Frailty, Well-Being, Psychological
Conditions
Keywords
Subjective well-being, frailty, psychoeducation
Brief summary
This study aims to test the feasibility and acceptability of home-based psychoeducation in older adults with frailty in the community. The main questions it aims to answer are 1. Are the proposed eligibility criteria for participants and the study process in recruiting and retaining the participants appropriate? 2. Is home-based psychoeducation feasible and acceptable for 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 two home visits for data collection. An individual interview will be conducted with participants in the experimental group to explore their experiences.
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 . The participants will be engaged in psychoeducation through group discussion, individualised goal setting and reflective exercises.
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 years or over; (2) meeting frailty criteria by FRAIL scale (score 3 or above) ; (3) mentally competent screened by The Abbreviated Mental Test (AMT≥6) ; (4) able to speak and understand Cantonese; (5) living at home; (6) having experience using a smartphone (e.g.: sending messages, watching videos)
Exclusion criteria
(1) have a visual or hearing problem or a language barrier that may affect their communication or understanding; (2) being unfit for home-based exercise, as defined by having one point or above at either the 25-item Home Falls and Accidents self-reported screening tool (HOME-FAST), which is a comprehensive tool for identify home hazards for fall (3) are currently practising exercise for at least 150 minutes per week in previous four weeks; (4) are receiving active psychiatric or antidepressant treatment or joining other physical exercises or rehabilitation programmes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participation rate, self-reported intervention adherence, and attrition rate. | 12 weeks post-allocation | The feasibility of the study will be measured in terms of participation rate, self-reported intervention adherence, and attrition rate. |
| Acceptability | 12 weeks post-allocation | A 5-item satisfaction survey will be conducted by the end of the intervention for participants to rate the intervention in terms of appropriates of the session content, length of each session, overall intervention duration and delivery mode, from 1 (very dissatisfied) to 5 (very satisfied). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Activities of daily living | 12 weeks post-allocation | Katz Index of Independence in Activities of Daily Living |
| Instrumental activities of daily living | 12 weeks post-allocation | Lawton Instrumental Activities of Daily Living Scale |
| Subjective well-being | 12 weeks post-allocation | The Chinese 5-item World Health Organization Well-Being Index |
| Frailty level | 12 weeks post-allocation | FRAIL scale |
| Social support | 12 weeks post-allocation | 10-item Duke Social Support Index |
| Quality of life | 12 weeks post-allocation | EuroQol 5-Dimension 5-Level |
| Depressive symptoms | 12 weeks post-allocation | 4-item Geriatric Depression scale |
| Physical functioning | 12 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. |
Countries
Hong Kong
Outcome results
None listed