KWIEK. Investigating the effectiveness on self-management and quality of life of an integrated multidimensional lifestyle program in older adults.

KWIEK. A randomised controlled trial investigating the effectiveness of an integrated multidimensional lifestyle program on frailty, self-management and quality of life in older adults aged 65 and over living independently in the rural community of Wijk bij Duurstede.

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON23460

Enrollment

400

Registered

2013-05-02

Start date

2012-08-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

frailty disabled multidemensional lifestyle program self-management

Interventions

The KWIEK-intervention is a structured and integrated intervention program that consists of the following four components: 1. Medication improvement

2. Improving physical fitness

3. Improving social skills

4. Improving nourishment. Component 1) for medication improvement the POM-method (Prescribing Optimization Method) will be used. Component 2) of the program focuses on physical fitness and aims to

especially for KWIEK an assertively training was developed. The main focus of this training is improving self-confidence and self-management enhancement

ask for support and sharing thoughts, saying no, making plans for the future. In this training the ACTOR-method is used [29]. In this method an exercise program and social skills program are integrate

a nutrition education program is offered. The aim of this intervention is to increase the awareness about healthy diet and to increase self-care in nourishment. The final goal of this education progra

Eligibility

Inclusion criteria

Inclusion criteria: 1. A score of ≥ 1 on the Groningen Frailty Indicator (GFI); 2. Age 65 and over; 3. ₋Inhabitant of the community of Wijk bij Duurstede; 4. Living independently, in an assistant living apartment near the local nursing home or in the habitat WOZOCO or visitor of the Uitwijk.

Exclusion criteria

Exclusion criteria: 1. Cognitively impaired (MMSE< 23 ; assessed at inclusion; pre-diagnostic interview); 2.₋Severe immobility such as wheelchair dependent; 3.₋Inability to communicate in Dutch.

Design outcomes

Primary

Measure	Time frame
Primary endpoint for the effectiveness of the KWIEK intervention-part is the change in disability or limitations in daily living (GARS).	—

Secondary

Measure	Time frame
1. Change in functional status (KATZ); 2. Change in quality of life (SF-12); 3. Change in self management abilities (SMAS-30); 4. Health care consumption (additional questions; see Attachment F1.2); 5. Optimization of medication (POM); 6. Change in physical fitness (grip strength, 6 MWT,TUG, Demmi); 7. Change in mental health (HADS, de Jong-Gierveld Loneliness Scale); 8. Change in nutritional status (SNAQ65+, MUAC).	—

Measure

Time frame

1. Change in functional status (KATZ); 2. Change in quality of life (SF-12); 3. Change in self management abilities (SMAS-30); 4. Health care consumption (additional questions; see Attachment F1.2); 5. Optimization of medication (POM); 6. Change in physical fitness (grip strength, 6 MWT,TUG, Demmi); 7. Change in mental health (HADS, de Jong-Gierveld Loneliness Scale); 8. Change in nutritional status (SNAQ65+, MUAC).

—

Contacts

Public ContactBas Steunenberg

UMC Utrecht, division Julius Centrum Department of General Practice Huispost Str. 6.131 PO Box 85500

B.Steunenberg@umcutrecht.nl+31 (0)88 7555098

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)