Hospital-to-Home Rehabilitation Through Exercise and Cognitive Training

Comparación Entre Ingreso Hospitalario y Hospitalización Domiciliaria y Análisis de Una Intervención Multicomponente en Adultos Mayores: Ensayo Clínico Aleatorizado

This research project is structured in two phases: an initial observational phase and a subsequent randomized controlled trial (RCT) phase. The goal of the observational phase is to compare hospital admission and Hospital at Home (HaH). The objective of the RCT is to assess the effectiveness of a multicomponent intervention following acute hospitalization in older adults. The main questions it aims to answer are:

• What are the differences between hospital admission and HaH in sedentary and physical activity levels?
• What are the effects of a multicomponent intervention following acute hospitalization in older adults?

Researchers will compare a post-discharge multicomponent intervention to usual care to see the effects on physical and cognitive function.

Participants will receive a home-based cognitive and physical exercise intervention or usual care.

Inclusion Criteria:

• Older adults admitted to the hospital or Hospital at Home (HaH) due to an acute illness.
• Residents of Navarre.
• Willingness to participate on a voluntary basis.
• Ability to ambulate with or without assistance.
• Ability to communicate and collaborate with the research staff.

Exclusion Criteria:

• Acute illness that does not allow the assessment and practice of physical exercise during the study.
• Medical contraindication for the practice of physical exercise.
• Severe dementia.
• Refusal to sign the informed consent form by the patient, accompanying person, or legal guardian.