<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1578-8423</journal-id>
<journal-title><![CDATA[Cuadernos de Psicología del Deporte]]></journal-title>
<abbrev-journal-title><![CDATA[CPD]]></abbrev-journal-title>
<issn>1578-8423</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Murcia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1578-84232021000100271</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reducción de la sobrecarga del cuidador tras entrenamiento supervisado en ancianos pluripatológicos y paliativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Reduced caregiver overload after supervised training in pluripathological and palliative elderly]]></article-title>
<article-title xml:lang="pt"><![CDATA[Redução da sobrecarga do cuidador após o treinamento supervisionado em idosos pluripatológicos e paliativos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanchis-Soler]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[San Inocencio-Cuenca]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llorens]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blasco-Lafarga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universitat de València UIRFIDE (Unidad de Investigación en Rendimiento Físico y Deportivo) ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Alicante Departamento de Didáctica General y Específica ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Universitario de Alicante Servicio de Urgencias, Unidad de Corta Estancia y Unidad de Hospitalización a Domicilio, ISABIAL Fundación FISABIO, Alicante]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universitat Miguel Hernández Departamento de Medicina Clínica ]]></institution>
<addr-line><![CDATA[Elx Alicante]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universitat de València Departamento de Educación Física y Deportiva ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<fpage>271</fpage>
<lpage>281</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1578-84232021000100271&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1578-84232021000100271&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1578-84232021000100271&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo.  Conocer la relación entre el nivel de independencia de un grupo de ancianos crónicos-pluripatológicos y paliativos (ACP-P) y la sobrecarga de sus cuidadores, tras un programa de entrenamiento multicomponente adaptado al ámbito domiciliario.  Diseño.  mixto, cuantitativo y cuasiexperimental, con medidas repetidas en el factor Entrenamiento, y dos factores de agrupación: edad (70-79 y &#8805;80 años) y nivel de deambulación del ACP-P (anda/no anda).  Emplazamiento.  Intervención realizada en la Unidad de Hospitalización a Domicilio (UHD) del Hospital General de Alicante, durante 2014-2016.  Participantes.  17 pacientes ACP-P, edad media 81,6 años (DE 5,6). Intervención. 3 sesiones semanales durante 26 semanas del programa de entrenamiento funcional-cognitivo EFAM-UVH©; 3 fases, reduciendo progresivamente la presencia del entrenador para fomentar la autonomía (28 sesiones supervisadas y 20 autónomas en total).  Mediciones principales.  Evaluación de Sobrecarga del cuidador (Zarit) y Nivel de independencia (Índice de Barthel &#8220;IB&#8221;), apoyados por indicadores fisiológicos y funcionales.  Resultados.  IB mejoró con el entrenamiento supervisado (p&lt;0,05), y se mantuvo o descendió leve, aunque no significativamente, al aumentar la autonomía. Estas mejoras se acompañaron de una reducción en la sobrecarga del cuidador, con una dinámica similar, fundamentalmente en cuidadores del grupo &lt;79 años y de los que no andan. No se encontró relación entre IB y Zarit, pero los deltas de ambas variables se asociaron en las fases supervisadas (r=-0,596, p=0,015), reflejando el impacto del ejercicio.  Conclusiones.  El entrenamiento multicomponente ayuda a contener la sobrecarga del cuidador, reducida de forma concomitante al aumento de independencia del ACP-P entrenado. Este beneficio indirecto potencia la necesidad de equipos multidisciplinares y programas de ejercicio temprano y supervisado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective.  To know the relationship between the level of independence of a group of chronic-pluripatological and palliative elders (ACP-P) and the overload of their caregivers, after a multicomponent training program adapted to the home environment.  