Curiously, the physical environment within the home setting has not been extensively studied in relation to older adults' physical activity and sedentary behaviors. medical intensive care unit Given the growing amount of time older adults spend in their homes as they age, optimizing these environments is key to promoting healthy aging. Subsequently, this study seeks to explore older adults' perspectives on the improvement of their home environments to support physical activity and thereby promote healthy aging.
A qualitative, exploratory research design will be adopted in this formative study, encompassing in-depth interviews and a purposive sampling approach. Participants' data will be collected via IDIs as part of the study. 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. NVivo V.12 Plus software will be utilized for a thematic analysis of the study's data.
Ethical review and approval for this investigation have been secured from the College of Engineering Research Ethics Committee, Swansea University (NM 31-03-22). The dissemination of the study's findings involves both the scientific community and the individuals who participated in the study. The results will provide a platform for a comprehensive examination of older adults' opinions and outlooks concerning physical activity in their homes.
Ethical approval for this research project has been secured from the College of Engineering Research Ethics Committee (NM 31-03-22) at Swansea University. The study's conclusions will be shared with the scientific community, as well as the individuals who took part in the study. The outcomes will illuminate the way older adults perceive and feel about physical activity inside their residences.
To examine the safety and appropriateness of neuromuscular stimulation (NMES) as a supplementary treatment for recovery following vascular and general surgical procedures.
Randomized, controlled, prospective, single-center, single-blind parallel-group study design. At a National Healthcare Service Hospital within the UK's secondary care sector, this research will be a single-centre study. Patients admitted for vascular or general surgery, who are 18 years of age or older, and exhibit a Rockwood Frailty Score of 3 or greater. An unwillingness or inability to participate in the trial, coupled with implanted electrical devices, pregnancy, and acute deep vein thrombosis, all represent exclusions. We are aiming for one hundred new recruits. Participants are to be randomly divided into two groups, pre-surgery: the active NMES group (Group A), and the placebo NMES group (Group B). Participants, kept unaware of treatment specifics, will employ the NMES device one to six times daily (30 minutes per session) post-surgery, complemented by standard NHS rehabilitation, until their discharge. The acceptability and safety of NMES are determined by the evaluation of the device satisfaction questionnaires at discharge and the adverse events that occurred during the hospital stay. 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.
Ethical clearance was obtained from both the London-Harrow Research Ethics Committee (REC) and the Health Research Authority (HRA), with reference number 21/PR/0250. National and international conferences, coupled with peer-reviewed journal publications, will serve as platforms for presenting the findings.
Regarding NCT04784962.
The study NCT04784962.
The EDDIE+ program, a theory-driven, multifaceted intervention, equips nursing and personal care staff with the skills and authority to recognize and address early signs of decline in aged care facility residents. Residential aged care (RAC) homes' needless hospital admissions are the target of the intervention's preventative measures. A process evaluation, designed to assess the fidelity, acceptability, mechanisms of action, and contextual barriers and enablers of the EDDIE+ intervention, will be integrated into the stepped wedge randomized controlled trial design.
This research involving twelve RAC homes in Queensland, Australia, is underway. The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework will guide a thorough mixed-methods evaluation of the program, addressing its intervention fidelity, contextual influences, the mechanisms of action, and acceptability across multiple stakeholder perspectives. Quantitative data will be collected proactively from project records, including an initial mapping of the context surrounding participating sites, meticulous activity logs, and regular check-in communication forms. Qualitative data collection will be implemented post-intervention through semi-structured interviews designed for various stakeholder groups. The i-PARIHS constructs—innovation, recipients, context, and facilitation—will guide the analysis of both qualitative and quantitative data.
Following ethical approval from the Bolton Clarke Human Research Ethics Committee (approval number 170031) and the Queensland University of Technology University Human Research Ethics Committee (2000000618), this research study has been deemed ethically sound. Full ethical approval mandates a waiver of consent for access to anonymized resident data, comprising demographics, clinical records, and healthcare utilization information. A Public Health Act application will be the mechanism for acquiring a distinct health services data linkage based on addresses from the RAC. Dissemination of the study findings will employ several platforms, including publications in academic journals, presentations at conferences, and interactive online seminars involving the stakeholder network.
The Australia New Zealand Clinical Trial Registry (ACTRN12620000507987) ensures transparency and accountability in the conduct of clinical trials.
The Australia New Zealand Clinical Trial Registry (ACTRN12620000507987) is a crucial resource for researchers.
Despite the demonstrated effectiveness of iron and folic acid (IFA) supplements in mitigating anemia among pregnant women, their use remains below desirable levels in Nepal. We theorized that supplementing antenatal care with virtual counseling twice during mid-pregnancy would increase compliance with IFA tablets during the COVID-19 pandemic.
An individually randomized, non-blinded, controlled study within the Nepalese plains features two study arms: (1) standard antenatal care; and (2) standard antenatal care supplemented by virtual antenatal counseling. Married pregnant women, possessing the ability to respond to questions, between the ages of 13-49, in their 12th to 28th week of pregnancy, and intending to reside in Nepal for the upcoming five weeks, are eligible for enrolment. The mid-pregnancy intervention comprises two virtual counseling sessions facilitated by auxiliary nurse-midwives, with a gap of at least two weeks between them. Dialogical problem-solving is a key component of virtual counselling for pregnant women and their families. hepatopancreaticobiliary surgery 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. Post-enrollment, outcomes are evaluated 49 to 70 days later, unless delivery occurs sooner, in which case evaluation happens by the time of delivery.
In the past 14 days, at least 80% of the time saw IFA consumption.
A diverse diet, intake of intervention-recommended foods, and practices to boost iron bioavailability, combined with knowledge of iron-rich foods, are essential for optimal health. Our mixed-methods evaluation probes the acceptability, fidelity, feasibility, coverage (equity and reach), sustainability, and routes to impact of the process. We determine the intervention's financial implications and cost-effectiveness from the provider's point of view. Intention-to-treat analysis is conducted using logistic regression for the primary analysis.
Our research was deemed ethically sound and received approval from the Nepal Health Research Council (570/2021) and the UCL ethics committee (14301/001). Our findings will be shared through a combination of peer-reviewed journal publications and interaction with policymakers in Nepal.
The ISRCTN registration number is 17842200.
The ISRCTN register contains the entry for the clinical trial with unique reference number ISRCTN17842200.
Returning home from the emergency department (ED) presents a unique set of obstacles for frail elderly individuals, stemming from a complex interplay of physical and social factors. Axitinib These challenges are mitigated by paramedic supportive discharge services, which integrate in-home assessment and intervention services. Our objective is to depict existing paramedic programs designed for supporting the discharge of patients from hospitals or emergency departments to prevent unnecessary admissions to the hospital. To comprehensively understand paramedic supportive discharge services, we will analyze the literature to illustrate (1) the rationale for these programs, (2) the individuals served, referral sources, and service delivery mechanisms, and (3) the specific assessments and interventions used.
Our research will encompass studies investigating expanded paramedic roles (community paramedicine) and the expanded scope of post-discharge care provided by emergency departments and hospitals. Every study design, irrespective of its linguistic origin, will be included without exception. From January 2000 to June 2022, we will incorporate peer-reviewed articles, preprints, and a focused search of the grey literature. In keeping with the Joanna Briggs Institute's methodology, the scoping review that is proposed will be carried out.