Curiously, the physical environment within the home setting has not been extensively studied in relation to older adults' physical activity and sedentary behaviors. growth medium In light of the fact that older people increasingly spend substantial amounts of time in their homes, the importance of optimizing their living spaces for healthy aging is evident. This study, therefore, is set to explore how older adults view the modification of their domestic spaces to stimulate physical activity, leading to healthy aging outcomes.
For this formative research, in-depth interviews and purposive sampling will be utilized in a qualitative, exploratory research design. Data collection from study participants is planned to be carried out using IDIs. To conduct this preliminary research, senior citizens from diverse community organizations in Swansea, Bridgend, and Neath Port Talbot will officially petition for the right to recruit participants through their established contacts. Using NVivo V.12 Plus software, a thematic analysis of the study data will be performed.
Swansea University's College of Engineering Research Ethics Committee (NM 31-03-22) has approved the ethical conduct of this research. Both the scientific community and the study participants will be informed of the study's results. The analysis of the results promises to shed light on how older adults perceive and feel about physical activity within their domestic surroundings.
The College of Engineering Research Ethics Committee (NM 31-03-22) at Swansea University has granted ethical approval for this study. The study participants and the scientific community will be informed of the study's results. An exploration of older adults' perceptions and dispositions toward physical activity in their home environments will be empowered by the data.
Investigating the efficacy and safety of neuromuscular stimulation (NMES) as an ancillary therapy for rehabilitation following vascular and general surgical interventions.
A single-center, parallel-group, prospective, randomized controlled study conducted in a single-blind manner. At a National Healthcare Service Hospital within the UK's secondary care sector, this research will be a single-centre study. Admitted patients, aged 18 or over, undergoing vascular or general surgical procedures, must have a Rockwood Frailty Score of 3 or more. Implanted electrical devices, pregnancy, acute deep vein thrombosis, and a lack of participation in the trial, are all exclusionary factors. The recruitment goal is set at a hundred. The surgical procedure will be preceded by the random assignment of participants to either the active NMES group (Group A) or the placebo NMES group (Group B). Blinded participants will use the NMES device, one to six sessions a day (30 minutes per session), following surgery, in addition to standard NHS rehabilitation services, until their release. Patient feedback regarding device satisfaction, collected upon discharge, and adverse events observed during hospitalization, serve as measures of NMES acceptability and safety. The two groups are compared on secondary outcomes including postoperative recovery and cost-effectiveness, gauged by multiple activity tests, mobility and independence measures, and questionnaires.
Following a review, the London-Harrow Research Ethics Committee (REC) and the Health Research Authority (HRA) granted ethical clearance for the research, documented as reference 21/PR/0250. A combination of peer-reviewed journal publications and presentations at national and international conferences will be used to share the findings.
NCT04784962: a review of the study.
The study NCT04784962.
The EDDIE+ program, a multi-component intervention grounded in established theories, aims to enhance the abilities of nursing and personal care staff to detect and manage the early stages of deterioration in aged care residents. Hospital admissions from residential aged care facilities are targeted for reduction by the intervention. The EDDIE+ intervention's efficacy will be assessed alongside a stepped wedge randomized controlled trial; an embedded process evaluation will examine fidelity, acceptability, mechanisms of action, and contextual barriers and enablers.
This research involving twelve RAC homes in Queensland, Australia, is underway. With the i-PARIHS framework as its foundation, this mixed-methods process evaluation will assess the intervention's fidelity, the contextual obstacles and supports that shaped its implementation, the mechanisms through which the program operates, and the program's acceptability from the perspectives of diverse stakeholders. Project documentation will serve as the source of prospective quantitative data, encompassing baseline context mapping of participating sites, detailed activity tracking, and regular check-in communication records. After the intervention, a range of stakeholder groups will be engaged in semi-structured interviews for the collection of qualitative data. The framework of innovation, recipients, context, and facilitation, as constructed by i-PARIHS, will be utilized to analyze both quantitative and qualitative data.
