Home-based Psychoeducation for Older Adults With Frailty: A Feasibility Trial

Frailty Clinical Trial

Official title:

Effects of A Home-based Psychoeducation Programme on Subjective Well-being for Older Adults With Frailty in the Community: A Feasibility Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06415617
• Other study ID #: 2023.585.p
• Status: Completed
• Phase: N/A
• Start date: November 24, 2023
• Est. completion date: April 9, 2024

Study information

• Verified date: May 2024
• Source: Chinese University of Hong Kong
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to test the feasibility and acceptability of home-based psychoeducation in older adults with frailty in the community. The main questions it aims to answer are

1. Are the proposed eligibility criteria for participants and the study process in recruiting and retaining the participants appropriate?

2. Is home-based psychoeducation feasible and acceptable for 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 two home visits for data collection. An individual interview will be conducted with participants in the experimental group to explore their experiences.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: April 9, 2024
• Est. primary completion date: April 9, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

(1) aged 65 years or over; (2) meeting frailty criteria by FRAIL scale (score 3 or above) ; (3) mentally competent screened by The Abbreviated Mental Test (AMT=6) ; (4) able to speak and understand Cantonese; (5) living at home; (6) having experience using a smartphone (e.g.: sending messages, watching videos)

Exclusion Criteria:

(1) have a visual or hearing problem or a language barrier that may affect their communication or understanding; (2) being unfit for home-based exercise, as defined by having one point or above at either the 25-item Home Falls and Accidents self-reported screening tool (HOME-FAST), which is a comprehensive tool for identify home hazards for fall (3) are currently practising exercise for at least 150 minutes per week in previous four weeks; (4) are receiving active psychiatric or antidepressant treatment or joining other physical exercises or rehabilitation programmes

Related Conditions & MeSH terms

• Frailty

Intervention

Other:
• Psychoeducation
The content of psychoeducation is based on "Five Ways of Well-being" which covers "Be active", "Connect", "Take Notice", "Keep learning" and "Giving" . The participants will be engaged in psychoeducation through group discussion, individualised goal setting and reflective exercises.
• Attention control
The content of the sessions mainly focuses on physical health information, such as healthy eating, physical exercise, prevention of falls, and pain management.

Locations

Country	Name	City	State
Hong Kong	The Nethersole School of Nursing, The Chinese University of Hong Kong	Shatin	New Territories

Sponsors (1)

Lead Sponsor	Collaborator
TAO An

Country where clinical trial is conducted

Hong Kong, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Participation rate, self-reported intervention adherence, and attrition rate.	The feasibility of the study will be measured in terms of participation rate, self-reported intervention adherence, and attrition rate.	12 weeks post-allocation
Primary	Acceptability	A 5-item satisfaction survey will be conducted by the end of the intervention for participants to rate the intervention in terms of appropriates of the session content, length of each session, overall intervention duration and delivery mode, from 1 (very dissatisfied) to 5 (very satisfied).	12 weeks post-allocation
Secondary	Frailty level	FRAIL scale	12 weeks post-allocation
Secondary	Physical functioning	The Senior Fitness Test: It covers four dimensions, including muscle endurance, balance, flexibility, and tolerance measured by 30-sec arm-curl test, 30-sec chair-stand test, back-scratch test, chair sit-and-reach test, 8-foot up-and-go test, two-min step test.	12 weeks post-allocation
Secondary	Activities of daily living	Katz Index of Independence in Activities of Daily Living	12 weeks post-allocation
Secondary	Instrumental activities of daily living	Lawton Instrumental Activities of Daily Living Scale	12 weeks post-allocation
Secondary	Subjective well-being	The Chinese 5-item World Health Organization Well-Being Index	12 weeks post-allocation
Secondary	Depressive symptoms	4-item Geriatric Depression scale	12 weeks post-allocation
Secondary	Social support	10-item Duke Social Support Index	12 weeks post-allocation
Secondary	Quality of life	EuroQol 5-Dimension 5-Level	12 weeks post-allocation