Healthy Clinical Trial
Official title:
Smart Home Technologies for Assessing and Monitoring Frailty in Older Adults
Verified date | April 2024 |
Source | University of Alberta |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
This project aims to address the impact of frailty on older adults, particularly its connection to cognitive impairments such as dementia. By identifying frailty in its early stages, interventions can be designed to slow down the progression of cognitive decline. To achieve this, the project plans to develop a reliable at-home monitoring system that can accurately track frailty in older adults with mild cognitive impairment or dementia. By utilizing cutting-edge technologies such as high-precision indoor positioning and home-installed sensors, referred to as zero-effort technologies (ZETs), the system will collect continuous sensor data, which will be analyzed to identify indicators of frailty.
Status | Active, not recruiting |
Enrollment | 21 |
Est. completion date | June 30, 2024 |
Est. primary completion date | March 20, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 60 Years and older |
Eligibility | Inclusion Criteria: - In-patients at the Glenrose Rehabilitation Hospital (GRH) and GRH' visitors or staff (e.g. patients' caregivers, relatives, friends of older adults in-patient or staff at the GRH who are interested in participating) who are 65 years old or older - For in-patients who are pre-frail or frail according to the scale used at the GRH (can be equivalent to Fried's scale pre-frail/frail (score = 1 - 4). For GRH's visitors or staff, are robust according to Fried's Frail Scale (score=0) as per the definition in (Fried, 2001) - With or without some level of cognitive impairment (Standardized mini-mental state examination (MMSE) of 21 to 30 ("mild" (24-21) to "could be normal" (25-30)) or the equivalent in the screening tool. - Have a cognitive ability to interact with the frailty sensors (i.e. scale, dynamometer, smart speaker). - Have a functional vision and hearing with or without aides (glasses/hearing aids) to be able to interact with furniture and sensors at the ILS and to fill out questionnaires. - Have functional upper extremity function to be able to interact with furniture and sensors at the ILS. - Be able to walk independently 15 meters with or without a walking aid. - If taking antidepressants or narcotics, participants have no changes in the medication for at least 3 months Exclusion Criteria: - Those with a history of Parkinson's disease or other movement disorders or stroke. Justification: Movement disorders causing tremors will affect data collection by the sensors - Those who were taking Sinemet or Aricept - Older adults who have Influenza, long Covid-19 or another virus that affect their performance - Unable to count, speak (name objects and say numbers) or comprehend simple instructions in English - Have severe cardiac or respiratory diseases that prevent them to perform vigorous activities - Using supplemental oxygen (i.e., must be able to breathe with room air) |
Country | Name | City | State |
---|---|---|---|
Canada | Corbett Hall, University of Alberta | Edmonton | Alberta |
Canada | Glenrose Rehabilitation Hospital | Edmonton | Alberta |
Lead Sponsor | Collaborator |
---|---|
University of Alberta | Alberta Health services, Glenrose Foundation |
Canada,
Chisholm D, Toto P, Raina K, Holm M, Rogers J. Evaluating capacity to live independently and safely in the community: Performance Assessment of Self-care Skills. Br J Occup Ther. 2014 Feb;77(2):59-63. doi: 10.4276/030802214X13916969447038. — View Citation
Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. No abstract available. — View Citation
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146. — View Citation
Lewinsohn PM, Seeley JR, Roberts RE, Allen NB. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging. 1997 Jun;12(2):277-87. doi: 10.1037//0882-7974.12.2.277. — View Citation
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User Acceptance of Information Technology: Toward a Unified View. MIS Quarterly, 27(3), 425-478. https://doi.org/10.2307/30036540
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Slowness (Mobility) | 15 Foot Walk / 5 Metres, Timed. The sensors and the camera will record the participants' data during this time. | through study completion, within a total average of 2 hours | |
Primary | Weight (lbs, Kgs) | Weight taken using an internet of things scale | through study completion, within a total average of 2 hours | |
Primary | Exhaustion | Smart speaker delivered two questions from the Center for Epidemiological Studies-Depression (CES-D) scale (7. I felt that everything I did was an Effort, 20. I could not get "going."). The sensors and the camera will record the participants' data during this time. | through study completion, within a total average of 2 hours | |
Primary | Strength - Handgrip | Using a internet of things dynanometer, force will be assessed (3 times each hand - 30 seconds of rest between measurements) and to release it. The sensors and the camera will record the participants' data during this time. | through study completion, within a total average of 2 hours | |
Primary | Activity | The participant is asked to complete two tasks from the Performance Assessment of Self-Care Skills (PASS - Clinic) Version 4.1. This will involve a simulated version of carrying garbage, and sweeping the floors. The sensors and the camera will record the participants' data during this time. | through study completion, within a total average of 2 hours | |
Primary | Meal Preparation | Participants will be asked to prepare a simple sandwich using the kitchen elements.The sensors and the camera will record the participants' data during this time. | through study completion, within a total average of 2 hours | |
Primary | Observe Free Activity | During the data collection, participants will be given 5 minutes to do whatever activity they want. The sensors and the camera will record the participants' data during this time. | through study completion, within a total average of 2 hours | |
Primary | Qualitative Interviews Regarding Technology | Qualitative Interview (Based on the Unified Theory of Acceptance and Use of Technology (UTAUT) constructs) | Through study completion, within a total average of 2 hours |
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