Home-based Psychoeducation for Older Adults With Frailty: A Randomised Controlled Trial

NCT06415604 | Recruiting

• 1 other identifier: 2023.585.M
• Study Type: interventional
• Target: 138
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to examine the effectiveness of a 12-week home-based telerehabilitation programme on improving subjective well-being among community-dwelling older people with frailty. The main question it aims to answer is \- Could home-based psychoeducation significantly enhance subjective well-being in older adults with frailty in the community? Participants will receive 12 weekly online group-based sessions at their homes. The content for the experimental group and control group is different:

• Intervention group: psychoeducation
• Control group: physical health education Participants will receive three home visits for data collection. Some of participants in experimental group will receive interview for process evaluation.

Conditions

Frailty; Well-Being, Psychological

Keywords

Subjective well-being; frailty; psychoeducation

Outcome Measures

Primary Outcomes (1)

• Subjective well-being

  The Chinese 5-item World Health Organization Well-Being Index

  baseline, 12 weeks post-allocation, 24 weeks post-allocation

Secondary Outcomes (7)

• Frailty level

  baseline, 12 weeks post-allocation, 24 weeks post-allocation

• Physical functioning

  baseline, 12 weeks post-allocation, 24 weeks post-allocation

• Activities of daily living

  baseline, 12 weeks post-allocation, 24 weeks post-allocation

• Instrumental activities of daily living

  baseline, 12 weeks post-allocation, 24 weeks post-allocation

• Depressive symptoms

  baseline, 12 weeks post-allocation, 24 weeks post-allocation

Study Arms (2)

Experimental group

EXPERIMENTAL

Participants will receive 60-minute weekly online group-based psychoeducation sessions for 12 weeks.

Other: Psychoeducation

Control group

ACTIVE COMPARATOR

Participants will receive 60-minute weekly online group-based physical health sessions for 12 weeks.

Other: Attention control

Interventions

Psychoeducation OTHER

The content of psychoeducation is based on "Five Ways of Well-being" which covers "Be active", "Connect", "Take Notice", "Keep learning" and "Giving".

Experimental group

Attention control OTHER

The content of the sessions mainly focuses on physical health information, such as healthy eating, physical exercise, prevention of falls, and pain management.

Control group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• (1) Aged 65 or older; (2) Identified as frail by the FRAIL scale (score ≥3); (3) Mentally competent as determined by the Abbreviated Mental Test (AMT ≥6); (4) Able to speak and understand Cantonese; (5) Living at home; (6) Experienced in using a smartphone (e.g., sending messages, watching videos).

You may not qualify if:

• (1) Have visual or hearing impairments or language barriers that may impact communication or understanding; (2) Unfit for home-based exercise, as indicated by a score of 1 or higher on the 25-item HOME-FAST, a tool for identifying home fall hazards; (3) Currently engaging in exercise for at least 150 minutes per week over the past four weeks; (4) Undergoing active psychiatric or antidepressant treatment or participating in other physical exercise or rehabilitation programs.

Sponsors & Collaborators

• TAO An: lead

Study Sites (1)

The Nethersole School of Nursing, The Chinese University of Hong Kong

Shatin, New Territories, Hong Kong

RECRUITING

MeSH Terms

Conditions

Frailty; Psychological Well-Being

Condition Hierarchy (Ancestors)

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

Central Study Contacts

An TAO

CONTACT

(852) 39439929; andersontao@link.cuhk.edu.hk

Study Design

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

Study Record Dates

• First Submitted: May 10, 2024
• First Posted: May 16, 2024
• Study Start: June 1, 2024
• Primary Completion: January 1, 2025
• Study Completion: January 1, 2025
• Last Updated: May 16, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)