RCT of Health-promoting Intervention for Older Foreign-born Adults

Health Behavior Clinical Trial

Official title:

Livslots Angered - A Randomized Controlled Trial of a Community-based Health-promoting and Disease-preventive Program for Older Foreign Born Adults

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01841853
• Other study ID #: Livslots Angered
• Status: Completed
• Phase: N/A
• Start date: August 2012
• Est. completion date: January 2016

Study information

• Verified date: May 2019
• Source: Göteborg University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The overarching aim with this study was to develop, implement and evaluate a health promoting programme for people from Finland or the Western Balkan region, who were 70 years of age or older and independent daily activites (1). The aim of the programme was to prevent or delay dependence in daily activities, health decline, and frailty. The study focused on both evaluation and implementation and the data collection finished in 2016

Description:

The study has developed tools for collaboration between the target group, staff and researchers, as well as with tools to bridge barriers to health promotion. For example, alternative ways to recruit participants and to collect and analyse data in studies with and for people who are ageing in a migration context.

The findings describe how a person-centred approach could be used to make use of the resources of the target groups, and visualise methods to bridge linguistic barriers. The education material from Older people in the risk zone has also been translated to Bosnian Serbo-Croatian and Finnish.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 131
• Est. completion date: January 2016
• Est. primary completion date: January 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 70 Years and older

Eligibility

Inclusion Criteria:

• Foreign-born from Finland or any of five countries in the Western Balkans (Bosnia-Herzegovina, Croatia, Macedonia, Montenegro, and Serbia)

• 70 years of age or older

• Living in Angered, Gothenburg

• Living in their ordinary housing

• Not dependent on informal or formal help in daily activities

Exclusion Criteria:

• Impaired cognition, Mini Mental State Examination (MMSE) below 80% of administered items

Related Conditions & MeSH terms

• Health Behavior

Intervention

Behavioral:
• Senior meetings
The intervention will be led by professionals such as a registered occupational therapist, a nurse, a physical therapist, and a social worker. The intervention will comprise four weekly meetings in small groups (4-6 participants) in addition to an individual follow-up home visit two to three weeks after the last senior meeting. To use groups involve the possibility of peer education where participants in a person-centeredness perspective are seen as experts on their own situation and learn from each other. The relationship between the personnel and the participants in the senior meetings can be described as a partnership. Respect for the participant and his/her values, and that the participant gets an opportunity to maintain and develop their own power over their own everyday activities will be essential in the meeting.

Locations

Country	Name	City	State
Sweden	Synneve Dahlin-Ivanoff	Gothenburg

Sponsors (2)

Lead Sponsor	Collaborator
Göteborg University	The Swedish Research Council

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change of Activities of Daily Life (ADL)	The ADL-staircase	change from baseline at 6 months and 1 year
Primary	Change of Sense of Coherence (KASAM)	KASAM (by Antonovsky)	change from basline at 6 months and 1 year
Secondary	Change of Fatigue	The Mob-T scale	baseline, 6 months, and 1 year
Secondary	Change of Grip strength	North Coast-dynamometer	baseline, 6 months, and 1 year
Secondary	Change of Physical activity	Questionnaire and Physical and domestic activity scale	basline, 6 months, and 1 year
Secondary	Change of Balance	The balance scale	basline, 6 months, and 1 year
Secondary	Change of Gait speed	Four-meter walking test	basline, 6 months, and 1 year
Secondary	Change of Weight loss	The Göteborg Quality of Life Instrument	basline, 6 months, and 1 year
Secondary	Change of Cognition	Mini Mental State Examination (MMSE)	basline, 6 months, and 1 year
Secondary	Change of Visual impairment	KM-visual acuity chart	basline, 6 months, and 1 year
Secondary	Change of Falls	Questionnaire	basline, 6 months, and 1 year
Secondary	Change of Fear of falls	FES-I	baseline, 6 months, 1 year
Secondary	Change of Illness	CIRS-G	Baline, 6 months, and 1 year
Secondary	Change of Symptoms	The Göteborg Quality of Life Instrument	Basline, 6 months, and 1 year
Secondary	Change of Change of Depression	GDS 20	Baseline, 6 months, and 1 year
Secondary	Health-care consumption	Register data	Baseline, 6 months, and 1 year