Healthy Living Programme for Older Adults

Frail Older Adults Clinical Trial

— HLP  

Official title:

Healthy Living Programme (HLP): Diet, Drug and Fall Prevention for Community-dwelling Frail Older Adults

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02904174
• Other study ID #: H-ZJJY
• Status: Completed
• Phase: N/A
• First received: September 8, 2016
• Last updated: September 13, 2016
• Start date: December 2014
• Est. completion date: June 2016

Study information

• Verified date: September 2016
• Source: The Hong Kong Polytechnic University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Hong Kong: Ethics Committee
• Study type: Interventional

Clinical Trial Summary

Malnutrition, risk of falls and medication incidents are commonly faced by the older adults. This study aimed to provide health education to community-dwelling older adults and to assess the effectiveness of a Healthy Living Program (HLP) to older adults in terms of fall prevention, drug management and healthy eating habits.

Description:

This was a single group pre-post trial. Participants aged 60 or above were recruited from the community elderly centres. A 6-week HLP, which included one 45 minutes weekly session, was offered to the participants.

122 participants were recruited. This study shows that the 6-week HLP has a potential to improve the physical well-being of the participants, and to increase their knowledge in diet, drug management and fall prevention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 122
• Est. completion date: June 2016
• Est. primary completion date: March 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

• able to communicate and understand Cantonese

• > 1 in frailty score

• members of the Pentecostal Church of Hong Kong

Exclusion Criteria:

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

• Frail Older Adults

Intervention

Behavioral:
• Healthy Living Programme
A 6-week Healthy Living Program (HLP) was developed and implemented for all the participants. There was one 45 minutes weekly session over 6 week. Week 1 & 2 focused on healthy eating habits including food pyramid, balanced diet for the elderly, food labels, healthy snacks and healthy eating out. Week 3 & 4 were about fall prevention, which included risk factors and complications of fall among older adults, preventive measures, strengthening exercises and aerobic dance. Week 5 & 6 focused on drug management, such as knowledge on commonly used drugs, drug storage, use of analgesics and non-pharmacological pain relief strategies. Interactive activities such as games, puzzles and question & answer session were included in the group education.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
The Hong Kong Polytechnic University	Pentecostal Church of Hong Kong

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in subjective happiness level	Measured by Subjective Happiness Scale (SHS), which consisted of 4 statements answered on a 7-point Likert scale. Scores for each statement range from 1 to 7 and the scores from the four statements were added, thus the possible range of scores on the SHS is 4 to 28. Higher scores reflect higher levels of subjective happiness.	Baseline, Week 6	No
Secondary	Change in frailty status	Measured by the FRAIL scale, which includes five items: fatigue, resistance, ambulation, illness, and loss of weight. The FRAIL scale ranges from 0-5, with a score of 0 regards as normal, 1-2 as pre-frail and 3-5 as frail.	Baseline, Week 6	No
Secondary	Change in pain intensity	Measured using the numerical rating scale, to assess the presence and intensity of pain among participants, which was presented with 0 referring to no pain and 10 referring to the worst pain imaginable	Baseline, Week 6	No
Secondary	Change in Generalized pain self-efficacy beliefs	Measured by the Pain Self-Efficacy Questionnaire. It consists of 10 statements, and participants were asked to rate their confidence in performing 10 activities or tasks despite experiencing pain, on a 7-point scale.	Baseline, Week 6	No
Secondary	Change in functional mobility	Measured by Timed Up and Go Test. The participants were required to walk a distance of three meters, turn, walk back to the chair and sit down.	Baseline, Week 6	No
Secondary	Change in hand grip strength	Measured using a dynamometer. Participants were seated with arms by the trunk, the elbow flexed to 90 and in a neutral position, and the wrist in slight extension. Participants were told to squeeze the dynamometer as hard as they could	Baseline, Week 6	No
Secondary	Change in knowledge in healthy eating habits	Measured by self-developed questionnaire. Range of score is 0-12, with higher score indicates having more knowledge.	Baseline, Week 6	No
Secondary	Change in knowledge in drug management	Measured by self-developed questionnaire. Range of score is 0-10, with higher score indicates having more knowledge.	Baseline, Week 6	No
Secondary	Change in knowledge in fall prevention	Measured by self-developed questionnaire. Range of score is 0-5, with higher score indicates having more knowledge.	Baseline, Week 6	No