Frailty, Well-Being, Psychological
Conditions
Keywords
Subjective well-being, frailty, psychoeducation
Brief summary
This study aims to examine the effectiveness of a 12-week home-based telerehabilitation programme on improving subjective well-being among community-dwelling older people with frailty. The main question it aims to answer is \- Could home-based psychoeducation significantly enhance subjective well-being in older adults with frailty in the community? Participants will receive 12 weekly online group-based sessions at their homes. The content for the experimental group and control group is different: * Intervention group: psychoeducation * Control group: physical health education Participants will receive three home visits for data collection. Some of participants in experimental group will receive interview for process evaluation.
Interventions
OTHERPsychoeducation
The content of psychoeducation is based on Five Ways of Well-being which covers Be active, Connect, Take Notice, Keep learning and Giving.
OTHERAttention control
The content of the sessions mainly focuses on physical health information, such as healthy eating, physical exercise, prevention of falls, and pain management.
Sponsors
TAO An
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(1) Aged 65 or older; (2) Identified as frail by the FRAIL scale (score ≥3); (3) Mentally competent as determined by the Abbreviated Mental Test (AMT ≥6); (4) Able to speak and understand Cantonese; (5) Living at home; (6) Experienced in using a smartphone (e.g., sending messages, watching videos).
Exclusion criteria
(1) Have visual or hearing impairments or language barriers that may impact communication or understanding; (2) Unfit for home-based exercise, as indicated by a score of 1 or higher on the 25-item HOME-FAST, a tool for identifying home fall hazards; (3) Currently engaging in exercise for at least 150 minutes per week over the past four weeks; (4) Undergoing active psychiatric or antidepressant treatment or participating in other physical exercise or rehabilitation programs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective well-being | baseline, 12 weeks post-allocation, 24 weeks post-allocation | The Chinese 5-item World Health Organization Well-Being Index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Social support | baseline, 12 weeks post-allocation, 24 weeks post-allocation | 10-item Duke Social Support Index |
| Frailty level | baseline, 12 weeks post-allocation, 24 weeks post-allocation | FRAIL scale |
| Physical functioning | baseline, 12 weeks post-allocation, 24 weeks post-allocation | The Senior Fitness Test: It covers four dimensions, including muscle endurance, balance, flexibility, and tolerance measured by 30-sec arm-curl test, 30-sec chair-stand test, back-scratch test, chair sit-and-reach test, 8-foot up-and-go test, two-min step test |
| Quality of life | baseline, 12 weeks post-allocation, 24 weeks post-allocation | EuroQol 5-Dimension 5-Level |
| Instrumental activities of daily living | baseline, 12 weeks post-allocation, 24 weeks post-allocation | Lawton Instrumental Activities of Daily Living Scale |
| Depressive symptoms | baseline, 12 weeks post-allocation, 24 weeks post-allocation | 4-item Geriatric Depression scale |
| Activities of daily living | baseline, 12 weeks post-allocation, 24 weeks post-allocation | Katz Index of Independence in Activities of Daily Living |
Countries
Hong Kong
Contacts
Primary ContactAn TAO
Outcome results
None listed