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Cuevas Lara, César

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https://academica-e.unavarra.es/handle/2454/48879

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Cuevas Lara

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César

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Ciencias de la Salud

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0000-0002-4282-8450

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136627

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2020 - 20213
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  • Thumbnail Image
    PublicationOpen Access
    A feasibility study for implementation 'Health Arcade': a study protocol for prototype of multidomain intervention based on gamification technologies in acutely hospitalized older patients
    (MDPI, 2020) Cuevas Lara, César; Izquierdo Redín, Mikel; Zambom Ferraresi, Fabíola; Sáez de Asteasu, Mikel L.; Marín Epelde, Itxaso; Chenhuichen, Chenhui; Zambom Ferraresi, Fabrício; Ramírez Vélez, Robinson; García Hermoso, Antonio; Casas Herrero, Álvaro; Capón Sáez, Amaya; Lozano Vicario, Lucía; Criado Martín, Irene; Sánchez Latorre, Marina; Antoñanzas Valencia, Cristina; Martínez Velilla, Nicolás; Ciencias de la Salud; Osasun Zientziak; Gobierno de Navarra / Nafarroako Gobernua; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
    The aim of this article is to present the research protocol for a study that will evaluate the feasibility of implementation of Health Arcade prototype multidomain intervention based on physical and cognitive training using gamification technologies at improving care for older people hospitalized with an acute illness. A total of 40 older people will be recruited in a tertiary public hospital at Pamplona, Spain. The intervention duration will be four to nine consecutive days. Additionally, the patients will receive encouragement for maintaining active during hospital stay and for reducing sedentary time. Primary implementation-related outcomes will be the adherence to treatment (i.e., number of games and days completed during the intervention period), reaction or response time, and number of success and failures in each game per day. Secondary implementation-related outcomes will be self-perceived grade of difficulty, satisfaction, enjoyment per game and session, and self-perceived difficulties in handling the prototype hardware. Other health-related outcomes will also be assessed such as functional capacity in activities of daily living, mood status, quality of life, handgrip strength, physical activity levels, and mobility. The current study will provide additional evidence to support the implementation of multidomain interventions designed to target older persons with an acute illness based on friendly technology. The proposed intervention will increase accessibility of in-clinical geriatrics services, improve function, promote recovery of the health, and reduce economic costs.
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    PublicationOpen Access
    A multi-domain group-based intervention to promote physical activity, healthy nutrition and psychological wellbeing in older people with losses in intrinsic capacity: AMICOPE development study
    (MDPI, 2021) Blancafort Alias, Sergi; Cuevas Lara, César; Martínez Velilla, Nicolás; Zambom Ferraresi, Fabrício; Soto Martín, María Eugenia; Tavassoli, Neda; Mathieu, Céline; Heras Muxella, Eva; Garibaldi, Pablo; Anglada, María; Amblàs Novellas, Jordi; Santaeugènia, Sebastiá; Contel, Joan Carles; Domingo, Àlex; Salvà Casanovas, Antoni; Ciencias de la Salud; Osasun Zientziak
    The World Health Organization has developed the Integrated Care of Older People (ICOPE) strategy, a program based on the measurement of intrinsic capacity (IC) as 'the composite of all physical and mental attributes on which an individual can draw'. Multicomponent interventions appear to be the most effective approach to enhance IC and to prevent frailty and disability since adapted physical activity is the preventive intervention that has shown the most evidence in the treatment of frailty and risk of falls. Our paper describes the development of a multi-domain group-based intervention addressed to older people living in the community, aimed at improving and/or maintaining intrinsic capacity by means of promoting physical activity, healthy nutrition, and psychological wellbeing in older people. The process of intervention development is described following the Guidance for reporting intervention development studies in health research (GUIDED). The result of this study is the AMICOPE intervention (Aptitude Multi-domain group-based intervention to improve and/or maintain IC in Older PEople) built upon the ICOPE framework and described following the Template for Intervention Description and Replication (TIDieR) guidelines. The intervention consists of 12 face-to-face sessions held weekly for 2.5 h over three months and facilitated by a pair of health and social care professionals. This study represents the first stage of the UK Medical Research Council framework for developing and evaluating a complex intervention. The next step should be carrying out a feasibility study for the AMICOPE intervention and, at a later stage, assessing the effectiveness in a randomized controlled trial.
  • Thumbnail Image
    PublicationOpen Access
    Prevention of functional decline through gamified interventions in hospitalized older adults
    (2021) Cuevas Lara, César; Martínez Velilla, Nicolás; López Sáez de Asteasu, Mikel; Ciencias de la Salud; Osasun Zientziak
    La presente tesis doctoral gira en torno a los efectos de programas de intervenciones gamificadas sobre la capacidad funcional en personas mayores hospitalizadas. La hospitalización es un proceso que conduce al desarrollo de discapacidad en las personas mayores. La discapacidad asociada a la hospitalización está inducida principalmente por la reducción de la actividad física y los frecuentes episodios de reposo en cama durante este proceso de restablecimiento de la salud. Las intervenciones gamificadas pueden ser una estrategia novedosa y efectiva para prevenir el deterioro funcional asociado a la hospitalización en los pacientes mayores. Esta tesis doctoral se basa en tres estudios científicos que han sido publicados en revistas científicas internacionales. En el primer estudio (Capítulo 1) nuestro objetivo fue evaluar la evidencia existente sobre la efectividad de intervenciones basadas en el juego en parámetros de salud (capacidad funcional, calidad de vida, etc.) de personas mayores hospitalizados. En el segundo estudio (Capítulo 2), el objetivo principal fue detallar la validación de un sistema piloto de intervención multidominio (entrenamiento físico y cognitivo) basado en tecnologías de gamificación para mejorar la capacidad funcional de los pacientes mayores hospitalizados. En el último estudio (Capítulo 3) analizamos los efectos de diferentes modalidades de programas de intervención gamificados sobre la capacidad funcional en personas mayores hospitalizadas en una Unidad Geriátrica de Agudos.