RT Journal Article
T1 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
A1 Goodman-Casanova, Jessica Marian
A1 Guzmán-Parra, José
A1 Guerrero, Gloria
A1 Vera, Elisa
A1 Barnestein-Fonseca, Pilar
A1 Cortellessa, Gabriella
A1 Fracasso, Francesca
A1 Umbrico, Alessandro
A1 Cesta, Amedeo
A1 Toma, Diana
A1 Boghiu, Flavia
A1 Dewarrat, Rodolphe
A1 Triantafyllidou, Valentina
A1 Tamburini, Elena
A1 Dionisio, Pietro
A1 Mayoral, Fermín
K1 Ambient assisted living
K1 Assistive technology
K1 Telemedicine
K1 Remote consultations
K1 Dementia
K1 Person with dementia
K1 Informal caregivers
K1 Quality of life
K1 Inteligencia ambiental
K1 Dispositivos de autoayuda
K1 Telemedicina
K1 Telemonitorización
K1 Demencia
K1 Cuidadores
K1 Calidad de vida
AB 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.
PB BioMed Central, Ltd.
YR 2019
FD 2019-09-06
LK http://hdl.handle.net/10668/3200
UL http://hdl.handle.net/10668/3200
LA en
NO 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.
DS RISalud
RD Apr 7, 2025