devices and various computer information integration software has provided objective clinical data. This study will use "wearable devices", "telemedicine" and "computer information software" to evaluate whether elderly with mild mental illness have a poor prognosis. In this way, an intelligent care model for "cognitive, emotional, sleep and other mental health" for elderly is developed.
This study is expected to have the following objectives:
- To understand the prevalence and current situation of Taiwanese elderly complicated with mild mental illnesses (such as anxiety, insomnia, etc.).
- Establish a physical and mental assessment tool for the elderly, integrating different scales such as physical health, mental health, and mobility into a complete and convenient information interface for the elderly, caregivers, and medical staff to use to facilitate cross-field connections Communities and hospitals, providing continuum of care.
- Introduce wearable devices and computerized software to analyze the prognosis of elderly hypertensive patients.
Through this project, it is expected to combine the two majors of medical treatment and information technology, and integrate various assessment tools into a convenient information interface, making it easy for the elderly and caregivers to use, and even linking to the medical network to assist in rapid diagnosis, referral and receive treatment. The collected data can be used for big data analysis in the future to provide further national policy reference.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age is more than or equal to 65 years old
- •Able to provide informed consent to participate in the research.
- •Can understand the instructions, and coduct the questionnaire assessment and physical function measurement.
排除标准
- •Those unable to give consent to participate in the research.
- •Those who cannot understand the instructions, difficult to coduct questionnaire assessment and physical function measurement.
- •Severe disease state (respiratory distress requiring intubation or patient with terminal illness) or severe brain injury or severe Dementia.
- •Snstable patients and patients with substance abuse.
结局指标
主要结局
Actigraphy
时间窗: Four times a year until the study is completed (up to 3 years)
Change in sleep latency (mins) based on actigraphy during the study.
次要结局
- Actigraphy-TIB(Four times a year until the study is completed (up to 3 years))
- Actigraphy-SOL(Four times a year until the study is completed (up to 3 years))
- Clinical Frailty Scale (CFS)(Four times a year until the study is completed (up to 3 years))
- Actigraphy-Awake time(Four times a year until the study is completed (up to 3 years))
- Actigraphy-SE(Four times a year until the study is completed (up to 3 years))
- Short Form-36 (SF-36)(Four times a year until the study is completed (up to 3 years))
- Lawton Instrumental Activities of Daily Living Scale (IADL)(Four times a year until the study is completed (up to 3 years))
- Insomnia Severity Index(ISI)(Four times a year until the study is completed (up to 3 years))
- Actigraphy-TST(Four times a year until the study is completed (up to 3 years))
- Geriatric Depression Scale-15(GDS-15)(Four times a year until the study is completed (up to 3 years))
- Hospital Anxiety and Depression Scale(HADS)(Four times a year until the study is completed (up to 3 years))
- Pittsburgh Sleep Quality Index (PSQI)(Four times a year until the study is completed (up to 3 years))
- Actigraphy-WASO(Four times a year until the study is completed (up to 3 years))
- Activities of Daily Living (ADL)(Four times a year until the study is completed (up to 3 years))
- Conners' Continuous Performance Test (CPT)(Four times a year until the study is completed (up to 3 years))
- Epworth Sleepoiness Scale (ESS)(Four times a year until the study is completed (up to 3 years))
- Montreal Cognitive Assessment (MoCA)(Four times a year until the study is completed (up to 3 years))