RCT of Health-promoting Intervention for Older Foreign-born Adults

Study Overview
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Brief Summary
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The overarching aim with this study was to develop, implement and evaluate a health promoting programme for people from Finland or the Western Balkan region, who were 70 years of age or older and independent daily activites (1). The aim of the programme was to prevent or delay dependence in daily activities, health decline, and frailty. The study focused on both evaluation and implementation and the data collection finished in 2016

Detailed Description
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The study has developed tools for collaboration between the target group, staff and researchers, as well as with tools to bridge barriers to health promotion. For example, alternative ways to recruit participants and to collect and analyse data in studies with and for people who are ageing in a migration context. The findings describe how a person-centred approach could be used to make use of the resources of the target groups, and visualise methods to bridge linguistic barriers. The education material from Older people in the risk zone has also been translated to Bosnian Serbo-Croatian and Finnish.

Official Title
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Livslots Angered - A Randomized Controlled Trial of a Community-based Health-promoting and Disease-preventive Program for Older Foreign Born Adults

Conditions
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Health Behavior

Intervention / Treatment
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* Behavioral: Senior meetings


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Foreign-born from Finland or any of five countries in the Western Balkans (Bosnia-Herzegovina, Croatia, Macedonia, Montenegro, and Serbia) 70 years of age or older Living in Angered, Gothenburg Living in their ordinary housing Not dependent on informal or formal help in daily activities Exclusion Criteria: Impaired cognition, Mini Mental State Examination (MMSE) below 80% of administered items

Ages Eligible for Study
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Minimum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Senior meetings<br>The intervention will comprise four weekly meetings in small groups (4-6 participants) in addition to an individual follow-up home visit two to three weeks after the last senior meeting.The main purpose of the senior meetings is to give information and facilitate discussion of the ageing process and provide tools and suggest strategies to enable the clients to solve the various problems that may arise at home in order to remain living at home in a safe and secure way. The information will also include what the municipality provides in the form of local meeting places, activities run by local associations, physical training for seniors, walking groups, possibilities of offering or accepting help on a voluntary basis. Furthermore, they will be informed about help and support available in their city district. Identification of risks for, and advice on, how to prevent falls will also be included. | Behavioral: Senior meetings<br>* The intervention will be led by professionals such as a registered occupational therapist, a nurse, a physical therapist, and a social worker. The intervention will comprise four weekly meetings in small groups (4-6 participants) in addition to an individual follow-up home visit two to three weeks after the last senior meeting. To use groups involve the possibility of peer education where participants in a person-centeredness perspective are seen as experts on their own situation and learn from each other. The relationship between the personnel and the participants in the senior meetings can be described as a partnership. Respect for the participant and his/her values, and that the participant gets an opportunity to maintain and develop their own power over their own everyday activities will be essential in the meeting.<br>|
| No Intervention: Control group<br>The control group will receive conventional care on their own initiative. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Activities of Daily Life (ADL) | The ADL-staircase | change from baseline at 6 months and 1 year | 
| Change of Sense of Coherence (KASAM) | KASAM (by Antonovsky) | change from basline at 6 months and 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Fatigue | The Mob-T scale | baseline, 6 months, and 1 year | 
| Change of Grip strength | North Coast-dynamometer | baseline, 6 months, and 1 year | 
| Change of Physical activity | Questionnaire and Physical and domestic activity scale | basline, 6 months, and 1 year | 
| Change of Balance | The balance scale | basline, 6 months, and 1 year | 
| Change of Gait speed | Four-meter walking test | basline, 6 months, and 1 year | 
| Change of Weight loss | The Göteborg Quality of Life Instrument | basline, 6 months, and 1 year | 
| Change of Cognition | Mini Mental State Examination (MMSE) | basline, 6 months, and 1 year | 
| Change of Visual impairment | KM-visual acuity chart | basline, 6 months, and 1 year | 
| Change of Falls | Questionnaire | basline, 6 months, and 1 year | 
| Change of Fear of falls | FES-I | baseline, 6 months, 1 year | 
| Change of Illness | CIRS-G | Baline, 6 months, and 1 year | 
| Change of Symptoms | The Göteborg Quality of Life Instrument | Basline, 6 months, and 1 year | 
| Change of Change of Depression | GDS 20 | Baseline, 6 months, and 1 year | 
| Health-care consumption | Register data | Baseline, 6 months, and 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Elderly, Health promotion, Randomized controlled study, Immigrant, Vulnerable population, ADL, KASAM, Implementation