Ethical clearance for this study has been granted by the Bolton Clarke Human Research Ethics Committee (approval number 170031) and the Queensland University of Technology University Human Research Ethics Committee (2000000618), with the latter handling administrative approval. Obtaining full ethical approval requires a waiver of consent for the use of de-identified resident data, encompassing aspects of their demographics, clinical information, and health service utilization. A Public Health Act application is anticipated to enable the creation of a separate data linkage connecting RAC home addresses to health service data. The study's findings will be shared via diverse mediums, including publication in academic journals, presentations at conferences, and interactive webinars involving the stakeholder network.
Clinical trials registered with the Australia New Zealand Clinical Trial Registry (ACTRN12620000507987) are subject to rigorous review procedures.
The Registry of Clinical Trials in Australia and New Zealand (ACTRN12620000507987) documents a comprehensive overview of trials.
Despite the proven potential of iron and folic acid (IFA) supplements to effectively address anemia in pregnant women, their uptake in Nepal is disappointingly low. We predicted an improvement in compliance with IFA tablets during the COVID-19 pandemic, when twice-monthly virtual counseling during mid-pregnancy was compared to antenatal care alone.
This non-blinded, individually randomized controlled trial in the plains of Nepal is evaluating two treatment groups: (1) standard antenatal care; and (2) standard antenatal care supplemented by virtual antenatal counseling. Enrollment is available to married pregnant women, 13-49 years old, possessing the capacity to respond to inquiries, with a gestation period of 12-28 weeks, and planning to reside in Nepal for five weeks. The intervention's structure includes two virtual counseling sessions, delivered by auxiliary nurse-midwives, separated by at least two weeks, during the mid-pregnancy period. The virtual counselling approach employs a dialogical problem-solving strategy focused on pregnant women and their families. find more One hundred fifty pregnant women were randomly assigned to each group, taking into account their history of pregnancy (primigravida/multigravida) and baseline iron-fortified food intake. The study design had 80% power to detect a 15% absolute difference in the primary outcome, assuming a 67% prevalence rate in the control group, and accounting for a 10% loss to follow-up. Evaluations of outcomes commence 49 to 70 days after enrollment, or upon delivery if delivery happens prior to this timeframe.
In the past 14 days, at least 80% of the time saw IFA consumption.
The variety of foods consumed, the intake of foods promoted by interventions, and methods for optimizing iron absorption and understanding iron-rich foods are all important dietary considerations. A mixed-methods evaluation of our process explores its acceptability, fidelity, feasibility, coverage (including equity and reach), sustainability, and pathways to demonstrable impact. We scrutinize the financial aspects of the intervention, including cost and cost-effectiveness, from the perspective of the provider. Employing logistic regression, the primary analysis adheres to the intention-to-treat principle.
The necessary ethical approvals for our research were obtained from the Nepal Health Research Council (570/2021) and the UCL ethics committee (14301/001). Nepal's policymakers will be engaged, alongside the publication of our findings in peer-reviewed academic journals.
The ISRCTN registration number 17842200 identifies a trial in a public registry.
The research study, identified by ISRCTN17842200, is publicly registered.
Discharge planning for frail older adults from the emergency department (ED) presents substantial difficulties due to the confluence of interwoven physical and social problems. Tissue biopsy By incorporating in-home assessments and interventions, paramedic supportive discharge services assist in resolving these difficulties. Our intent is to describe current paramedic programs developed to aid in the discharge of patients from the emergency department or hospital, thus reducing the occurrence of unnecessary hospital readmissions. A review of the literature will provide a comprehensive description of paramedic supportive discharge programs, identifying (1) their justification, (2) the beneficiaries, referral channels, and providers, and (3) the evaluations and treatments offered.
Studies focusing on expanded paramedic roles, including community paramedicine, and post-discharge care from the emergency department or hospital, will be incorporated. Inclusion of study designs will not be contingent upon the language used in their development. Our research will involve a targeted review of grey literature, alongside peer-reviewed articles and preprints, covering the period from January 2000 up to and including June 2022. The proposed scoping review will follow the procedures detailed by the Joanna Briggs Institute methodology.