Comparison of the Effects of a Social Work-Supported Physiotherapy Intervention on Psychosocial Well-Being and Social Health Levels Within the ICF Framework Among Third Age University Students and Nursing Home Residents
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Demographic and Clinical Characteristics:
研究概览
简要总结
The aging process is considered not only as a phase characterized by changes in physical functioning, but also as a multidimensional life stage affecting psychosocial well-being, social participation, and quality of life. The World Health Organization's healthy aging approach and the International Classification of Functioning, Disability and Health emphasize that the health status of older adults should be evaluated through the interaction of biological, psychological, and social dimensions. The literature indicates that physical activity and rehabilitation-based interventions not only improve functionality in older individuals but also enhance psychological well-being and social participation; however, the sustainability of these gains is largely determined by social support and environmental factors. In this context, the integration of social work and physiotherapy practices has gained importance in terms of interdisciplinary and holistic intervention models in elderly care.
The aim of this study is to comparatively examine the effects of a social work-supported physiotherapy intervention, implemented among students enrolled in a Third Age University (60+ Refresher University) and older adults living in a nursing home in Turkey, on functionality, psychosocial well-being, and social health levels within the ICF framework. The study is designed as a pretest-posttest controlled quasi-experimental research model. The study population consists of students of Munzur 60+ Refresher University and individuals aged 60 and over residing in a nursing home in Tunceli. Participants selected through stratified random sampling will be assigned to intervention and control groups. A 6-week social work-supported physiotherapy program will be implemented for the intervention groups by physiotherapists and social workers. During the data collection process, physical functioning, psychosocial well-being, and social health-covering the components of the ICF-will be assessed before and after the intervention using standardized measurement tools. The study is expected to provide evidence-based contributions to holistic and interdisciplinary intervention models for older adults.
详细描述
The aging process is a multidimensional life stage that leads to significant changes not only in individuals' physical functioning but also in their psychosocial well-being, social participation, and social roles. The World Health Organization defines healthy aging as the ability of individuals to maintain functional capacity and lead a meaningful life in later stages of life, emphasizing that this process is shaped by the interaction of biological, psychological, and social components. This perspective highlights that interventions targeting older adults should not be limited to disease and physical decline, but should instead adopt a holistic approach encompassing daily life, social relationships, and social participation.
The International Classification of Functioning, Disability and Health, developed by the World Health Organization, provides a comprehensive framework that conceptualizes health not only in terms of diagnoses and impairments, but also through body functions and structures, activities, participation, and environmental factors. The ICF facilitates a better understanding of the relationships between physical functioning, social participation, life satisfaction, and psychosocial well-being, particularly among older adults, and offers a common conceptual language for rehabilitation and social work fields. The ICF enables an interdisciplinary evaluation of health and functioning.
The literature indicates that physical activity and rehabilitation-based interventions improve balance, mobility, and functional capacity in older adults, while also being associated with reductions in depressive symptoms, enhanced psychological well-being, and improved quality of life. The physical activity is a key protective factor not only for physiological health but also for psychological and social well-being. Similarly, participation in regular physical activity has been shown to positively influence self-efficacy, emotional well-being, and social interaction among older adults.
However, recent studies suggest that the sustainability of gains in physical functioning is strongly influenced by social support, motivation, and environmental opportunities. The social support and psychosocial factors play a central role in older adults' participation in physical activity. In this context, social work emerges as a complementary profession that facilitates access to environmental resources, strengthens social relationships, and supports psychosocial well-being.
The social context in which older individuals live has a decisive impact on their psychosocial well-being and social health. Older adults living in nursing homes often represent a more vulnerable group due to social isolation, role loss, and the constraints of institutional living. In contrast, Third Age Universities, which emphasize lifelong learning and social participation, provide protective environments that support active aging. The literature clearly demonstrates that different living arrangements lead to significant differences in mental health and life satisfaction among older adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
Individuals are not aware of the content and benefits of the treatment to be implemented.
入排标准
- 年龄范围
- 60 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being between 60 and 80 years of age
- •Being informed about the study and providing written informed consent for voluntary participation
- •Not having any physical, cognitive, or psychological limitations that would prevent participation in the physiotherapy interventions and assessments
排除标准
- •Having uncontrolled cardiovascular, neurological, psychiatric, or orthopedic conditions that may medically contraindicate participation in the physiotherapy intervention
- •Having cognitive, psychological, or mental impairments that would prevent the reliable administration of the assessments
- •Having undergone a major surgical procedure within the last 6 months that could affect the research process
研究组 & 干预措施
Control Group
Refresher Group Training
干预措施: Social Work-Supported Physiotherapy (Other)
Nursing Home Training
干预措施: Social Work-Supported Physiotherapy (Other)
结局指标
主要结局
Demographic and Clinical Characteristics:
时间窗: From enrollment to the end of the 6-week training period
Participants' demographic data, and presenting complaints at admission, diagnoses, medications used, history of surgical procedures, and comorbid conditions will be assessed.
Fatigue Severity Scale (FSS)
时间窗: From enrollment to the end of the 6-week training period
Fatigue will be assessed using the Fatigue Severity Scale. Participants will respond to the items by rating them on a scale from 1 to 7. The scale consists of nine items, each scored between 1 and 7. Lower scores indicate lower levels of fatigue.
6-Minute Walk Test (6MWT)
时间窗: From enrollment to the end of the 6-week training period
The 6-Minute Walk Test is a standardized performance-based measure used to evaluate functional exercise capacity. It assesses the distance an individual can walk on a flat surface within six minutes. The test reflects submaximal aerobic capacity and is widely used in clinical and rehabilitation settings. A greater distance indicates better functional capacity.
International Physical Activity Questionnaire
时间窗: From enrollment to the end of the 6-week training period
The International Physical Activity Questionnaire is a widely used self-report tool that assesses the frequency, duration, and intensity of physical activity across different domains (e.g., work, transportation, leisure). It provides estimates of total physical activity levels. A higher total score indicates a higher level of physical activity.
Multidimensional Quality of Life Scale
时间窗: From enrollment to the end of the 6-week training period
The Multidimensional Quality of Life Scale evaluates individuals' perceived quality of life across multiple domains, including physical, psychological, and social well-being. It provides a comprehensive assessment of overall life satisfaction and functioning. Higher scores indicate a better quality of life.
Revised Community Participation Questionnaire
时间窗: From enrollment to the end of the 6-week training period
The Revised Community Participation Questionnaire is used to assess individuals' level of participation in social, community, and daily life activities. It evaluates the frequency and diversity of participation, as well as perceived barriers and facilitators to engagement. Higher scores indicate a greater level of participation.
Depression Anxiety Stress Scale
时间窗: From enrollment to the end of the 6-week training period
The Depression Anxiety Stress Scale is a self-report instrument designed to measure negative emotional states across three dimensions: depression, anxiety, and stress. It consists of multiple items rated on a Likert scale, providing separate subscale scores for each domain. Higher scores indicate greater levels of depression, anxiety, and stress (i.e., more severe negative emotional states).
Physical Activity Barriers Scale
时间窗: From enrollment to the end of the 6-week training period
The Physical Activity Barriers Scale assesses perceived obstacles that limit individuals' participation in physical activity. These barriers may include physical, psychological, environmental, and social factors that influence engagement in exercise. Higher scores indicate greater perceived barriers to physical activity.
Psychological Well-Being Scale for Older Adults
时间窗: From enrollment to the end of the 6-week training period
This scale measures the psychological well-being of older individuals, including dimensions such as autonomy, purpose in life, emotional balance, and personal growth. It provides insight into the subjective mental health status of elderly populations. Higher scores indicate better psychological well-being.
Social Health Scale for Older Adults
时间窗: From enrollment to the end of the 6-week training period
The Social Health Scale for Older Adults evaluates social functioning, including interpersonal relationships, social roles, social support, and community integration. It reflects the social dimension of health and well-being in later life. Higher scores indicate better social health and functioning.
次要结局
未报告次要终点
研究者
Hakan COSKUN
Assist Prof. Dr.
Munzur University