Frailty in Older Adults
Conditions
Brief summary
This pilot randomized controlled trial is designed to investigate the effectiveness of chair-bound exergaming on improving physical and cognitive function in pre-frail/ frail nursing home residents
Detailed description
Objective To explore the effects of the chair-bound exergaming on the enjoyment of physical activity in in pre-frail/ frail nursing home residents. To evaluate the effects of the chair-bound exergaming in improving physical and cognitive function in pre-frail/ frail nursing home residents. Research plan and methodology Thirty nursing home residents will be recruited from the nursing homes. All the eligible participant will be randomly allocated to either one of the following 2 groups (i) Exergaming (intervention group), or (ii) wait list control. 1. Intervention group (exergaming group, ERG) Those allocated to the ERG will receive supervised chair-bound exercise programme for 12 weeks. 2. Control group (wait list control, CG) Those allocated to the CG will receive supervised chair-bound exercise programme for 12 weeks after post-assessment.
Interventions
BEHAVIORALExergaming
This intervention will last 12 weeks. Frail/ pre-frail participants will engage in supervised chair-bound exergaming.
Sponsors
Hong Kong Metropolitan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* older adults aged 60 years or older living in the nursing homes; * pre-frail or frail according to the Fried Frailty Phenotypes; * ability to understand and execute instructions; and * ability to sit unassisted on a chair or in a wheelchair.
Exclusion criteria
* no controlled medical diagnosed of severe cardiometabolic, respiratory and musculoskeletal disorders; * any conditions that hinder the participation of intervention and assessment; and * being involved in any other clinical trials.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| upper extremity endurance | T0: baseline | upper extremity endurance measured by arm curl test |
| enjoyment | T0: baseline | enjoyment of physical activity measured by Physical Activity Enjoyment Scale (PACES) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sitting balance | T0: baseline | sitting balance measured by sitting with opened eyes, sitting with closed eyes, sitting with shaking no and sitting with lifted leg |
| feasibility, acceptability and appropriateness of intervention | T2: immediately (1 week) after intervention | feasibility, acceptability and appropriateness of intervention measured by questionnaire |
| upper extremity strength | T0: baseline | upper extremity strength measured by handheld dynamometer |
| cognitive function | T0: baseline | cognitive function measured by Montreal Cognitive Assessment (MoCA), range: 0-30; lower score indicates more cognitive impairment. |
| mental health | T0: baseline | mental health measured by Patient Health Questionnaire-4 (PHQ-4), range: 0-12; higher score indicates more psychological distress |
| lung capacity | T0: baseline | lung capacity measured by peak flow meter |
Countries
Hong Kong
Contacts
Primary ContactBonny YM Wong
Outcome results
None listed