The Frailty Reduction via Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial: Study Protocol and Recruitment Results

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dc.contributor.authorInskip, Michael
dc.contributor.authorAlmendrales Rangel, Carolina
dc.contributor.authorNjoku, Chidiamara Maria
dc.contributor.authorBarnett, Fiona
dc.contributor.authorShih, Isabel
dc.contributor.authorO’Neill, Leonie
dc.contributor.authorFiatarone Singh, Maria A.
dc.contributor.authorValenzuela, Trinidad
dc.date.accessioned2024-05-31T19:41:50Z
dc.date.available2024-05-31T19:41:50Z
dc.date.issued2024-04-02
dc.descriptionIndexación: Scopus.
dc.description.abstractIntroduction: Virtually all adults in aged care facilities are frail, a condition which contributes to falls, cognitive decline, hospitalisation, and mortality. Polypharmacy, malnutrition, sedentariness, and sarcopenia are risk factors amenable to intervention. The Asia–Pacific Frailty Management Guidelines recommend anabolic exercise and the optimisation of medications and nutrition. However, no study has evaluated this best practice intervention triad in aged care. Methods: The Frailty Reduction via the Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial (ANZCTR No.ACTRN12622000926730p) is a staged 6-month translational trial evaluating resident outcomes, staff/caregiver knowledge, and institutional implementation in a Townsville aged care facility. Residents received high-intensity resistance exercise and balance training and medication and nutrition optimisation co-implemented by investigators (exercise physiologist, geriatrician, pharmacist, and nutritionist) and facility staff. Staff and caregivers completed comprehensive education modules and training. We report the trial protocol and recruitment results. Results: 29 residents (21 female, age: 88.6 ± 6.3 years) were recruited. At baseline, the residents were frail (frailty scale nursing home (FRAIL-NH); 6.3 ± 2.4/14), cognitively impaired (Montreal Cognitive Assessment; 13.8 ± 6.8/30), functionally impaired (Short Physical Performance Battery; 4.9 ± 3.1/12, 6 min walk distance; 222.2 ± 104.4 m), and were prescribed numerous medications (15.5 ± 5.9). Two residents died and one withdrew before the intervention’s commencement. Thirty family members and 19 staff (carers, allied health assistants, nurse managers, registered nurses, lifestyle–leisure officers, kitchen/hospitality staff, and senior leadership) were recruited to receive frailty education modules. Conclusions: The FRIEND trial is currently being implemented with results expected in mid-2024. This is the first trial to evaluate the implementation of the best practice frailty guidelines including anabolic exercise and medication/nutritional optimisation in residential aged care.
dc.description.urihttps://www-scopus-com.recursosbiblioteca.unab.cl/record/display.uri?eid=2-s2.0-85191701613&origin=resultslist&sort=plf-f&src=s&nlo=&nlr=&nls=&sid=14b29e8b42c49ef9267ac08f25adc4a9&sot=aff&sdt=cl&cluster=scofreetoread%2c%22all%22%2ct&sl=61&s=AF-ID%28%22Universidad+Andr%c3%a9s+Bello%22+60002636%29+AND+SUBJAREA%28BIOC%29&relpos=7&citeCnt=0&searchTerm=
dc.identifier.citationMethods and Protocols Open Access Volume 7, Issue 2April 2024 Article number 26
dc.identifier.doi10.3390/mps7020026
dc.identifier.issn24099279
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/57225
dc.language.isoen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.rights.licenseCC BY 4.0 DEED Attribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectaged care
dc.subjectexercise
dc.subjectfrailty
dc.subjectgerontology
dc.subjectmedication optimisation
dc.subjectnutrition
dc.titleThe Frailty Reduction via Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial: Study Protocol and Recruitment Results
dc.typeArtículo
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