Aging Well
Conditions
Keywords
Aging, Community-dwelling, Exercise, Care model
Brief summary
The goal of this clinical trial is provide a scientific evaluation on the impact of the Jockey Club Get Fitness Campaign to improve the physical capacity and health condition of the community-dwelling older adults after the COVID-19 pandemic. Participants will take part in any of the four care models: * a box of exercise equipment * a box of exercise equipment with verbal briefing * a box of exercise equipment and engage in the 8-week group-based exercise training * receive the wonderful box of exercise equipment and engage in the 8-week group-based exercise training together with the 6-week behavioral modification Participants with greater physical dependency, greater chronic disease burden or lower motivation for social engagement will take part in any of the three care models: * a box of exercise equipment only * a box of exercise equipment with verbal briefing * a box of exercise equipment and engage in the 4-session home-based exercise training, together with the 6-week behavioral modification
Detailed description
This clinical trial is a mixed-method study which uses multi-level design to compare the effects of different program care models on behavioral and health-related outcomes among two different cohort of community-dwelling older adults. Exercise level and self-efficacy, physical capacity, social connectivity, geriatric symptoms, and health status are measured. A total of 1300 participants will be recruited. Outcome evaluation 8 weeks after intervention and 3 months after intervention will be included to allow the detection of immediate and long-term program benefits. In-depth individual and focus-group interviews will be conducted to solicit the participants' experience and perceived benefits of the program.
Interventions
BEHAVIORALEquipment box
Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction only.
BEHAVIORALEquipment box with briefing
Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction, and they are given verbal briefing on how to use the equipment.
BEHAVIORALExercise training
Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises.
BEHAVIORALExercise training with behavioral modification
Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises. After finishing the exercise training program, a 6-week behavioral modification is provided. Two home visits and four telephone visits are conducted to empower the participants for exercise at home.
Sponsors
The Hong Kong Jockey Club Charities Trust
The University of Hong Kong
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age above 60 years * Resident of public rental house
Exclusion criteria
* Any contraindication to exercise training
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Step count | Changes from baseline to 8 weeks after start intervention | Step count per day measured by a pedometer |
| Functional mobility score | Changes from baseline to 8 weeks after start intervention | Score measured by Life Space Assessment questionnaire (range: 0-120), higher score better performance |
| Exercise self-efficacy score | Changes from baseline to 8 weeks after start intervention | Score measured by Self-Efficacy for Exercise Scale questionnaire (range 0-90), higher score higher self-efficacy for exercise |
| Hand grip strength | Changes from baseline to 8 weeks after start intervention | Hand grip strength measured by hand-held dynamometer in unit of KG |
| Performance of timed up-and-go test | Changes from baseline to 8 weeks after start intervention | Measured by timed up-and-go test in unit of second |
| Mobility limitation score | Changes from baseline to 8 weeks after start intervention | Measured by Short Physical Performance Battery (range 0-12), higher score better physical performance |
| Sarcopenia risk score | Changes from baseline to 8 weeks after start intervention | Measured by Sarcopenia(SARC) questionnaire and calf circumference in unit of cm (range0-20), higher score higher risk of sarcopenia |
| Frailty risk score | Changes from baseline to 8 weeks after start intervention | Measured by Edmonton Frail Scale questionnaire (range0-17), higher score more severer frailty |
| Social connectedness score | Changes from baseline to 8 weeks after start intervention | Measured by Social Connectedness Scale questionnaire (20-100), higher score stronger social connectedness |
| Insomnia risk score | Changes from baseline to 8 weeks after start intervention | Measured by Insomnia Severity Index questionnaire (range0-28), higher score greater severity of insomnia |
| Mental health score | Changes from baseline to 8 weeks after start intervention | Measured by Mental Health Inventory questionnaire (range 0-100), higher score better mental health |
| Fatigue score | Changes from baseline to 8 weeks after start intervention | Measured by Brief Fatigue Inventory questionnaire (range0-10), higher score greater fatigue |
| Loneliness score | Changes from baseline to 8 weeks after start intervention | Measured by UCLA Loneliness Scale questionnaire (range20-80), higher score greater loneliness |
| Health status self-rated score | Changes from baseline to 8 weeks after start intervention | Measured by EQ05D-5L questionnaire (range -0.59-1.0), higher score better quality of life |
Countries
Hong Kong
Outcome results
None listed