Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/3200
Title: TV-based assistive integrated service to support European adults living with mild dementia or mild cognitive impairment (TV-AssistDem): study protocol for a multicentre randomized controlled trial
Authors: Goodman-Casanova, Jessica Marian
Guzmán-Parra, José
Guerrero, Gloria
Vera, Elisa
Barnestein-Fonseca, Pilar
Cortellessa, Gabriella
Fracasso, Francesca
Umbrico, Alessandro
Cesta, Amedeo
Toma, Diana
Boghiu, Flavia
Dewarrat, Rodolphe
Triantafyllidou, Valentina
Tamburini, Elena
Dionisio, Pietro
Mayoral, Fermín
metadata.dc.contributor.authoraffiliation: [Goodman-Casanova,JM; Guzmán-Parra,J; Guerrero,G; Vera,E; Barnestein-Fonseca,P; Mayoral,F] Instituto de Investigación Biomédica de Málaga – Fundación Pública Andaluza para la Investigación de Málaga de Biomedicina y Salud (IBIMA-FIMABIS), Málaga, Spain. [Cortellessa,G; Fracasso,F; Umbrico,A; Cesta,A] CNR–Italian National Research Council, ISTC, Rome, Italy. [Toma,D; Boghiu,F] S.C. INGRIJIRI LA DOMICILIU S.R.L., Brasov, Romania. [Dewarrat,R; Triantafyllidou,V] Institut multidisciplinaire de science de donnees (IMSD), Les Reussilles, Switzerland. [Tamburini,E; Dionisio,P] MEDEA, Massa, Italy.
Keywords: Ambient assisted living;Assistive technology;Telemedicine;Remote consultations;Dementia;Person with dementia;Informal caregivers;Quality of life;Inteligencia ambiental;Dispositivos de autoayuda;Telemedicina;Telemonitorización;Demencia;Cuidadores;Calidad de vida
metadata.dc.subject.mesh: Medical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy::Behavior Therapy::Cognitive Therapy
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Delirium, Dementia, Amnestic, Cognitive Disorders::Cognition Disorders::Mild Cognitive Impairment
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Delivery of Health Care, Integrated
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Aged::Aged, 80 and over
Medical Subject Headings::Persons::Persons::Caregivers
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Delirium, Dementia, Amnestic, Cognitive Disorders::Dementia
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Follow-Up Studies
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of Life
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Telemedicine
Medical Subject Headings::Information Science::Information Science::Communications Media::Telecommunications::Television
Issue Date: 6-Sep-2019
Publisher: BioMed Central, Ltd.
Citation: Goodman-Casanova JM, Guzmán-Parra J, Guerrero G, Vera E, Barnestein-Fonseca P, Cortellessa G, et al. TV-based assistive integrated service to support European adults living with mild dementia or mild cognitive impairment (TV-AssistDem): study protocol for a multicentre randomized controlled trial. BMC Geriatr. 2019 Sep 6;19(1):247.
Abstract: Background: Mild cognitive impairment and mild dementia progressively compromise the ability of people to live independently and can have a negative impact on their quality of life. Within the current European Active and Assisted Living programme (AAL), project TV-AssistDem has been developed to deliver a TV-based platform service to support patients with mild cognitive impairment or mild dementia and provide relief to their caregivers. The application is intended to be used daily at home, mainly by the participants themselves, with the help of their informal caregivers. The aim of this study is to evaluate the effectiveness of TV-AssistDem to improve quality of life in people with mild cognitive impairment or mild dementia. Methods: This is a 12-month European multicentre randomized controlled trial which will be performed in two countries: Spain and Romania. Two hundred and forty older adults will be recruited using identical inclusion/exclusion criteria. The primary outcome will be the change from baseline of TV-AssistDem on patient quality of life at 12 months. The secondary outcomes will be the changes from baseline of: 1) informal caregiver quality of life, 2) informal caregiver burden, 3) patient treatment adherence, 4) patient treatment compliance, 5) patient functional status, and 6) healthcare cost-effectiveness at 12 months. Patients in the intervention group will have access to an interactive platform which offers remote assistive services through a device connected to the television. The core services of the platform are: 1) Calendar and reminders, 2) Health monitoring and data transmission to a health server and 3) Videoconference; service-oriented applications are: 4) Cognitive stimulation; 5) Reminiscences; and 6) Patient and caregiver healthcare education. The analysis will be made following an intention-to-treat procedure. Linear and Generalized Mixed Model analysis will be performed. Discussion: We hypothesize that the regular use of TV-AssistDem will result in an improvement in patient quality of life. The uniqueness of this home TV-based intervention lies on its widespread accessibility and its integrative approach to quality of life in people with mild cognitive impairment or mild dementia and their informal caregivers. However, several anticipated challenges will need to be faced: poor engagement and connectivity problems. Trial registration: ClinicalTrials.gov Identifier NCT03653234 , Date of registration: 31 August 2018.
URI: http://hdl.handle.net/10668/3200
metadata.dc.relation.publisherversion: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-019-1267-z
metadata.dc.identifier.doi: 10.1186/s12877-019-1267-z
ISSN: 1471-2318 (Online)
Appears in Collections:01- Artículos - FIMABIS. Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

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