Clinical trial NCT06415604: Home-based Psychoeducation for Older Adults With Frailty: A Randomised Controlled Trial
Official title: Effects of a Home-based Psychoeducation on Subjective Well-being for Older Adults With Frailty in the Community: A Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Frailty
Well-Being, Psychological
Keywords: Subjective well-being
frailty
psychoeducation
Lead sponsor: Chinese University of Hong Kong
Sponsor class: OTHER
First posted: 2024-05-16
Enrollment: 138
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

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.


Eligibility criteria: Inclusion Criteria:

(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).

Exclusion Criteria:

(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.

Primary outcomes:
measure: Subjective well-being
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
Secondary outcomes:
measure: Frailty level
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
measure: Physical functioning
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
measure: Activities of daily living
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
measure: Instrumental activities of daily living
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
measure: Depressive symptoms
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
measure: Social support
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
measure: Quality of life
timeFrame: baseline, 12 weeks post-allocation, 24 weeks post-allocation
Other outcomes:
Locations:
city: Shatin
country: Hong Kong
facility: The Nethersole School of Nursing, The Chinese University of Hong Kong
state: New Territories
Study officials:
References: