Aged, Mental Health, Quality of Life
Conditions
Keywords
Intergenerational Interaction, Age-Friendly City, Recreational Sports Facilities, Elderly Participation in Sports, Quality of Life in Seniors, Service Quality in Sports Facilities, SERVQUAL Questionnaire, SWOT Analysis for Elderly Sports, Yoga for Seniors, Light Aerobic Exercises for Elderly, Non-Sporting Intergenerational Programs, Health Outcomes in Elderly, Depression Reduction in Seniors, Social Engagement in Elderly, Mashhad Municipality Sports Programs, Elderly Well-Being, Urban Recreational Strategies, Inclusive Sports Programs, Physical Activity for Seniors, Psychological Health in Elderly
Brief summary
This interventional study aims to design strategies to improve service quality and productivity in recreational sports facilities in Mashhad Municipality, focusing on creating an age-friendly city. The research consists of two parts: fieldwork and an experimental section. Field Section: 1. Assess seniors' perceptions of services using the SERVQUAL questionnaire and other tools. 2. Conduct a SWOT analysis to identify strengths, weaknesses, opportunities, and threats related to elderly sports participation. Experimental Section: Evaluate the impact of intergenerational sports activities on elderly participants (aged 60+). Participants were paired with younger individuals and randomly allocated to five groups, including a control group. Group Tasks: * Control Group: 78 seniors continued daily routines without structured activities. * Experimental Groups: 1. Non-sport intergenerational interaction sessions (90 minutes, 3x/week). 2. Intergenerational yoga sessions (90 minutes, 3x/week). 3. Light aerobic exercises + group discussions (90 minutes, 3x/week). 4. Non-exercise intergenerational sessions in a park (90 minutes, 3x/week). 5. Non-exercise intergenerational sessions in a nursing home (90 minutes, 3x/week). Field Study Sample: * 384 customers of Mashhad Municipality sports facilities (192 women, 192 men). Key Notes: * Elderly participants were selected through cluster sampling; younger participants were purposively sampled from Mashhad's Islamic Azad University. * Gender balance (50% women, 50% men) was maintained in all groups. Main Questions: 1. How do service quality factors influence customers of Mashhad Municipality sports facilities? 2. Do intergenerational programs improve quality of life, health, and well-being for seniors? 3. What are the strengths, weaknesses, opportunities, and threats for elderly sports participation? 4. What strategies can enhance elderly participation in sports?
Detailed description
1\. Data Collection Instruments The following questionnaires will be utilized to achieve the research objectives: 1. Demographic Characteristics Questionnaire: Includes variables such as age, gender, marital status, income, education level, occupation, and number of children. 2. Socio-economic Status Questionnaire: Assesses various dimensions of socio-economic status. 3. World Health Organization Quality of Life Questionnaire: Measures quality of life based on established criteria. 4. Elderly Depression Questionnaire: Assesses depression levels among elderly participants. 5. General Health Questionnaire (GHQ-28): A self-administered tool examining overall health, focusing on non-psychotic disorders. 6. Parent-Child Relationship Scale: Evaluates the dynamics of relationships between parents and their children. 7. Student Depression Questionnaire: Measures depression levels among university students. 8. Service Quality Questionnaire: Assesses the quality of services provided. 9. Facility Checklist and Productivity Index Checklist: Tools for evaluating facility conditions and efficiency. 10. World Health Organization Age-Friendly City Criteria Questionnaire: Assesses compliance with age-friendly city standards. 2\. Study Population and Sample Selection The study population includes two groups: * Elderly Participants: Individuals aged 60 years and older residing in Mashhad. Recruitment will occur through public announcements and notices in locations such as parks and mosques, aiming to enroll 150 elderly individuals using purposive and convenient sampling. * Young Participants: Students aged 20 to 24 years enrolled at Islamic Azad University. A total of 100 students (50 male, 50 female) will be recruited through public announcements and notices posted in all faculties during the academic year 2017-2018. After collecting demographic data and completing questionnaires, elderly participants will be randomly assigned to three groups: two experimental groups and one control group. The sample size is based on experimental research designs, with a larger number selected to enhance generalizability and reduce dropout rates. 3\. Limitations of the Study * Lack of accurate data on the number of active elderly individuals and their participation levels in regular sports activities. * Cultural barriers limiting women's participation in community activities. * Limited access to organizations specializing in elderly issues, restricting the ability to obtain a representative sample. 4\. Ethical Considerations * Participants will be informed about the study's objectives and methodology before participation. * Informed consent will be obtained from all participants. * Confidentiality of personal information will be maintained. * Private interpretations of results will be offered to interested individuals. * No financial burden will be imposed on participants. * The study will comply with religious and cultural standards relevant to participants and the broader community.
