AGE SELF CARE: Promoting Healthy Aging Through a Group Visit Program
- Conditions
- Frailty SyndromeFrail Elderly SyndromeFrailtyAging
- Interventions
- Behavioral: AGE SELF CARE group visit program
- Registration Number
- NCT06079762
- Lead Sponsor
- Brigham and Women's Hospital
- Brief Summary
Aim 1: To assess the feasibility and acceptability of delivering AGE SELF CARE through virtual medical group visits by measuring recruitment rate, adherence, and participant satisfaction.
Hypothesis 1: It will be feasible to recruit 12 older adults who are pre-frail. Hypothesis 2: At least 70% of participants will attend 6 of 8 group visit sessions.
Hypothesis 3: At least 70% of participants will report satisfaction with the program.
Aim 2: Determine the feasibility and burden of measuring frailty in this study by different instruments.
Hypothesis 1: At least 70% of participants will complete portions of all frailty assessments.
Hypothesis 2: Participants will not find testing to be burdensome and measures may be completed in 60 minutes or less.
Hypothesis 3: Mean gait speed and frailty index will improve from baseline to post-intervention.
- Detailed Description
Study Design: pilot study
Setting: BWH Osher Clinical Center for Integrative Medicine, or "OCC", is a collaboration between BWH and Harvard Medical School (HMS), focused on enhancing human health, resilience, and quality of life through translational research, clinical practice, and education in integrative medicine. The OCC is comprised of an interdisciplinary team of physicians, chiropractors, acupuncturists, massage therapists, coaches, nutritionists, craniosacral therapists, and other practitioners who treat patients with a variety of conditions. Patients across New England regularly access the OCC through self-referral or referral from primary care or subspecialty practices.
Participants: Community-dwelling adults aged 65 years and older who are pre-frail (based on FRAIL) during the initial study visit (n=12).
Intervention: AGE SELF CARE consists of 8 weekly 90-minute virtual group visits, with approximately 12 participants in each group. Sessions focus on chronic disease management; healthy lifestyle education, including nutrition, physical activity, sleep, stress management, and socialization; home adaptation to optimize the home environment for usability and safety with aging; and anticipatory guidance. Educational materials include a library of handouts and pre-recorded videos from interdisciplinary team members about a topic. The group applies learning to their own lives, develops personal goals, and reports back about brief home activities or practices.
Sessions will be modified and targeted toward frailty prevention according to existing data and published guidelines. For example, the Mediterranean diet will be discussed as a nutritional approach that can reduce frailty progression. Physical activity guidelines will focus on resistance training to simulate daily activities, power training, balance exercise, and mind-body movement. Finally, sessions will include information on home safety modification and polypharmacy.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 11
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description AGE SELF CARE group visit program AGE SELF CARE group visit program Participants will take part in 8 weekly 90-minute virtual group visit program sessions
- Primary Outcome Measures
Name Time Method Recruitment rate Baseline Proportion of contacted potential participants who enrolled in the study
Attendance Immediately after the intervention Proportion of participants who attend at least 6 of 8 scheduled Zoom visits
Completion of home practice log Immediately after the intervention Proportion of of participants who complete the home practice log each week
Proportion lost to follow-up Immediately after the intervention Proportion of enrolled participants who were lost to follow-up (unable to be contacted during study)
Participant satisfaction Immediately after the intervention Participant satisfaction with program, visual analog scale from 1 to 10 (10 indicating highest satisfaction)
Completion of testing Baseline and immediately after the intervention Proportion of enrolled participants who completed testing for the study; time taken to complete testing
- Secondary Outcome Measures
Name Time Method Patient health questionnaire 2-item scale (PHQ-2) Baseline and immediately after the intervention Depression
Loneliness Baseline and immediately after the intervention University of California at Los Angeles 3-item Loneliness Questionnaire
Self-reported health Baseline and immediately after the intervention General health perception (from SF-12)
Generalized Anxiety Disorder 2-item scale (GAD-2) Baseline and immediately after the intervention Anxiety
Frailty index Baseline and immediately after the intervention Measurement of a frailty index based on the deficit accumulation model (PMID: 32072368)
Sleep Baseline and immediately after the intervention Sleep questions from Patient Reported Outcome Measurement Information System (PROMIS-29) questionnaire
Godin Leisure-Time Exercise Questionnaire Baseline and immediately after the intervention Physical activity
Self-efficacy Baseline and immediately after the intervention 1 question from New General Self-Efficacy Scale
Short Physical Performance Battery (SPPB) Baseline and immediately after the intervention Measures of balance, gait speed, and chair stands
Trial Locations
- Locations (1)
Brigham and Women's Hospital
🇺🇸Boston, Massachusetts, United States