A Systematic Review of Randomized Controlled Trials With Information- and Communication-Technology-Based (ICT) Intervention for the Elderly

2020 ◽  
Vol 74 (4_Supplement_1) ◽  
pp. 7411505123p1
Author(s):  
HeySig Lee ◽  
YeShin Woo ◽  
DaSol Park ◽  
Ga-In Shin ◽  
Hae Yean Park
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
The Elderly ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Information And Communication

Effects of ICT-based Multi-Cognition Program on Body Composition and Cognitive Function in Elder Adults: A Randomized Controlled Clinical Study (Preprint)

2020 ◽  
Author(s):  
Du-Ri Kim ◽  
Seunghwan Song ◽  
Gwon-Min Kim ◽  
Jae Hyeok Chang ◽  
Young Jin Tak ◽  
...  
Keyword(s):  
Body Composition ◽  
Cognitive Function ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
The Elderly ◽  
Exercise Group ◽  
Disease Assessment ◽  
Randomized Controlled ◽  
Information And Communication ◽  
Elder Adults

BACKGROUND Although the elderly have more time and exercise opportunities compared to other age groups, they tend to be inactive and passive towards exercise, resulting in low actual exercise rates. Furthermore, simple repetitive exercise programs fail to engage the elderly to continuously exercise because these programs do not induce their interest or meet their expectations. Meanwhile, information and communication technology (ICT)-based training devices for elderly care related to dementia are being developed to enhance the cognitive functions of elder adults. For elder adults who require bicycle training devices can not only improve muscle strength and balance of lower limbs by continuously contracting and relaxing lower-limb muscles but also improve cognitive function to help prevent dementia. OBJECTIVE This study was conducted to investigate the effects of an information and communication technology (ICT)-based multi-cognition program on body composition and cognitive function in elder adults. METHODS In a randomized controlled intervention test on 20 people over the age of 60 (exercise group: n = 10; control: n = 10), the multi-cognition program was applied on the exercise group twice per week, once per day for 12 weeks, at 30 min per session, whereas the control group was advised to maintain their usual daily activities. RESULTS A comparison of changes in body composition and cognitive function before and after intervention exhibited statistically significant differences in skeletal muscle mass (P=.01) and modified Alzheimer’s disease assessment scale–cognitive score (P=.01) between the two groups. CONCLUSIONS It can be difficult to be engaged in a simple repetitive exercise program. Therefore, to meet the interest and expectations of elder adults, a customized ICT-based multi-cognition program, which can improve body composition and cognitive function in elder adults and is believed to be helpful in the prevention of dementia, is recommended. CLINICALTRIAL UMIN000042129

scholarly journals A Comprehensive Evaluation Between Dexmedetomidine and Midazolam for Intraoperative Sedation in the Elderly: Protocol for a Systematic Review and Meta-analysis of Randomized Controlled Trials

2021 ◽  
Author(s):  
Chunxia Huang ◽  
Zunjiang Li ◽  
Yingxin Long ◽  
Dongli Li ◽  
Manhua Huang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
The Elderly ◽  
Sedative Effect ◽  
Controlled Trials ◽  
Safety And Efficacy ◽  
Quality Of Evidence ◽  
Randomized Controlled

Abstract Background: The sedative effect of intraoperative sedation in elderly surgery exerts critical influence on the prognosis. Comparison on the safety and efficacy between Dexmedetomidine and Midazolam in many clinical randomized controlled trials (RCTs) were inconsistent and suspicious. We aimed to comprehensively evaluate the safety and efficacy between Dexmedetomidine and Midazolam for intraoperative sedation in the elderly via meta-analysis and systematic reviews.Methods: RCTs regarding to the comparison of sedative effects and safety between Dexmedetomidine and Midazolam in elderly patients (aged ≥ 60 years) will be comprehensively searched from 2000.10 to 2021.05 through 4 English databases and 4 Chinese databases. After extraction in duplicate, the systematic review and meta-analysis will be performed on the primary outcomes (hemodynamic changes, sedative effect, cognitive function) and secondary outcomes (analgesic effect, surgical characteristics, complications or adverse reactions) for assessing the two therapy methods using Review manage software (Version 5.3). Sensitivity analysis will be conducted to evaluate the heterogeneity of the results, funnel plot and Egger’s test will be performed to analyze publication bias of the included studies, and test sequential analysis will be applied to assess the robustness and reliability of preliminary meta-analysis results. Finally, rating quality of evidence and strength of recommendations on the meta results will be summarized by rating quality of evidence and strength of recommendations (GRADE) approach. Discussion: This systematic review and meta-analysis will evaluate the safety and efficacy between Dexmedetomidine and Midazolam for intraoperative sedation in the elderly, it will give an insight on the application of Dexmedetomidine and Midazolam, and will provide evidences-based reference for clinical decision makings.Systematic review registration: PROSPERO (CRD42021221897).

scholarly journals The Efficacy of Multimodal Prehabilitation in Elderly Patients Undergoing Elective Major Abdominal Surgery: A Systematic Review Protocol

2021 ◽  
Author(s):  
Yu Xiang Tan ◽  
Miny Samuel ◽  
Ning Qi Pang
Keyword(s):  
Systematic Review ◽  
Abdominal Surgery ◽  
Elderly Patients ◽  
Randomized Controlled Trials ◽  
Systematic Reviews ◽  
The Elderly ◽  
Major Abdominal Surgery ◽  
Walking Distance ◽  
Controlled Trials ◽  
Randomized Controlled

Abstract Introduction Multimodal prehabilitation has been touted as a potential strategy to better prepare our elderly and frail patients for major surgery. While randomized controlled trials and systematic reviews have been done to investigate the effect of prehabilitation on various surgical cohorts, most of these studies have focused on single modality prehabilitation and without an emphasis on the elderly. This systematic review aims to assess the effect of a multimodal prehabilitation program on elderly patients undergoing major abdominal surgery. MethodsThis protocol has been written according to the PRISMA-P statement and is registered in the International Prospective Register of Systematic Reviews (PROSPERO registration number 250281). MEDLINE, EMBASE, CENTRAL, CINAHL and PsychINFO databases will be searched. Only randomized controlled trials with an average study population age ≥65 that has undergone major abdominal operation with at least two components (physical, nutritional, psychological) of prehabilitation will be included. Clinical outcomes that will be collected include post-operative morbidity and mortality, length of stay, 30-day readmission and peri-operative 6-minute walking distance. The risk of bias in included studies will be assessed. Data will be pooled where possible. DiscussionThis systematic review will evaluate and establish the effectiveness of multimodal prehabilitation for the elderly, who represents the group of patients most likely to benefit from prehabilitation. This review with its focus on the elderly will provide us with fresh insight into the utility of prehabilitation that will better inform policy makers in its implementation.PROSPERO Registration: On 20/04/2021, ID 250281

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