A Multi-level and Mixed-method Impact Evaluation for the Jockey Club Elders Get Active Fitness Campaign

Study Overview
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Brief Summary
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The goal of this clinical trial is provide a scientific evaluation on the impact of the Jockey Club Get Fitness Campaign to improve the physical capacity and health condition of the community-dwelling older adults after the COVID-19 pandemic. Participants will take part in any of the four care models: a box of exercise equipment a box of exercise equipment with verbal briefing a box of exercise equipment and engage in the 8-week group-based exercise training receive the wonderful box of exercise equipment and engage in the 8-week group-based exercise training together with the 6-week behavioral modification Participants with greater physical dependency, greater chronic disease burden or lower motivation for social engagement will take part in any of the three care models: a box of exercise equipment only a box of exercise equipment with verbal briefing a box of exercise equipment and engage in the 4-session home-based exercise training, together with the 6-week behavioral modification

Detailed Description
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This clinical trial is a mixed-method study which uses multi-level design to compare the effects of different program care models on behavioral and health-related outcomes among two different cohort of community-dwelling older adults. Exercise level and self-efficacy, physical capacity, social connectivity, geriatric symptoms, and health status are measured. A total of 1300 participants will be recruited. Outcome evaluation 8 weeks after intervention and 3 months after intervention will be included to allow the detection of immediate and long-term program benefits. In-depth individual and focus-group interviews will be conducted to solicit the participants' experience and perceived benefits of the program.

Official Title
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A Multi-level and Mixed-method Impact Evaluation for the Jockey Club Elders Get Active Fitness Campaign

Conditions
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Aging Well

Intervention / Treatment
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* Behavioral: Equipment box
* Behavioral: Equipment box with briefing
* Behavioral: Exercise training
* Behavioral: Exercise training with behavioral modification


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age above 60 years Resident of public rental house Exclusion Criteria: Any contraindication to exercise training

Ages Eligible for Study
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Minimum Age: 60 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: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Equipment box (general)<br>A box of exercise equipment is distributed to community dwelling older adults. | Behavioral: Equipment box<br>* Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction only.<br>|
| Experimental: Equipment box with briefing (general)<br>A box of exercise equipment is distributed. Verbal briefing of exercise equipment is provided to community dwelling older adults. | Behavioral: Equipment box with briefing<br>* Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction, and they are given verbal briefing on how to use the equipment.<br>|
| Experimental: Group-based exercise (general)<br>A box of exercise equipment is distributed. Verbal briefing of exercise equipment and an 8-week group exercise training program is provided to community dwelling older adults. | Behavioral: Exercise training<br>* Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises.<br>|
| Experimental: Group-based exercise with behavioral modification (general)<br>A box of exercise equipment is distributed. Verbal briefing of exercise equipment and an 8-week group exercise training program is provided to community dwelling older adults, following by a 6-week behavioral modification. | Behavioral: Exercise training with behavioral modification<br>* Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises. After finishing the exercise training program, a 6-week behavioral modification is provided. Two home visits and four telephone visits are conducted to empower the participants for exercise at home.<br>|
| Experimental: Equipment box (home-bound)<br>A box of exercise equipment is distributed to home-bound community dwelling older adults. | Behavioral: Equipment box<br>* Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction only.<br>|
| Experimental: Equipment box with briefing (home-bound)<br>A box of exercise equipment is distributed. Verbal briefing of exercise equipment is provided to home-bound community dwelling older adults. | Behavioral: Equipment box with briefing<br>* Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction, and they are given verbal briefing on how to use the equipment.<br>|
| Experimental: Home-based exercise with behavioral modification (home-bound)<br>A box of exercise equipment is distributed. Verbal briefing of exercise equipment and an 8-week group exercise training program is provided to home-bound community dwelling older adults, following by a 6-week behavioral modification. | Behavioral: Exercise training with behavioral modification<br>* Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises. After finishing the exercise training program, a 6-week behavioral modification is provided. Two home visits and four telephone visits are conducted to empower the participants for exercise at home.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Step count | Step count per day measured by a pedometer | Changes from baseline to 8 weeks after start intervention | 
| Functional mobility score | Score measured by Life Space Assessment questionnaire (range: 0-120), higher score better performance | Changes from baseline to 8 weeks after start intervention | 
| Exercise self-efficacy score | Score measured by Self-Efficacy for Exercise Scale questionnaire (range 0-90), higher score higher self-efficacy for exercise | Changes from baseline to 8 weeks after start intervention | 
| Hand grip strength | Hand grip strength measured by hand-held dynamometer in unit of KG | Changes from baseline to 8 weeks after start intervention | 
| Performance of timed up-and-go test | Measured by timed up-and-go test in unit of second | Changes from baseline to 8 weeks after start intervention | 
| Mobility limitation score | Measured by Short Physical Performance Battery (range 0-12), higher score better physical performance | Changes from baseline to 8 weeks after start intervention | 
| Sarcopenia risk score | Measured by Sarcopenia(SARC) questionnaire and calf circumference in unit of cm (range0-20), higher score higher risk of sarcopenia | Changes from baseline to 8 weeks after start intervention | 
| Frailty risk score | Measured by Edmonton Frail Scale questionnaire (range0-17), higher score more severer frailty | Changes from baseline to 8 weeks after start intervention | 
| Social connectedness score | Measured by Social Connectedness Scale questionnaire (20-100), higher score stronger social connectedness | Changes from baseline to 8 weeks after start intervention | 
| Insomnia risk score | Measured by Insomnia Severity Index questionnaire (range0-28), higher score greater severity of insomnia | Changes from baseline to 8 weeks after start intervention | 
| Mental health score | Measured by Mental Health Inventory questionnaire (range 0-100), higher score better mental health | Changes from baseline to 8 weeks after start intervention | 
| Fatigue score | Measured by Brief Fatigue Inventory questionnaire (range0-10), higher score greater fatigue | Changes from baseline to 8 weeks after start intervention | 
| Loneliness score | Measured by UCLA Loneliness Scale questionnaire (range20-80), higher score greater loneliness | Changes from baseline to 8 weeks after start intervention | 
| Health status self-rated score | Measured by EQ05D-5L questionnaire (range -0.59-1.0), higher score better quality of life | Changes from baseline to 8 weeks after start intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Aging, Community-dwelling, Exercise, Care model