Interventions
BEHAVIORALIntergenerational Activity Program: This indicates a program that involves activities designed for interaction between older adults and younger participants
Engage in 90-minute intergenerational interaction sessions, three times a week for three months, in a controlled indoor environment. * Spend the first 45 minutes actively interacting with a younger participant in pairs, collaborating on activities of interest to the senior. * Participate in group activities such as book reading, puzzles, joke-telling, and sharing experiences for the remaining 45 minutes. * Attend 36 sessions held on odd days in the main hall of the Neshat Center. * Gender Representation: * 60 participants (30 women and 30 men) aged 60 and above, selected through stratified random sampling from Mashhad's elderly population. * 60 younger participants (30 women and 30 men) with an average age of 21.45 ± 0.35 years, selected through purposive sampling from Mashhad's Islamic Azad University.
BEHAVIORALYoga and Mindfulness Sessions
Participate in 90-minute intergenerational yoga sessions, three times a week for three months, in a gym setting. * Perform modified yoga exercises suitable for seniors, including: * 20 minutes of warm-up with stretching and joint rotations. * 50 minutes of main exercises (asanas and pranayama). * 20 minutes of relaxation and meditation (Shavasana). * Attend sessions on odd days at 9 AM in the Neshat Center yoga hall. * Gender Representation: * 60 participants (30 women and 30 men) aged 60 and above, selected through stratified random sampling from Mashhad's elderly population. * 60 younger participants (30 women and 30 men) with an average age of 21.45 ± 0.35 years, selected through purposive sampling from Mashhad's Islamic Azad University.
BEHAVIORALPhysical Exercise and Storytelling
Engage in 60-minute light aerobic exercises, three times a week for three months, in a park setting. * Follow warm-up and aerobic exercises led by a senior fitness instructor. * Spend 30 minutes in a friendly group discussion, sharing experiences and memories with younger participants. * Attend sessions on even days at 9 AM in Mashhad's Mellat Park. * Gender Representation: * 60 participants (30 women and 30 men) aged 60 and above, selected through stratified random sampling from Mashhad's elderly population. * 60 younger participants (30 women and 30 men) with an average age of 21.45 ± 0.35 years, selected through purposive sampling from Mashhad's Islamic Azad University.
BEHAVIORALOutdoor Interaction Games
Participate in 90-minute intergenerational interaction sessions, three times a week for three months, in a park setting. * Engage in non-exercise activities such as group discussions, storytelling, and sharing experiences with younger participants. * Attend sessions on even days at 9 AM in Mashhad's Mellat Park. * Gender Representation: * 60 participants (30 women and 30 men) aged 60 and above, selected through stratified random sampling from Mashhad's elderly population. * 60 younger participants (30 women and 30 men) with an average age of 21.45 ± 0.35 years, selected through purposive sampling from Mashhad's Islamic Azad University.
BEHAVIORALSocial Visits to Nursing Homes
Engage in 90-minute intergenerational interaction sessions, three times a week for three months, in a nursing home setting. * Participate in non-exercise activities such as group discussions, storytelling, and sharing experiences with younger participants. * Attend sessions on odd days at 9 AM in the nursing home. * Gender Representation: * 60 participants (30 women and 30 men) aged 60 and above, selected through stratified random sampling from Mashhad's elderly population. * 60 younger participants (30 women and 30 men) with an average age of 21.45 ± 0.35 years, selected through purposive sampling from Mashhad's Islamic Azad University.
OTHERcontrol group
Continue with their daily routines without participating in any intergenerational interaction or structured activities. * No specific interventions or programs are provided. * Gender Representation: * 78 participants (39 women and 39 men) aged 60 and above, selected through stratified random sampling from Mashhad's elderly population.
