Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial

Background Hospital-associated functional decline affects nearly one-third of the hospitalized older adults. The aim of this trial is to investigate the effect of a cognitive stimulation intervention provided via immersive virtual reality (IVR), with or without a multicomponent physical exercise int...

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Autores: Casa Marín, Antón de la, Zambom Ferraresi, Fabíola, Ferrara, Maria Cristina, Ollo Martínez, Iranzu, Galbete Jiménez, Arkaitz, González Glaría, Belén, Moral Cuesta, Débora, Marín Epelde, Itxaso, Chenhuichen, Chenhui, Lorente-Escudero, Marta, Molero-de-Ávila, Ródrigo, García Baztán, Agurne, Zambom Ferraresi, Fabrício, Martínez Velilla, Nicolás
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/53394
Acesso em linha:https://hdl.handle.net/2454/53394
Access Level:acceso abierto
Palavra-chave:Hospital-associated functional decline
Cognitive stimulation
Virtual reality
Multicomponent physical exercise
Acute care
Older adults
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spelling Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trialCasa Marín, Antón de laZambom Ferraresi, FabíolaFerrara, Maria CristinaOllo Martínez, IranzuGalbete Jiménez, ArkaitzGonzález Glaría, BelénMoral Cuesta, DéboraMarín Epelde, ItxasoChenhuichen, ChenhuiLorente-Escudero, MartaMolero-de-Ávila, RódrigoGarcía Baztán, AgurneZambom Ferraresi, FabrícioMartínez Velilla, NicolásHospital-associated functional declineCognitive stimulationVirtual realityMulticomponent physical exerciseAcute careOlder adultsBackground Hospital-associated functional decline affects nearly one-third of the hospitalized older adults. The aim of this trial is to investigate the effect of a cognitive stimulation intervention provided via immersive virtual reality (IVR), with or without a multicomponent physical exercise intervention (ME) in hospitalized patients aged 75 or older with severe functional dependency at admission (Barthel Index <60 points). Methods This clinical randomized controlled trial will be conducted in the Acute Geriatric Unit of a tertiary hospital in Spain. A total of 212 acute patients will be enrolled according to the following criteria: age ≥75, Barthel Index <60, able to collaborate, expected length of stay ≥5 days, absence of clinical instability and severe dementia (Global Deterioration Scale 7) or other end-stage disease. Patients will be randomly assigned to a control group (CG) or any of the three intervention groups (IG): IVR, ME, or IVR + ME. The IVR group will watch ad-hoc videos showing Spanish regional landscapes and villages, approximately 4 min per day for three consecutive days. The ME group will undergo aerobic and strength exercise for progressive training of the upper and lower limbs. The IVR + ME group will do both cognitive and physical intervention. The primary outcomes will be cognitive and physical measures at discharge. Mood, quality of life, isometric strength, and acceptance of IVR will be also assessed. Discussion This project has the potential to enhance physical and psychological well-being of patients with severe functional dependency hospitalized for acute conditions, using technology. Virtual reality is expected to be favourably perceived by hospitalized older adults. This intervention represents a novelty in the geriatric patients¿ care, comprising IVR and/or ME dispensed within the patient¿s room, and including patients who are commonly excluded from research clinical trials.Open Access funding provided by Universidad Pública de Navarra. This study has been funded by the Instituto de Salud Carlos III-FIS project grant (PI21/01117).BioMed Central (BMC)Ciencias de la SaludEstadística, Informática y MatemáticasOsasun ZientziakEstatistika, Informatika eta MatematikaInstitute of Smart Cities - ISCUniversidad Pública de Navarra / Nafarroako Unibertsitate Publikoa2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/ziphttps://hdl.handle.net/2454/53394reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglésinfo:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII)/PI21%2F01117© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/533942026-06-17T12:41:47Z
dc.title.none.fl_str_mv Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
title Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
spellingShingle Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
Casa Marín, Antón de la
