Social Prescribing for Health Promotion in Community-Dwelling Older Adults: Prospective Cohort Study Combining Mindfulness Meditation and Nordic Walking Pole Exercise
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 1,500
- 试验地点
- 1
- 主要终点
- Five Times Sit-to-Stand Test
研究概览
简要总结
This study evaluates the effects of a social prescribing intervention on health promotion outcomes in community-dwelling older adults. The intervention consists of a 4-week mindfulness meditation program followed by a 12-week walking-pole exercise program. The purpose of the study is to determine whether this combined intervention improves physical function, psychological well-being, and sleep quality.
Eligible participants aged 55 years and older will be enrolled from community settings and will receive the same 16-week intervention. Assessments will be conducted at baseline, after the mindfulness phase, after completion of the full intervention, and 3 months after the intervention ends. Study outcomes include physical function, mood, well-being, sleep quality, and indicators of continued participation and lifestyle change.
The investigators hypothesize that the combined social prescribing intervention will lead to improvements in physical and psychological health among community-dwelling older adults and support healthy aging.
详细描述
This study evaluates the effects of a social prescribing intervention on health promotion in community-dwelling older adults. The intervention combines 2 structured components delivered sequentially: a 4-week mindfulness meditation program followed by a 12-week walking-pole exercise program. The study is based on the concept that a combined mind-body and community-based intervention may improve both physical and psychological health and support healthy aging.
The study uses a prospective, single-group repeated-measures design. All enrolled participants receive the same 16-week intervention in community settings. The first phase consists of weekly group-based mindfulness meditation sessions designed to promote breathing awareness, relaxation, body awareness, emotional regulation, and positive psychological well-being. Participants are also encouraged to practice at home with guided audio support. The second phase consists of weekly group-based walking-pole exercise sessions focused on safe physical activity, strength, balance, mobility, and broader health promotion topics relevant to older adults.
The sequential design is intended to first establish psychological readiness and self-regulation and then build on this foundation through structured exercise. The investigators expect that the mindfulness phase may improve relaxation, emotional well-being, sleep, and self-regulation, while the walking-pole phase may improve physical function, lower-extremity strength, balance, and mobility. The study also examines whether participation in this combined program supports continued engagement in health-promoting behaviors.
Assessments are conducted at baseline, after completion of the mindfulness phase, after completion of the full intervention, and 3 months after the intervention ends. This design allows evaluation of short-term effects after the mindfulness phase, overall effects after the full intervention, and maintenance of effects at follow-up.
This study is intended to generate evidence for a feasible community-based social prescribing model for older adults. The findings may help support future development and implementation of integrated community programs that promote physical function, psychological well-being, and healthy aging.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults aged 55 years and older
- •Community-dwelling older adults
- •Able to walk independently or with assistive devices
- •Normal cognitive function or mild cognitive impairment, with ability to understand and follow study procedures
- •Willing to sign informed consent
- •Willing to participate in the intervention and complete study assessments
排除标准
- •Major surgery or hospitalization within the previous 3 months
- •Severe cardiovascular disease or other medical condition making exercise inappropriate, based on physician assessment
- •Moderate to severe dementia or other severe psychiatric disorder
- •Inability to comply with the 4-week mindfulness meditation program or the 12-week walking-pole exercise program
研究组 & 干预措施
Mindfulness Meditation Plus Walking-Pole Exercise
干预措施: Mindfulness Meditation and Walking-Pole Exercise (Behavioral)
结局指标
主要结局
Five Times Sit-to-Stand Test
时间窗: Baseline, after the 4-week mindfulness phase (Week 5), and after the 16-week intervention (Week 17)
Time in seconds required to complete the Five Times Sit-to-Stand Test, used to assess lower-extremity muscle strength and functional mobility. Lower values indicate better performance.
次要结局
未报告次要终点