A Digital Active Aging Training Program for Older Adults
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 240
- Locations
- 1
- Primary Endpoint
- Exercise Self-efficacy level (ESES)
Study Overview
Brief Summary
The proposed project aims to develop and validate a multi-dimensional digital active aging program integrated with resilience to promote the biopsychosocial functions of older adults aged 60, including Chinese older immigrants in Canada (Study 1) and English-speaking White Canadian older adults (Study 2).
The proposed study takes a typical pretest-training-posttest design. Pretest and posttest: a battery of outcome measures on physical, psychological, and social functions will be administered to all participants. Data will also be used to identify sociodemographic risk predictors for outcome variables (i.e., biopsychosocial functions and resilience). Training: the participants will be randomly assigned to three arms to receive 4 weeks of 16 training/practice/control treatment sessions delivered via Zoom.
In the "active aging with resilience (AR)" condition, participants will complete physical, cognitive, and social engagement training modules, starting with a 30-min resilience-building module. The traditional "active aging" (AA) training involves the same multi-domain active aging training without the initial resilience-building module. The "workshop training" (WT) control condition involves workshops following the same 4-week schedule on aging-related topics.
Detailed Description
Objectives:
- to develop a multi-domain digital active aging training program through Zoom to promote active aging; and
- to evaluate whether adding a resilience-building module would enhance the active aging training efficacy to mitigate the lingering detrimental impacts of the pandemic
Sample:
For Study 1, the investigators will recruit 120 Mandarin-speaking healthy older Chinese immigrants (aged 60+, Chinese migrants) through WeChat(a popular instant messaging app among Chinese)/email/lab website social media channels (e.g., Facebook, Twitter) from the community partners (see a list attached). For Study 2, we will recruit 120 English-speaking healthy White Canadian older adults (aged 60+) through TMSPSS (the senior participant pool at Toronto Metropolitan University) or advertisements.
Overall Design and Procedure:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Factorial
- Primary Purpose
- Health Services Research
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Study 1(Chinese group):
- •Aged 65 or over and healthy
- •Chinese migrant (e.g., Canadian citizens, immigrants, visitors that are born and raised in the Chinese culture)
- •Can speak, read and write Mandarin
- •Having access to a computer that has internet and allows Zoom meeting attendance
- •Study 2(Canadian group):
- •Aged 65 or over and healthy
- •White Canadian citizen
- •Can speak, read and write English
- •Having access to a computer that has internet and allows Zoom meeting attendance
Exclusion Criteria
- •Scored 10 or above on the Short blessed test (SBT)
- •Unfit for light physical exercises
- •Without access to a computer and internet
- •With current or previous mental health diagnosis
Arms & Interventions
Active aging with resilience (AR)
In the "active aging with resilience (AR)" condition, participants will complete physical, cognitive, and social engagement training modules, starting with a 15-min resilience-building module.
Intervention: Resilience training (Behavioral)
Active aging with resilience (AR)
In the "active aging with resilience (AR)" condition, participants will complete physical, cognitive, and social engagement training modules, starting with a 15-min resilience-building module.
Intervention: cognitive training (Behavioral)
Active aging with resilience (AR)
In the "active aging with resilience (AR)" condition, participants will complete physical, cognitive, and social engagement training modules, starting with a 15-min resilience-building module.
Intervention: physical exercise (Behavioral)
Active aging with resilience (AR)
In the "active aging with resilience (AR)" condition, participants will complete physical, cognitive, and social engagement training modules, starting with a 15-min resilience-building module.
Intervention: social interaction (Behavioral)
Active aging without resilience (AA)
The traditional "active aging" (AA) training involves the same multi-domain active aging training without the initial resilience-building module, which will be replaced by watching 15 minutes of educational video on topics such as health, nature or travel.
Intervention: cognitive training (Behavioral)
Active aging without resilience (AA)
The traditional "active aging" (AA) training involves the same multi-domain active aging training without the initial resilience-building module, which will be replaced by watching 15 minutes of educational video on topics such as health, nature or travel.
Intervention: physical exercise (Behavioral)
Active aging without resilience (AA)
The traditional "active aging" (AA) training involves the same multi-domain active aging training without the initial resilience-building module, which will be replaced by watching 15 minutes of educational video on topics such as health, nature or travel.
Intervention: social interaction (Behavioral)
Workshop training (WT)
The "workshop training" (WT) control condition involves workshops following the same 4-week schedule on aging-related topics.
Intervention: workshop series (Behavioral)
Outcomes
Primary Outcomes
Exercise Self-efficacy level (ESES)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
(out of 40) higher score means better self-efficacy at carrying out regular physical activities and exercise.
Kessler Psychological Distress Scale (K10)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
(out of 50) higher score indicates worse overall mental health
Conner-Davidson Resilience Scale 10-item (CD RISC-10)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
(out of 40) higher score indicates higher resilience in face of difficulty in life.
Emotional regulation Questionnaire (ERQ)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Cognitive reappraisal (out of 42) and expressive suppression (out of 28). Higher score indicates higher inclination to use this facet to control their emotions.
Positive and Negative Affect Schedule (PANAS)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Positive affect (out of 50) and negative affect (out of 50). Higher score indicates feelings of higher levels of the positive/negative affect at the moment.
Visual working memory test
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Assessed using computerized games from CogniFit. Higher score indicates better visual short-term memory and memory span.
Divided attention test
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Assessed using computerized games from CogniFit. Higher score indicates better ability to divide attention between two competing tasks.
Stroop test
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Assessed using computerized games from CogniFit. Higher score indicates better ability to inhibit irrelevant information in tasks.
Sustained attention to response test
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Assessed using computerized games from CogniFit. Higher score indicates better ability to sustain attention to show rapid response to targets when present.
Multidimensional Scale of Perceived Social Support (MSPSS)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
(out of 7) higher score indicates higher levels of self-precepted social support
Visual memory test
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
Assessed using computerized games from CogniFit. Higher score indicates better ability to memorize and recognize shapes and sequence order of visual object.
the 5-item World Health Organization WellBeing Index (WHO-5)
Time Frame: (1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion
(out of 25) higher score indicates better overall self-perception of wellbeing in the past 2 weeks
Secondary Outcomes
- Satisfaction with life scale (SWLS)((1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion)
- The 6-item De Jong Gierveld Loneliness Scale((1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion)
- Instrumental Activities of Daily Living(IADL)((1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion)
- The Brief Approach/Avoidance Coping Questionnaire (BACQ)((1) pre-test (2) through study completion, an average of 1 month (3) 1-month post study completion)
Investigators
Lixia Yang
Professor
Toronto Metropolitan University