Hospital-associated functional decline
Cognitive stimulation
Virtual reality
Multicomponent physical exercise
Acute care
Older adults
title_short Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
title_full Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
title_fullStr Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
title_full_unstemmed Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
title_sort Effects of immersive virtual reality stimulation and/or multicomponent physical exercise on cognitive and functional performance in hospitalized older patients with severe functional dependency: study protocol for a randomized clinical trial
dc.creator.none.fl_str_mv Casa Marín, Antón de la
Zambom Ferraresi, Fabíola
Ferrara, Maria Cristina
Ollo Martínez, Iranzu
Galbete Jiménez, Arkaitz
González Glaría, Belén
Moral Cuesta, Débora
Marín Epelde, Itxaso
Chenhuichen, Chenhui
Lorente-Escudero, Marta
Molero-de-Ávila, Ródrigo
García Baztán, Agurne
Zambom Ferraresi, Fabrício
Martínez Velilla, Nicolás
author Casa Marín, Antón de la
author_facet Casa Marín, Antón de la
Zambom Ferraresi, Fabíola
Ferrara, Maria Cristina
Ollo Martínez, Iranzu
Galbete Jiménez, Arkaitz
González Glaría, Belén
Moral Cuesta, Débora
Marín Epelde, Itxaso
Chenhuichen, Chenhui
Lorente-Escudero, Marta
Molero-de-Ávila, Ródrigo
García Baztán, Agurne
Zambom Ferraresi, Fabrício
Martínez Velilla, Nicolás
author_role author
author2 Zambom Ferraresi, Fabíola
Ferrara, Maria Cristina
Ollo Martínez, Iranzu
Galbete Jiménez, Arkaitz
González Glaría, Belén
Moral Cuesta, Débora
Marín Epelde, Itxaso
Chenhuichen, Chenhui
Lorente-Escudero, Marta
Molero-de-Ávila, Ródrigo
García Baztán, Agurne
Zambom Ferraresi, Fabrício
Martínez Velilla, Nicolás
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Estadística, Informática y Matemáticas
Osasun Zientziak
Estatistika, Informatika eta Matematika
Institute of Smart Cities - ISC
Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
dc.subject.none.fl_str_mv Hospital-associated functional decline
Cognitive stimulation
Virtual reality
Multicomponent physical exercise
Acute care
Older adults
topic Hospital-associated functional decline
Cognitive stimulation
Virtual reality
Multicomponent physical exercise
Acute care
Older adults
description Background Hospital-associated functional decline affects nearly one-third of the hospitalized older adults. The aim of this trial is to investigate the effect of a cognitive stimulation intervention provided via immersive virtual reality (IVR), with or without a multicomponent physical exercise intervention (ME) in hospitalized patients aged 75 or older with severe functional dependency at admission (Barthel Index <60 points). Methods This clinical randomized controlled trial will be conducted in the Acute Geriatric Unit of a tertiary hospital in Spain. A total of 212 acute patients will be enrolled according to the following criteria: age ≥75, Barthel Index <60, able to collaborate, expected length of stay ≥5 days, absence of clinical instability and severe dementia (Global Deterioration Scale 7) or other end-stage disease. Patients will be randomly assigned to a control group (CG) or any of the three intervention groups (IG): IVR, ME, or IVR + ME. The IVR group will watch ad-hoc videos showing Spanish regional landscapes and villages, approximately 4 min per day for three consecutive days. The ME group will undergo aerobic and strength exercise for progressive training of the upper and lower limbs. The IVR + ME group will do both cognitive and physical intervention. The primary outcomes will be cognitive and physical measures at discharge. Mood, quality of life, isometric strength, and acceptance of IVR will be also assessed. Discussion This project has the potential to enhance physical and psychological well-being of patients with severe functional dependency hospitalized for acute conditions, using technology. Virtual reality is expected to be favourably perceived by hospitalized older adults. This intervention represents a novelty in the geriatric patients¿ care, comprising IVR and/or ME dispensed within the patient¿s room, and including patients who are commonly excluded from research clinical trials.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/53394
url https://hdl.handle.net/2454/53394
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII)/PI21%2F01117
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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