Design.  Mixed, quantitative and quasi-experimental design, with repeated measures in the training factor, and two grouping factors: age (70-79 and &#8805;80 years) and the ambulation level of the ACP-P (walk /don't walk).  Location.  Intervention carried out in the Home Hospitalization Unit (HHU) of the General Hospital of Alicante, during 2014-2016.  Participants.  17 ACP-P patients [81.6 years (SD5.6)].  Intervention.  3 weekly sessions for 26 weeks of the EFAM-UVH© multicomponent training program (functional + cognitive); 3 phases, progressively reducing the presence of the coach to promote autonomy (28 supervised and 20 autonomous sessions in total).  Main measurements.  Evaluation of caregiver overload (Zarit) and level of independence (Barthel Index &#8220;BI&#8221;) of the ACP-P, supported by physiological and functional indicators.  Results.  BI improved with supervised training (p&lt;0.05), and remained or fell slightly, although not significantly, when increasing the autonomy. These improvements were accompanied by a reduction in the overload of the caregiver, with a similar dynamic, mainly in the caregivers of the group &lt;79 years and those who do not walk. No relationship was found between IB and Zarit, but the deltas of both variables were associated in the supervised phases (r = -0.596, p = 0.015), reflecting the impact of physical exercise.  Conclusions.  Multicomponent exercise training at the HHU helps to contain the caregiver's overload, reduced concomitantly to the increased of independence of the trained ACP-P. This indirect benefit maximizes the need of multidisciplinary teams, and early and supervised physical exercise training programs.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Objetivo.  Conhecer a relação entre o nível de independência de um grupo de idosos pluripatológicos e paliativos crônicos (ACP-P) e a sobrecarga de seus cuidadores, após um programa de treinamento multicomponente adaptado ao ambiente doméstico.  Desenho  misto, quantitativo e quase experimental, com medidas repetidas no fator Treinamento e dois fatores de agrupamento: idade (70-79 e &#8805;80 anos) e nível de deambulação do ACP-P (caminhada / partida).  Localização.  Intervenção realizada na Unidade de Hospitalização Doméstica (UHD) do Hospital Geral de Alicante, durante o período 2014-2016.  Participantes.  17 pacientes com ACP-P, com idade média de 81,6 anos (DP 5,6).  Intervenção.  3 sessões semanais por 26 semanas do programa de treinamento cognitivo-funcional EFAM-UVH ©; 3 fases, reduzindo progressivamente a presença do treinador para promover a autonomia (28 sessões supervisionadas e 20 autônomas no total).  Principais medidas.  Avaliação da sobrecarga do cuidador (Zarit) e nível de independência (Índice de Barthel "IB"), apoiados por indicadores fisiológicos e funcionais.  Resultados.  O IB melhorou com o treinamento supervisionado (p&lt;0,05) e permaneceu ou caiu ligeiramente, embora não significativamente, aumentando a autonomia. Essas melhorias foram acompanhadas por uma redução na sobrecarga do cuidador, com dinâmica semelhante, principalmente nos cuidadores do grupo &lt;79 anos e naqueles que não andam. Não foi encontrada relação entre IB e Zarit, mas os deltas de ambas as variáveis foram associados nas fases supervisionadas (r=-0,596, p=0,015), refletindo o impacto do exercício.  Conclusões.  O treinamento multicomponente ajuda a conter a sobrecarga do cuidador, reduzida concomitantemente à crescente independência do ACP-P treinado. Esse benefício indireto aumenta a necessidade de equipes multidisciplinares e programas de exercícios precoces e supervisionados.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[hospitalización a domicilio]]></kwd>
<kwd lng="es"><![CDATA[dependencia funcional]]></kwd>
<kwd lng="es"><![CDATA[ejercicio físico]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[home hospitalization]]></kwd>
<kwd lng="en"><![CDATA[functional dependence]]></kwd>
<kwd lng="en"><![CDATA[physical exercise]]></kwd>
<kwd lng="pt"><![CDATA[idoso]]></kwd>
<kwd lng="pt"><![CDATA[internação domiciliar]]></kwd>
<kwd lng="pt"><![CDATA[dependência funcional]]></kwd>
<kwd lng="pt"><![CDATA[exercício físico]]></kwd>
</kwd-group>
</article-meta>
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</ref-list>
</back>
</article>