Sponsors
Zinat Ebrahimi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
In addition to the roles specified above (Participant and Outcomes Assessor), the following parties are also masked in this clinical trial: 1. Data Analysts: Individuals analyzing the trial data to prevent bias in the interpretation of results. 2. Monitoring Entities: Independent monitors overseeing the trial, who are kept unaware of the treatment allocations to ensure objectivity in their assessments. This masking strategy helps maintain the integrity of the trial and reduces the risk of bias impacting the outcomes.
Intervention model description
This study employs a Parallel Group interventional study model within a semi-experimental design framework. The methodology consists of two descriptive-correlational studies and a pre-test/post-test design with a control group. Research Design Participants were randomly assigned to six distinct groups: five experimental groups focused on different activities (intergenerational interaction, yoga exercises, exercise and interaction, park activities, and nursing home interaction) and one control group that maintained regular daily activities. This design allows for direct comparison of outcomes across groups and effectively assesses the interventions' relative effectiveness. Study Population and Sample Selection The study targeted elderly individuals aged 60 years and older, totaling 22,481, along with young participants aged 20 to 24 from Islamic Azad University. A cluster sampling method was employed to recruit 180 elderly participants, evenly divided by gender, along with 150 young
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Eligibility Criteria Inclusion Criteria: Elderly Participants: Aged 60 years or older. Ability to engage in physical activities. Absence of sensory or motor disabilities. No use of antidepressant medications. No history of conditions such as Alzheimer's or other illnesses that could pose risks during exercise. Younger Participants: Aged 20 to 24 years. Unmarried. Living with their parents. Native residents of Mashhad.
Exclusion criteria
Irregular attendance (more than two absences). Physical or psychological issues hindering participation. Lack of willingness to continue.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effects of Intergenerational Interventions on Quality of Life Effects of Intergenerational Interventions on Quality of Life Effects of Intergenerational Interventions on Quality of Life | Baseline and after a 3-month intervention period. | Quality of Life (QOL) was assessed using the World Health Organization Quality of Life Questionnaire (Short Form), a 26-item tool measuring four dimensions: physical health, psychological health, social relationships, and environment. Items are rated on a 6-point scale, with scores converted to a 0-100 scale. Higher scores indicate better QOL. * Pre-Test Scores: * Physical Health: Range = 12.5-68.75 * Psychological: Range = 31.25-62.5 * Social Relationships: Range = 37.5-50 * Environment: Range = 25-62.5 * Post-Test Scores: * Physical Health: Range = 25-68.75 * Psychological: Range = 18.75-62.5 * Social Relationships: Range = 28.125-46.875 * Environment: Range = 12.5-37.5 * Results: * Physical health: 41.53 (baseline) → 70.97 (post-intervention). * Psychological: 40.93 → 63.31. * Social relationships: 42.94 → 50.20. * Environment: 44.15 → 52.62. |
| Effects of Intergenerational Interventions on Mental Health (General Health) | Baseline and after a 3-month intervention period. | Mental health was assessed using the General Health Questionnaire (GHQ-28), a 28-item tool evaluating physical symptoms, anxiety, social functioning, and depression. Items are scored from 0 to 3, with total scores ranging from 0-84. Higher scores indicate greater psychological distress. Pre-test Scores: Somatic symptoms: 4-21 Anxiety and sleep disorder: 2-21 Social function: 7-21 Depression symptoms: 9-21 Total: 29-70 Post-test Scores: Somatic symptoms: 5-21 Anxiety and sleep disorder: 1-21 Social function: 7-20 Depression symptoms: 7-21 Total: 30-68 * Somatic symptoms: 13.61 (baseline) → 8.78 (post-intervention). * Anxiety and sleep disorder: 13.62 → 7.27. * Social function: 15.48 → 11.95. * Depression symptoms: 13.57 → 6.63. |
| Effects of Intergenerational Interventions on Depression Levels | Measurements were taken at baseline and after a 3-month intervention period. | Depression levels were measured using the Geriatric Depression Scale (Short Form), a 15-item binary response questionnaire specifically designed for the elderly. Scores range from 0-15, with higher scores indicating greater depression. Pre-test Scores: 8-15 Post-test Scores: 5-14 |
Countries
Iran
Outcome results
None listed