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IRCT20230219057454N2 IRCT 2025-02-09 Esfahan University of Medical Sciences The effect of follow-up care on the psychological consequences of prolonged Covid in the elderly The impact of the continuous care model on self-care behaviors related to the psychological symptoms of older adults to prevention of long-covid-19 complications 2025-02-19 anticipated 144 Complete https://irct.ir/trial/81464 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Other, Purpose: Prevention, Other design features: Allocation to the study groups is such that one group is considered as an intervention and receives the intervention of the continuous care model, and one group is considered as a control and does not receive any intervention, Randomization description: Choosing one of the two health centers No. 1 and 2 in Isfahan by simple random draw, then choosing 4 comprehensive health centers covered by the previously selected center by simple random draw, then from these four centers, using the method A simple random draw of two centers to select control groups and two centers to select intervention groups will be considered.Then, from among the people covered by the centers selected for the control group, 72 people eligible to enter the study (36 people in each center) are placed in the control group using a random number table, And among the people covered by the centers selected for the intervention group, 72 people qualified to enter the study (36 people in each center) were placed in the intervention group using a table of random numbers, Blinding description: All the participants of the control and intervention groups in the study do not know which of the control and intervention groups they belong to. N/A Condition 1: Depression. Condition 2: Anxiety. Condition 3: Fatigue Syndrom. Intervention 1: The intervention of this study is based on the follow-up care model and during face-to-face training classes for the test group. The stages of this model include familiarization, sensitization, control, and evaluation. The first step in the follow-up care model is familiarization, which aims to get to know each other (elderly, family, and educator) and explain the steps of the model. The steps of this stage include introducing the educator to the elderly and family, clarifying the educator's expectations in the study stages, specifying the expectations of the elderly and their family, completing ethical consideration forms, agreeing on the time of training sessions, and conducting a pre-test by filling out the elderly depression, elderly anxiety, and Chalder's fatigue questionnaires by the elderly. The sensitization phase aims to involve the elderly and their families in implementing the follow-up care model in the test group in 4 sessions of 30 to 45 minutes, depending on the level of tolerance and acceptance of the elderly. In the first session, anxiety and depression after Covid in the elderly are discussed with the aim of familiarizing the elderly with these diseases and ways to reduce and control them, and teaching self-care exercises related to them, and appropriate educational videos in this regard will be sent to the elderly via a virtual channel. In the second session, information will be provided to the elderly about weakness and fatigue after Covid and muscle breakdown, its complications and consequences, and ways to reduce and deal with it. In the third and fourth sessions, training will be provided on appropriate physical activity and types of appropriate exercises to strengthen muscles, and educational videos suitable for the elderly to increase physical strength and strengthen muscles, including aerobic, strength, and resistance exercises, will be presented and sent to the elderly. In this stage, the questionnaires for elderly depression, elderly anxiety, and Chalder's fatigue will be completed again by the elderly in the test group. In the control phase, telephone calls will be made in accordance with the care needs of the test group, and the information that has been taught to the elderly in the form of lectures and educational videos during the training sessions will be repeated to them every week in retraining sessions, by telephone or through virtual channels. In the evaluation phase, the evaluation of the desired variables will be carried out using questionnaires. Finally, this phase will end with the completion of the questionnaire at the end of the third month after the intervention, in the test and control groups. The content of the training sessions will also be made available to the elderly in the control group after the completion of the project. Intervention 2: For the control group, the first and last step in the follow-up care model is the familiarization and evaluation problem, which aims to familiarize mutual understanding (elderly, family, and educator) and explain the steps of the model. The steps in this step include introducing the educator to the elderly and family, clarifying the educator's expectations in the study stages, specifying the expectations of the elderly and their family, completing ethical consideration forms, agreeing on the time of the educational sessions, and conducting a pre-test by filling out the questionnaires on elderly depression, elderly anxiety, and Chalder's fatigue by the elderly. In the final step, or evaluation, the steps include evaluating the desired variables using questionnaires. The content of the educational sessions will be made available to the elderly in the control group after the plan is completed. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after de-identifying individuals. When: Access begins after results are printed. To whom: All people working in academic, scientific, and industrial sectors are able to receive data. Conditions: 1- Using information to conduct scientific and research studies 2- Not changing information and observing ethical standards Where to obtain: Research project implementers and authors 2- Research assistant of the relevant university and educational institution (Isfahan University of Medical Sciences). Contact information for research project implementers: 1- Ms. Maedeh Khalafai, Address: Isfahan, Third Abshar, 4th Alley of Shahid Tabaeiyan, Prince Park Building, Contact number: 09132748272, Email address: maedeh.kholafai.kh@gmail.com. Mr. Dr. Hossein Shahnazi, Address: Isfahan, Hezar Jerib Street, Isfahan University of Medical Sciences, School of Public Health, Department of Public Health Education, Contact number: 09133360148, Email address: h_shahnazi@yahoo.com. How to obtain: After contacting the project implementers and reviewing the applicant's scientific and ethical qualifications, the information will be provided to him/her as soon as possible. Comments:
public Hossein Shahnazi
Hezarjarib Ave, School of Health, Isfahan University of Medical Sciences, Isfahan
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3668 0048 h_shahnazi@hlth.mui.ac.ir Esfahan University of Medical Sciences scientific Hossein Shahnazi
Hezarjarib Ave, School of Health, Isfahan University of Medical Sciences, Isfahan
Isfahan Iran (Islamic Republic of) 81746-73461 +98 31 3792 3200 h_shahnazi@hlth.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) History of infection with covid Age over 60 years Consent to participate in the study 60 years no limit Both Suffering from specific mental illnesses including paranoid, schizophrenia, bipolar F33.8 F06.4 G93.3 Other recurrent depressive disorders Anxiety disorder due to known physiological condition Postviral fatigue syndrome Prevention N/A The intervention of this study is based on the follow-up care model and during face-to-face training classes for the test group. The stages of this model include familiarization, sensitization, control, and evaluation. The first step in the follow-up care model is familiarization, which aims to get to know each other (elderly, family, and educator) and explain the steps of the model. The steps of this stage include introducing the educator to the elderly and family, clarifying the educator's expectations in the study stages, specifying the expectations of the elderly and their family, completing ethical consideration forms, agreeing on the time of training sessions, and conducting a pre-test by filling out the elderly depression, elderly anxiety, and Chalder's fatigue questionnaires by the elderly. The sensitization phase aims to involve the elderly and their families in implementing the follow-up care model in the test group in 4 sessions of 30 to 45 minutes, depending on the level of tolerance and acceptance of the elderly. In the first session, anxiety and depression after Covid in the elderly are discussed with the aim of familiarizing the elderly with these diseases and ways to reduce and control them, and teaching self-care exercises related to them, and appropriate educational videos in this regard will be sent to the elderly via a virtual channel. In the second session, information will be provided to the elderly about weakness and fatigue after Covid and muscle breakdown, its complications and consequences, and ways to reduce and deal with it. In the third and fourth sessions, training will be provided on appropriate physical activity and types of appropriate exercises to strengthen muscles, and educational videos suitable for the elderly to increase physical strength and strengthen muscles, including aerobic, strength, and resistance exercises, will be presented and sent to the elderly. In this stage, the questionnaires for elderly depression, elderly anxiety, and Chalder's fatigue will be completed again by the elderly in the test group. In the control phase, telephone calls will be made in accordance with the care needs of the test group, and the information that has been taught to the elderly in the form of lectures and educational videos during the training sessions will be repeated to them every week in retraining sessions, by telephone or through virtual channels. In the evaluation phase, the evaluation of the desired variables will be carried out using questionnaires. Finally, this phase will end with the completion of the questionnaire at the end of the third month after the intervention, in the test and control groups. The content of the training sessions will also be made available to the elderly in the control group after the completion of the project. For the control group, the first and last step in the follow-up care model is the familiarization and evaluation problem, which aims to familiarize mutual understanding (elderly, family, and educator) and explain the steps of the model. The steps in this step include introducing the educator to the elderly and family, clarifying the educator's expectations in the study stages, specifying the expectations of the elderly and their family, completing ethical consideration forms, agreeing on the time of the educational sessions, and conducting a pre-test by filling out the questionnaires on elderly depression, elderly anxiety, and Chalder's fatigue by the elderly. In the final step, or evaluation, the steps include evaluating the desired variables using questionnaires. The content of the educational sessions will be made available to the elderly in the control group after the plan is completed. Geriatric Depression Scale scores. Timepoint: Before the intervention, immediately after the intervention, three months after the intervention. Method of measurement: Geriatric Depression Scale. Scores of Chalder Fatigue Questionnaire. Timepoint: Before the intervention, immediately after the intervention, three months after the intervention. Method of measurement: Chalder Fatigue Questionnaire. Geriatric Anxiety Scale scores. Timepoint: Before the intervention, immediately after the intervention, three months after the intervention. Method of measurement: Geriatric Anxiety Scale. Esfahan University of Medical Sciences Approved 2025-01-18 Ethical Committee of Isfahan University of Medical Sciences Isfahan University of Medical Sciences, Hazar Jarib Street, Isfahan city Isfahan Isfehan Iran (Islamic Republic of)