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Smart Technology for Aging and Reducing Disability (STAReD): Study protocol for a randomized pragmatic clinical trial.
Proffitt, Rachel; Robinson, Erin L; Reeder, Blaine; Leary, Emily; Botkin, Leah; Marushak, Sheila; Popejoy, Lori L; Skubic, Marjorie.
Afiliación
  • Proffitt R; Department of Occupational Therapy, College of Health Sciences, University of Missouri. Electronic address: proffittrm@health.missouri.edu.
  • Robinson EL; School of Social Work, College of Health Sciences, University of Missouri.
  • Reeder B; Sinclair School of Nursing, University of Missouri.
  • Leary E; Thompson Laboratory for Regenerative Orthopaedics, Department of Orthopaedic Surgery, School of Medicine, University of Missouri.
  • Botkin L; Department of Occupational Therapy, College of Health Sciences, University of Missouri.
  • Marushak S; Department of Occupational Therapy, College of Health Sciences, University of Missouri.
  • Popejoy LL; Sinclair School of Nursing, University of Missouri.
  • Skubic M; Department of Electrical Engineering and Computer Science, College of Engineering, University of Missouri.
Contemp Clin Trials ; 138: 107461, 2024 03.
Article en En | MEDLINE | ID: mdl-38280484
ABSTRACT

BACKGROUND:

There is a critical need to improve quality of life for community-dwelling older adults with disabilities. Prior research has demonstrated that a smart, in-home sensor system can facilitate aging in place for older adults living in independent living apartments with care coordination support by identifying early illness and injury detection. Self-management approaches have shown positive outcomes for many client populations. Pairing the smart, in-home sensor system with a self-management intervention for community-dwelling older adults with disabilities may lead to positive outcomes.

METHODS:

This study is a prospective, two-arm, randomized, pragmatic clinical trial to compare the effect of a technology-supported self-management intervention on disability and health-related quality of life to that of a health education control, for rural, community-dwelling older adults. Individuals randomized to the self-management study arm will receive a multidisciplinary (nursing, occupational therapist, and social work) self-management approach coupled with the smart-home sensor system. Individuals randomized to the health education study arm will receive standard health education coupled with the smart-home sensor system. The primary outcomes of disability and health-related quality of life will be assessed at baseline and post-intervention. Generalizable guidance to scale the technology-supported self-management intervention will be developed from qualitatively developed exemplar cases.

CONCLUSION:

This study has the potential to impact the health and well-being of rural, community-dwelling older adults with disabilities. We have overcome barriers including recruitment in a rural population and supply chain issues for the sensor system. Our team remains on track to meet our study aims.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Discapacidad / Vida Independiente Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Límite: Aged / Humans Idioma: En Revista: Contemp Clin Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personas con Discapacidad / Vida Independiente Tipo de estudio: Clinical_trials / Guideline Aspecto: Patient_preference Límite: Aged / Humans Idioma: En Revista: Contemp Clin Trials Asunto de la revista: MEDICINA / TERAPEUTICA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos