NCT06387641

Brief Summary

The goal of this interventional study is to learn if life review works to improve the sense of meaning in life in older adults with disabilities who live at home. The main questions it aims to answer are: Does life review enhance the sense of meaning in life of participants? Does life reviews enhance the life satisfaction of participants. Does life reviews enhance the quality of life of participants? Researchers will compare the life review program to routine community health services to see if the life review intervention program is effective in enhancing the sense of meaning in life of older adults with disabilities who live at home. Participants will: Take face-to-face life review interview or routine community health service every week for 6 weeks. Take the the questionnaire survey before and after the six-week life review intervention.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
68

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

4 active sites

Status
enrolling by invitation

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 25, 2024

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

April 23, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 29, 2024

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2025

Completed
Last Updated

May 10, 2024

Status Verified

May 1, 2024

Enrollment Period

9 months

First QC Date

April 23, 2024

Last Update Submit

May 8, 2024

Conditions

Disabilities, Psychological

Keywords

meaning in lifelife reviewolder adultsdisabilities

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline in Meaning in life on the Meaning in Life Questionnaire (MLQ) at Week6

    The MLQ is a validated self-reported instrument assessing for sense of meaning in life, with 10 items and 2 dimensions, using a 7-point Likert scale, ranging from "totally disagree" to "totally agree" on a scale of 1-7, with a total score of 10-70, with higher scores indicating a higher level of sense of meaning in life.

    Baseline and Week6

Secondary Outcomes (2)

  • Change from Baseline in Life satisfaction on the Life Satisfaction In-dex A (LSIA) at Week6

    Baseline and Week6

  • Change from Baseline in Quality of life on the 12-Item Short Form Survey (SF-12) at Week6

    Baseline and Week6

Study Arms (2)

Control

ACTIVE COMPARATOR

Participants received routine community health services only.

Behavioral: Routine community health services

Life Review

EXPERIMENTAL

In addition to regular community health services，participants receive life review interventions life review intervention once a week for 6 weeks, with each session lasting45-60 minutes.

Behavioral: Life reviewBehavioral: Routine community health services

Interventions

Life reviewBEHAVIORAL

Life review is a process that involves a thorough examination and reflection on one's past experiences, memories, and life events. This process often involves the identification and examination of significant themes, patterns, and lessons learned throughout one's lifespan. Through life review, individuals can gain a deeper understanding of their own identity, values, and beliefs, and how these have shaped their present circumstances and future outlooks. It can serve as a tool for personal growth, self-discovery, and the promotion of a sense of meaning and purpose in life.

Life Review
Routine community health servicesBEHAVIORAL

Routine community health services refer to a comprehensive health care service system that is government-led, community-participated, and guided by superior health institutions. It focuses on grass-roots health institutions and is staffed with general practitioners as the backbone. By rationally utilizing community resources, it provides a series of comprehensive health care services to community residents. These services center on human health, target families as the unit, cover the entire community, and aim to meet the basic health service needs of community residents. Specifically, routine community health services include the following aspects: Health Education, Prevention and Control, Health Care Services and so on.

ControlLife Review

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥60 years old
  • Conform to the diagnosis of disability
  • Those who scored \<38 points on the Chinese version of the Meaning of Life Scale (C-MLQ)
  • Conscious, able to comprehend the questionnaire, and have the ability to communicate verbally
  • Voluntarily participate in the study and sign the informed consent form

You may not qualify if:

  • With cognitive impairment
  • Unable to complete the questionnaire due to their physical condition
  • Participated in other psychosocial interventions during the same period

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Xixi Street Community Health Service Center

Hanzhou, Zhejiang, 310012, China

Location

Gongchenqiao Street Community Health Service Centre

Hanzhou, Zhejiang, 310015, China

Location

Baiyang Street Wenchao Community Health Centre

Hanzhou, Zhejiang, 310018, China

Location

School of Nursing, Hangzhou Normal University

Hanzhou, Zhejiang, 311121, China

Location

Related Publications (4)

  • Lan X, Xiao H, Chen Y. Life review for Chinese older adults in nursing homes: cultural acceptance and its effects. Int Psychogeriatr. 2019 Apr;31(4):527-535. doi: 10.1017/S1041610218001084. Epub 2018 Oct 2.

    PMID: 30277193BACKGROUND

  • Lan X, Xiao H, Chen Y, Zhang X. Effects of Life Review Intervention on Life Satisfaction and Personal Meaning Among Older Adults With Frailty. J Psychosoc Nurs Ment Health Serv. 2018 Jul 1;56(7):30-36. doi: 10.3928/02793695-20180305-01. Epub 2018 Mar 16.

    PMID: 29538790BACKGROUND

  • Zheng M, Zhang X, Xiao H. Effects of a WeChat-Based Life Review Program for Patients With Digestive System Cancer: 3-Arm Parallel Randomized Controlled Trial. J Med Internet Res. 2022 Aug 25;24(8):e36000. doi: 10.2196/36000.

    PMID: 36006665BACKGROUND

  • Chen Y, Sun L, Xiao H, Zheng J, Lin X. Evaluation of a WeChat-based Dyadic Life Review Program for people with advanced cancer and family caregivers: A mixed-method feasibility study. Palliat Med. 2022 Mar;36(3):498-509. doi: 10.1177/02692163211066736. Epub 2022 Feb 20.

    PMID: 35184629BACKGROUND

Study Officials

  • Huimin Bao

    School of Nursing, Hangzhou Normal University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
postgraduates

Study Record Dates

First Submitted

April 23, 2024

First Posted

April 29, 2024

Study Start

March 25, 2024

Primary Completion

January 1, 2025

Study Completion

January 1, 2025

Last Updated

May 10, 2024

Record last verified: 2024-05

Data Sharing

IPD Sharing
Will not share

Locations

CN(4)