Clinical trial NCT06864286: Nationwide Multi-dimensional Health Promotion Program for Community-Dwelling Older Adults
Official title: Effectiveness and Influencing Factors of a Nationwide Multi-dimensional Health Promotion Program for Community-Dwelling Older Adults
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Community-dwelling Older Adults
Keywords: community-dwelling older adults
health promotion
effectiveness
influencing factors
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2025-03-07
Enrollment: 270
Sex: ALL
Minimum age (years): 25
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

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

A prospective, single-group, pre- and post-test design will be used. Participants (leaders and older adults) will be recruited from "Healthy Exercise Class" sites nationwide. Pre- and post-intervention data will be analyzed to determine program effectiveness. Multiple linear regression will identify influencing factors, including the mediating and moderating effects of leader facilitation skill confidence. The study aims to inform policy improvements for government-led older adult health promotion.


Eligibility criteria: Inclusion Criteria:

- I. Leaders

1. 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.)
2. 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

1. Aged 65 or above.
2. Normal cognitive function (no diagnosis of cognitive impairment-related conditions, such as mild cognitive impairment, dementia, etc.).
3. Able to communicate in Mandarin or Taiwanese.
4. Able to fully participate in the research project.

Exclusion Criteria:

- I. Leaders

1. Individuals who are unable to complete the aforementioned training program qualification or lead the program in the community.

II. Older Adults

1. 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 .
2. Individuals who meet the diagnostic criteria for mild cognitive impairment or dementia.
3. Individuals with moderate to severe disability.
4. Individuals with severe mental illness or behavioral problems (e.g., severe depression, schizophrenia, bipolar disorder, etc.).
5. Individuals who, due to visual, auditory, or physical functional impairments, are unable to complete the assessments.
6. Individuals who, due to physical or psychological illnesses, are unable to participate in the multi-domain health promotion intervention.

Primary outcomes:
measure: Change from Baseline in the Study of Osteoporotic Fractures (SOF) Frailty Scale at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the Outcome Measurement of Health-Promotion Program for Community-Dwelling Elderly at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in The Satisfaction with Life Scale at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the Self-rated Health Scale at 12 Weeks
timeFrame: Baseline, Week 12
measure: Course Satisfaction Questionnaire
timeFrame: Week 12
Secondary outcomes:
measure: Change from Baseline in the Brief Symptom Rating Scale (BSRS) at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the Number of Self-reported Chronic Conditions at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the Body Mass Index (BMI) at 12 Weeks
timeFrame: Baseline, Week 12
Other outcomes:
measure: Sociodemographic Questionnaire for Older Adults
timeFrame: Baseline
measure: Sociodemographic Questionnaire for Community Health Service Stations and Program Leaders
timeFrame: Baseline
measure: Change from Baseline in the Confidence in Leadership Skills for Health Promotion Groups Questionnaire at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the Health Knowledge, Awareness and Behavior Questionnaire at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the General Self-Efficacy Scale at 12 Weeks
timeFrame: Baseline, Week 12
measure: Change from Baseline in the Integrated Care for Older People (ICOPE) Scale at 12 Weeks
timeFrame: Baseline, Week 12
measure: Participants' Attendance Rate
timeFrame: Every week (From Week 1 to Week 12)
Locations:
Study officials:
References: