At a glance
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Designing a Multicomponent Intervention for Improving Frailty. A Pilot Study in the Basque Country
In Brief
A clinical study evaluating Multi-component intervention: physical exercise, polypharmacy review and nutritional care for Frailty. Completed, enrolled 32 participants across 1 site.
Signals
Detailed Summary
This pilot study tested whether a new program for older adults with frailty could realistically be carried out in primary health care. That is why the main objective of this study was to evaluate the viability and feasibility of the newly designed frailty intervention. People over 65 were recruited in two health centers and invited to join a 3 month program combining group exercise, a medication review by a pharmacist, and nutrition workshops. The study also collected information on mobility, strength, nutrition, mood, cognition, and quality of life. Most measures were taken at the start and again four and eight months later. The results will help refine the program and guide the design of a larger clinical trial.
Study Details
Timeline
Arms & Interventions
The arm is composed of people aged \>65, independent (≥95 points) and frail (Short Physical Performance Battery \<10 points). The entire arm group receives the multi-component intervention based on physical exercise, polypharmacy review and nutritional care.
Interventions
Physical exercise: one-hour group sessions, twice a week for 12 consecutive weeks, at the Municipal Sports centre led by a licensed sports instructor. All sessions followed a standardized structure consisting of a warm-up phase of approximately 25 minutes, a strengthening phase of about 25 minutes adjusted to each participant's physical condition, and a final 10-minute relaxation phase including flexibility and balance exercises. Polypharmacy review: a primary care pharmacist reviewed the pharmacological treatments of each participant in order to detect potentially inappropriate prescriptions, following the STOPP/START criteria. Nutritional care: the dietary intervention consisted of three group workshops, one per month, lasting for an hour each. The three workshops, led by a nutritionist, covered the basics of healthy eating, dietary adaptations for specific conditions with recipe ideas, and strategies to prevent malnutrition and sarcopenia.