Nationwide Multi-dimensional Health Promotion Program for Community-Dwelling Older Adults

NCT06864286 | Not Yet Recruiting

• 1 other identifier: 202412083RINB
• Study Type: interventional
• Target: 270
• Locations: 0 countries
• Sites: N/A

Brief Summary

Global organizations advocate for "active" and "healthy aging," emphasizing preventive health promotion. Taiwan's Long-Term Care 2.0 and the National Health Administration's "Healthy Exercise Class" exemplify this. Evaluating these programs' effectiveness is crucial, but complex due to diverse influencing factors. This study focuses on the often-overlooked role of program leaders' facilitation skills in impacting program success. This study investigates the effectiveness of multi-domain community health promotion programs for older adults and its influencing factors. Specifically, it aims to:

1. 1.assess the immediate benefits (objective/subjective health status, satisfaction) for participating older adults.
2. 2.explore related factors (group leadership skills, personal factors) using Andersen's Behavioral Model.

Conditions

Community-dwelling Older Adults

Keywords

community-dwelling older adults; health promotion; effectiveness; influencing factors

Outcome Measures

Primary Outcomes (5)

• Change from Baseline in the Study of Osteoporotic Fractures (SOF) Frailty Scale at 12 Weeks

  Score range: 0 to 3, with higher scores indicating worse outcomes.

  Baseline, Week 12

• Change from Baseline in the Outcome Measurement of Health-Promotion Program for Community-Dwelling Elderly at 12 Weeks

  The measurement includes 5 subscales: cognitive function, muscle strength, activities of daily living, nutrition, and psychosocial function.The score ranges from 0 to 100% for each subscale and the total score, with higher scores indicating better health conditions.

  Baseline, Week 12

• Change from Baseline in The Satisfaction with Life Scale at 12 Weeks

  Score range: 5 to 35, with higher scores indicating better outcomes.

  Baseline, Week 12

• Change from Baseline in the Self-rated Health Scale at 12 Weeks

  Score range: 0 to 100, with higher scores indicating better outcomes.

  Baseline, Week 12

• Course Satisfaction Questionnaire

  Score range: 1 to 5, with higher scores indicating better outcomes.

  Week 12

Secondary Outcomes (3)

• Change from Baseline in the Brief Symptom Rating Scale (BSRS) at 12 Weeks

  Baseline, Week 12

• Change from Baseline in the Number of Self-reported Chronic Conditions at 12 Weeks

  Baseline, Week 12

• Change from Baseline in the Body Mass Index (BMI) at 12 Weeks

  Baseline, Week 12

Other Outcomes (7)

• Sociodemographic Questionnaire for Older Adults

  Baseline

• Sociodemographic Questionnaire for Community Health Service Stations and Program Leaders

  Baseline

• Change from Baseline in the Confidence in Leadership Skills for Health Promotion Groups Questionnaire at 12 Weeks

  Baseline, Week 12

Study Arms (1)

Multi-domain health promotion intervention

EXPERIMENTAL

Behavioral: Move for Health

Interventions

Move for Health BEHAVIORAL

This multi-domain health promotion intervention utilizes the "Community-Based Health Promotion Program for Older Adults - Healthy Exercise Class" developed by the Health Promotion Administration (Taiwan). This intervention emphasizes a "multi-dimensional health" approach, focusing on healthy aging, exercise, and cognitive interventions, supplemented by elements of oral health, nutrition, and social participation. The program aims to promote older adults' health self-management capabilities. This 12-week program meets once weekly for two hours per session. Healthy aging curriculum covers important health issues for older adults, such as fall prevention, healthy eating, oral health, vision care, dementia prevention, medication safety, and knowledge related to healthy lifestyle behaviors including home-based exercise.

Multi-domain health promotion intervention

Eligibility Criteria

• Age: 25 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- I. Leaders
• Medical personnel (legally certified medical professionals, social workers, care service providers with licenses, and graduates of gerontological service programs) and sports professionals (National Fitness Instructors, athletic trainers, full-time sports coaches at all levels of schools, physical education teachers, professional sports background personnel with valid certificates issued by the Chinese Taipei Olympic Committee, etc.)
• Individuals who have completed the "Basic Training Course for Sport and Health Instructors for the Prevention and Delay of Disability" offered by the Health Promotion Administration, holding a certificate of completion, or those who have been trained by local government health bureaus and passed the mutual recognition by the National Health Administration.
• II. Older Adults
• Aged 65 or above.
• Normal cognitive function (no diagnosis of cognitive impairment-related conditions, such as mild cognitive impairment, dementia, etc.).
• Able to communicate in Mandarin or Taiwanese.
• Able to fully participate in the research project.

You may not qualify if:

• \- I. Leaders
• \. Individuals who are unable to complete the aforementioned training program qualification or lead the program in the community.
• II. Older Adults
• Individuals whose cognitive status is affected by mental or neurological disorders, medication use, including diagnoses of mental or neurodegenerative diseases , central nervous system infections, or long-term use of medications affecting the central nervous system .
• Individuals who meet the diagnostic criteria for mild cognitive impairment or dementia.
• Individuals with moderate to severe disability.
• Individuals with severe mental illness or behavioral problems (e.g., severe depression, schizophrenia, bipolar disorder, etc.).
• Individuals who, due to visual, auditory, or physical functional impairments, are unable to complete the assessments.
• Individuals who, due to physical or psychological illnesses, are unable to participate in the multi-domain health promotion intervention.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

MeSH Terms

Interventions

Health

Intervention Hierarchy (Ancestors)

Population Characteristics

Central Study Contacts

Hui-Fen Mao

CONTACT

+886-33668178; huifen02@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 25, 2025
• First Posted: March 7, 2025
• Study Start: March 1, 2025
• Primary Completion: December 31, 2025
• Study Completion (Estimated): December 31, 2026
• Last Updated: March 7, 2025

Record last verified: 2025-02