Wearable device intervention for improving activity and sleep in elderly patients

IntelligentCare: the Impact of a Wearable-based Intervention in an Ambulatory Hospital Setting to Improve Health in Multimorbidity Through Physical Activity and Sleep

This study is testing whether using wearable devices can help older adults with multiple health issues be more active and sleep better.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 80 (estimated)
• Ages: 65 Years and up
• Sex: All
• Sponsor: GLSMED Learning Health S.A. (other)
• Locations: 1 site (Lisboa)
• Trial ID: NCT05777291 on ClinicalTrials.gov

What this trial studies

This intervention focuses on using wearable devices to promote physical activity and improve sleep quality among elderly patients with multimorbidity. The study involves an open-label randomized controlled trial where participants over 65 years old will receive behavioral change techniques through activity and sleep monitoring. Participants will be recruited from primary care and a specialist outpatient clinic, and they will be randomly assigned to receive physical activity promotion content. The goal is to assess the effectiveness of this non-pharmacological approach in managing health in older adults with multiple chronic conditions.

Who should consider this trial

Good fit: Ideal candidates for this study are elderly individuals over 65 years old who have multimorbidity and access to smartphones.

Not a fit: Patients who are already sufficiently physically active or have contraindications for physical activity may not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could enhance physical activity levels and sleep quality in elderly patients, potentially improving their overall health and quality of life.

How similar studies have performed: Other studies have shown promise in using wearable technology for health interventions, but this specific approach targeting elderly patients with multimorbidity is relatively novel.

Eligibility criteria

Inclusion Criteria:

* Multimorbidity defined as the presence of two or more of the following chronic conditions: hypertension, depression or anxiety, chronic musculoskeletal conditions causing pain or limitation, arthritis and/or rheumatoid arthritis, osteoporosis, asthma, COPD, ischemic heart disease, peripheral artery disease, heart failure, cerebrovascular diseases, chronic stomach or colon conditions, chronic hepatitis, diabetes mellitus, thyroid disorders, any active cancer in the previous five years, chronic kidney disease, chronic urinary conditions, hyperlipidemia, and obesity
* Must have access to their smartphones

Exclusion Criteria:

* patients who are sufficiently physically active (IPAQ-SF \> 150 min aerobic physical activity per week)
* existing absolute contraindication for PA according to the American College of Sports Medicine (acute myocardial infarction within two days, ongoing unstable angina, uncontrolled cardiac arrhythmia with hemodynamic compromise, active endocarditis, symptomatic severe aortic stenosis, decompensated heart failure, acute pulmonary embolism, pulmonary infarction, deep venous thrombosis, acute myocarditis or pericarditis, acute aortic dissection, physical disability that precludes safe and adequate testing)
* poor comprehension of Portuguese language
* disabling neurological disorder (defined as mRankin score ≥4), severe psychiatric illness, learning disability, dementia and cognitive impairment, registered blind
* housebound or resident in a nursing home or non-ambulant
* advanced cancer
* scheduled for surgery within five months after the first consultation
* orthopedic or rheumatologic diseases with severe impairment
* chronic pain syndromes with inherently reduced mobility

Where this trial is running

Lisboa

• Hospital da Luz Learning Health — Lisboa, Portugal (RECRUITING)

Study contacts

• Principal investigator: Bernardo Neves, MD — Researcher
• Study coordinator: Bernardo Neves, MD

Conditions: Multimorbidity, Exercise, Sleep