Health Behavior
Conditions
Keywords
Elderly, Health promotion, Randomized controlled study, Immigrant, Vulnerable population, ADL, KASAM, Implementation
Brief summary
The overarching aim with this study was to develop, implement and evaluate a health promoting programme for people from Finland or the Western Balkan region, who were 70 years of age or older and independent daily activites (1). The aim of the programme was to prevent or delay dependence in daily activities, health decline, and frailty. The study focused on both evaluation and implementation and the data collection finished in 2016
Detailed description
The study has developed tools for collaboration between the target group, staff and researchers, as well as with tools to bridge barriers to health promotion. For example, alternative ways to recruit participants and to collect and analyse data in studies with and for people who are ageing in a migration context. The findings describe how a person-centred approach could be used to make use of the resources of the target groups, and visualise methods to bridge linguistic barriers. The education material from Older people in the risk zone has also been translated to Bosnian Serbo-Croatian and Finnish.
Interventions
BEHAVIORALSenior meetings
The intervention will be led by professionals such as a registered occupational therapist, a nurse, a physical therapist, and a social worker. The intervention will comprise four weekly meetings in small groups (4-6 participants) in addition to an individual follow-up home visit two to three weeks after the last senior meeting. To use groups involve the possibility of peer education where participants in a person-centeredness perspective are seen as experts on their own situation and learn from each other. The relationship between the personnel and the participants in the senior meetings can be described as a partnership. Respect for the participant and his/her values, and that the participant gets an opportunity to maintain and develop their own power over their own everyday activities will be essential in the meeting.
Sponsors
The Swedish Research Council
Göteborg University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Foreign-born from Finland or any of five countries in the Western Balkans (Bosnia-Herzegovina, Croatia, Macedonia, Montenegro, and Serbia) * 70 years of age or older * Living in Angered, Gothenburg * Living in their ordinary housing * Not dependent on informal or formal help in daily activities
Exclusion criteria
* Impaired cognition, Mini Mental State Examination (MMSE) below 80% of administered items
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Activities of Daily Life (ADL) | change from baseline at 6 months and 1 year | The ADL-staircase |
| Change of Sense of Coherence (KASAM) | change from basline at 6 months and 1 year | KASAM (by Antonovsky) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Physical activity | basline, 6 months, and 1 year | Questionnaire and Physical and domestic activity scale |
| Change of Balance | basline, 6 months, and 1 year | The balance scale |
| Change of Gait speed | basline, 6 months, and 1 year | Four-meter walking test |
| Change of Weight loss | basline, 6 months, and 1 year | The Göteborg Quality of Life Instrument |
| Change of Cognition | basline, 6 months, and 1 year | Mini Mental State Examination (MMSE) |
| Change of Visual impairment | basline, 6 months, and 1 year | KM-visual acuity chart |
| Change of Fatigue | baseline, 6 months, and 1 year | The Mob-T scale |
| Change of Fear of falls | baseline, 6 months, 1 year | FES-I |
| Change of Illness | Baline, 6 months, and 1 year | CIRS-G |
| Change of Symptoms | Basline, 6 months, and 1 year | The Göteborg Quality of Life Instrument |
| Change of Change of Depression | Baseline, 6 months, and 1 year | GDS 20 |
| Health-care consumption | Baseline, 6 months, and 1 year | Register data |
| Change of Falls | basline, 6 months, and 1 year | Questionnaire |
| Change of Grip strength | baseline, 6 months, and 1 year | North Coast-dynamometer |
Countries
Sweden
Outcome results
None listed