Effectiveness of Mobile Health on Frailty, Muscle Strength and Health Literacy of the Elderly

NCT05483478 | Completed DMC

• 1 other identifier: 21-018-A2
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

This study explores the effect of mobile health combined with multi-course intervention on frailty, muscle strength, health literacy and nutrition knowledge among the elderly in the community. A longitudinal, repeated test quasi-experimental design was adopted to convenient sampling. Four community care bases in northern Taiwan were selected, and 2 experimental groups and 2 control groups were assigned by computer lottery to participate in the study. 60 in the experimental group and 60 in the control group. The experimental group received the combination of mobile health and multi-course intervention, and the control group only received the intervention of multi-course. The three measurement time points of the tracking effect of the two groups were: before intervention, after 4-times interventions, and after 12-times interventions. The following data were collected in the two groups: frailty assessment, grip strength, lower limb muscle strength, health literacy scale and nutrition knowledge scale. Statistical data were analyzed by SPSS26.0 software. Descriptive statistics include: percentage, mean, standard deviation; inferential statistics include: independent sample t test, chi-square test, generalized estimation model.

Conditions

Telemedicine; Elderly; Health Literacy

Keywords

mobile health; frailty; health literacy; muscle strength

Outcome Measures

Primary Outcomes (4)

• frailty assessment

  Study of Osteoporotic Fractures scale was adopted。Include: (1) Weight loss: Loss of 3kg or more in the past without intentional weight loss. (2) Weakened lower extremity function: unable to stand up from a chair five times without support by hands. (3) Decreased energy: In the past week, did you feel that you couldn't get enough energy to do things? If more than two of the three items are met, frailty is defined; if one is met, the pre-frailty is defined; if not met, no frailty.

  baseline, during the procedure, through study completion

• muscle strength

  Grip machine。A practice session is given before the test to ensure that the subject understands the test process. The hand grip strength of the elderly in Taiwan is 26 kg for men and 16 kg for women.

  baseline, during the procedure, through study completion

• Health Literacy

  Mandarin Multidimensional Health Literacy Questionnaire。Each subscale has 4 questions, a total of 20 questions, and each question is scored 1-4 points. After the formula conversion, the score is between 0-50 points. Health awareness level 0-25 is insufficient; 26-33 is limited; 34-42 is sufficient; 43-50 is good.

  baseline, during the procedure, through study completion

• Nutrition knowledge

  Nutrition knowledge questionnaire。There are 5 true-false questions, 5 multiple-choice questions, a total of ten questions; 1 point for a correct answer, 0 point for a wrong answer, and the score is between 0 and 10 points.

  baseline, during the procedure, through study completion

Study Arms (2)

mobile health combined Multi-course Program

EXPERIMENTAL

The experimental group received the combination of mobile health and multi-course intervention. In the pre-test, the experimental group joined the LINE group by scanning the QR code. The LINE messages were nutrition and exercise content, as well as exercise videos. One message each for nutrition and exercise was sent every Monday, Wednesday, and Friday, for a total of 12 weeks. The multi-course includes exercise and nutrition, 1 time per week, 2 hours each time, a total of 12 times, and each unit is 50 minutes long. The three measurement time points of the tracking effect were: before intervention, after 4-times interventions, and after 12-times interventions. The following data were collected in the two groups: frailty assessment, grip strength, lower limb muscle strength, health literacy scale and nutrition knowledge scale.

Combination Product: mobile health combined Multi-course Program

Multi-course Program

ACTIVE COMPARATOR

The control group received multi-course includes exercise and nutrition, 1 time per week, 2 hours each time, a total of 12 times, and each unit is 50 minutes long. The three measurement time points of the tracking effect were: before intervention, after 4-times interventions, and after 12-times interventions. The following data were collected in the two groups: frailty assessment, grip strength, lower limb muscle strength, health literacy scale and nutrition knowledge scale.

Combination Product: mobile health combined Multi-course Program

Interventions

mobile health combined Multi-course Program COMBINATION_PRODUCT

mobile health combined Multi-course Program

Multi-course Program; mobile health combined Multi-course Program

Eligibility Criteria

• Age: 65 Years - 84 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Ability to act independently.
• Conscious and articulate.
• Those who can communicate in Mandarin or Taiwanese.
• Smartphones and Internet access available.
• "LINE" mobile communication software can be used.

You may not qualify if:

• Cognitive Impaired Persons.
• mentally illness.
• Those with musculoskeletal injuries of the upper and lower limbs.
• Patients with a history of serious heart and lung diseases.

Sponsors & Collaborators

• Landseed Hospital: lead

Study Sites (1)

Landseed Intrenational Hospital

Taoyuan District, 324, Taiwan

Location

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Qing-Ping Wu, Doctor

  Landseed International Hospital

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 28, 2022
• First Posted: August 2, 2022
• Study Start: June 15, 2021
• Primary Completion: July 1, 2021
• Study Completion: June 8, 2022
• Last Updated: August 2, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)