Brief Health Promotion Intervention for Older People in Mental Health

NCT06127680 | Unknown

• 1 other identifier: ECM 4 (w) 14/02/2023
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this observational study is to test the delivery of brief health promotion advice with supporting information leaflets as part of standard clinical consultation for older people attending a community mental health service The main questions it aims to answer are:

• participate in a brief health promotion (10 minutes) advice given by an advanced nurse practitioner (ANP) in mental health during a routine outpatient clinic/home visit
• participants receive exercise and protein advice leaflets (laminated)
• participants rehearse the exercise with the ANP
• one-month follow-up by ANP to assess and promote adherence to the intervention Researchers will use a one-group pre-post test study to compare baseline data on physical and mental health outcomes to participants' outcomes at three-month follow-up (there is no control group).

Conditions

Mental Health Issue; Frailty

Keywords

Mental health; Older People; Health promotion; Exercise; Nutrition; Frailty

Outcome Measures

Primary Outcomes (1)

• SARC-F (tool title not an abbreviation)

  The SARC-F is a screening tool for sarcopenia (Malmstrom et al 2013). SARC-F comprises five components using self-report on: strength, assistance walking, rise from a chair, climb stairs, and falls. SARC-F scale scores range from 0 to 10 (i.e. 0-2 points for each component; 0 = best to 10 = worst) and are dichotomized to represent symptomatic (4+) vs. healthy (0-3) status (Malmstrom et al 2016).

  Baseline 3-month follow-up

Secondary Outcomes (6)

• Clinical Frailty Scale

  Baseline and 3 months

• Global Physical Health Scale (GPHS) V1.2

  Baseline and 3 months

• Mental wellbeing (bespoke items)

  Baseline and 3 months

• Yale Physical Assessment Scale

  Baseline and 3 months

• Simplified nutritional appetite questionnaire (SNAQ)

  Baseline and 3 months

Other Outcomes (3)

• Acceptability (Bespoke item)

  1 and 3 month follow-up

• Ease of Use (Bespoke item)

  1 and 3 month follow-up

• Recommend to others (bespoke item)

  3 month follow-up

Interventions

Brief Health Promotion Advice BEHAVIORAL

Brief Health Promotion advice on exercise and nutrition (protein intake) delivered by a health care professional during routine consultations

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

1. Service users with moderate advanced dementia will be excluded as the intervention is unsupervised. 2. Patents that cannot provide informed consent 3. Patients who cannot understand English or require a translator 4. Patients experience acute mental health crisis 5. Patients with significant restricted mobility, using Zimmer frame inside or outside their house (CFS≥5)

You may qualify if:

• For the purpose of this study service users eligible for the study are:
• Aged 65 years and older
• Cognitive capacity to provide informed consent
• Attending Older adult mental health services
• Mental Health team deem the client stable and able to participate in the intervention
• Patient independently mobile and living in the community (may use a walk aid)(Clinical Frailty Scale ≤5)

Sponsors & Collaborators

• University College Cork: lead

Study Sites (1)

University College Cork

Cork, Co Cork, T12 AK54., Ireland

Location

Related Publications (10)

• Church S, Rogers E, Rockwood K, Theou O. A scoping review of the Clinical Frailty Scale. BMC Geriatr. 2020 Oct 7;20(1):393. doi: 10.1186/s12877-020-01801-7.

  PMID: 33028215 BACKGROUND

• Ida S, Kaneko R, Murata K. SARC-F for Screening of Sarcopenia Among Older Adults: A Meta-analysis of Screening Test Accuracy. J Am Med Dir Assoc. 2018 Aug;19(8):685-689. doi: 10.1016/j.jamda.2018.04.001. Epub 2018 May 31.

  PMID: 29778639 BACKGROUND

• Pearson E, Siskind D, Hubbard RE, Gordon EH, Coulson EJ, Warren N. Frailty and severe mental illness: A systematic review and narrative synthesis. J Psychiatr Res. 2022 Mar;147:166-175. doi: 10.1016/j.jpsychires.2022.01.014. Epub 2022 Jan 8.

  PMID: 35051715 BACKGROUND

• Malmstrom TK, Morley JE. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc. 2013 Aug;14(8):531-2. doi: 10.1016/j.jamda.2013.05.018. Epub 2013 Jun 25. No abstract available.

  PMID: 23810110 BACKGROUND

• Hays RD, Spritzer KL, Thompson WW, Cella D. U.S. General Population Estimate for "Excellent" to "Poor" Self-Rated Health Item. J Gen Intern Med. 2015 Oct;30(10):1511-6. doi: 10.1007/s11606-015-3290-x. Epub 2015 Apr 2.

  PMID: 25832617 BACKGROUND

• Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, Amtmann D, Bode R, Buysse D, Choi S, Cook K, Devellis R, DeWalt D, Fries JF, Gershon R, Hahn EA, Lai JS, Pilkonis P, Revicki D, Rose M, Weinfurt K, Hays R; PROMIS Cooperative Group. The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol. 2010 Nov;63(11):1179-94. doi: 10.1016/j.jclinepi.2010.04.011. Epub 2010 Aug 4.

  PMID: 20685078 BACKGROUND

• Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005 Aug 30;173(5):489-95. doi: 10.1503/cmaj.050051.

  PMID: 16129869 BACKGROUND

• Travers J, Romero-Ortuno R, Cooney MT. Testing the feasibility of a primary-care exercise intervention to prevent and reverse early frailty and build resilience in community-dwelling older adults. EClinicalMedicine. 2022 Mar 22;46:101355. doi: 10.1016/j.eclinm.2022.101355. eCollection 2022 Apr.

  PMID: 35340628 BACKGROUND

• PROMIS (2021) GLOBAL HEALTH SCORING. MANUALhttps://www.healthmeasures.net/images/PROMIS/manuals/Scoring_Manual_Only/PROMIS_Global_Health_Scoring_Manual.pdf

  BACKGROUND

• Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle. 2016 Mar;7(1):28-36. doi: 10.1002/jcsm.12048. Epub 2015 Jul 7.

  PMID: 27066316 BACKGROUND

MeSH Terms

Conditions

Frailty; Psychological Well-Being; Motor Activity

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Personal Satisfaction; Behavior

Study Officials

• Corina Naughton, PhD

  University College Cork

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor Corina Naughton

Study Record Dates

• First Submitted: September 25, 2023
• First Posted: November 13, 2023
• Study Start: March 1, 2023
• Primary Completion: October 30, 2023
• Study Completion: October 30, 2023
• Last Updated: November 13, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: From January 2024 for five years
• Access Criteria: On request

Locations

IE (1)