Psychological
Conditions
Brief summary
This study will adopt the intervention of mindful yoga to improve the psychological well-being of older adults who discharged from hospital and their caregivers in Hong Kong.
Detailed description
In the proposed study, the investigators will conduct a fully powered, double-blind, and multicentered randomized controlled trial (RCT) of the efficacy of mindful yoga versus a psychoeducation control. The study sample will consist of older adults discharged from hospitals within the previous 3 months and their informal caregivers. The investigators will aim to determine: (1) the efficacy of mindful yoga in the study group versus the control group in improving the dyadic psychological well-being (as measured by depression, anxiety, stress, and meaning of life) of older adult-caregiver dyads (e.g., both actor and partner effects); (2) whether these improvements were maintained after 3 and 6 months; and (3) the lived experiences of older adults and their caregivers. The investigators hypothesize that: (1) mindful yoga will be more efficacious in improving outcomes compared with the control condition; (2) there will be both actor and partner effects of the intervention on the primary and secondary outcomes; and (3) these outcome improvements will be maintained at 3 and 6 months.
Interventions
BEHAVIORALMindful yoga
12 week mindful yoga intervention
BEHAVIORALPsychoeducation
12 week psychoeducation sessions
Sponsors
The University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Older adults discharged from hospital * older adults aged 65 years or above; * individuals who have been discharged from a local hospital within the previous 3 months who qualify for the Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment and are receiving services from community support services; * individuals with no mobility issues or who have limited mobility but can access the intervention sites using a wheelchair and are capable of practicing mindful yoga, even if in a wheelchair; and * individuals who can understand Cantonese. Caregivers: • living with older adults during the transition period from hospital to home.
Exclusion criteria
Older adults discharged from hospital * older adults diagnosed with depression, anxiety, or stress disorders by certified doctors; * older adults diagnosed with severe dementia; * homebound older adults who face difficulty attending the intervention sites; and * older adults having a tech-enabled Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score \<0.17 or \>0.29. Caregivers: • Family caregivers who have been diagnosed with severe mental health issues will be excluded from the proposed study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Depression, Anxiety, and Stress Scale | Through study completion, an average of 12 weeks | The total score ranges from 0 to 63. Higher score indicates higher level of depression, anxiety and stress |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Five Facet Mindfulness Questionnaire | Through study completion, an average of 12 weeks | The total score ranges from 39 to 195. Highers score indicates higehr level of mindfulness |
| The meaning in life scale | Through study completion, an average of 12 weeks | The total score ranges from 10 to 70. Higher scores indicates higher level of meaning in life |
| The Depression, Anxiety, and Stress Scale | 3 months follow-up | The total score ranges from 0 to 63. Higher score indicates higher level of depression, anxiety and stress |
Countries
Hong Kong
Contacts
Primary ContactQi Wang
Backup ContactXiaochen Zhou
Outcome results
None listed