Exercise and Nutrition Intervention for Frail Older Patients
- Conditions
- Frailty
- Interventions
- Other: Person-centered strength training and nutrition interventionOther: Standard training
- Registration Number
- NCT05831982
- Lead Sponsor
- Aalborg University Hospital
- Brief Summary
The objective of this study is to evaluate the effect of a person-centered training and nutrition intervention six month after discharge in acutely admitted frail old medical patients on physical function. Secondly, to evaluate the effect on frailty, quality of life, health literacy, nutrition, readmissions, death and consumption of home care costs.
- Detailed Description
Evidence on how to improve physical function and avoid unnecessary readmissions for frail hospitalized older medical patients is not established as yet. In Denmark, the few studies performed have not succeeded in showing a significant difference in physical function or quality of life, due to sector barriers, low compliance and uni-dimensional interventions and none of the studies addressed readmissions and or described a patient-centered approach.
This research project will address this serious individual and societal challenge by testing and evaluating a person-centered complex intervention with emphasis on the patients´ own focus and goals. To increase the probability of developing a successful intervention with the patient in focus we have completed two qualitative studies with patients and health professionals. The primary results from these studies indicate that the pedagogical approach of the involved healthcare professional is important for establishing a good relation. Patients had a desire of being more active, but after four week only a minority had their own expectations fulfilled. Furthermore, the patients expressed that social relations had the potential of increasing adherence to training sessions. Furthermore, a citizen's panel has been established, and possible elements important for the intervention were discussed on behalf of their own experiences with the healthcare system. The results of these qualitative studies and the latest evidence contributed to the development of the current intervention study.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 119
- 65+ years old
- Acutely admitted with a medical focus at Aalborg University Hospital, South.
- Living in Aalborg Municipality (except 9230 Svenstrup, 9240 Nibe, 9293 Kongerslev, 9381 Sulsted, and 9382 Tylstrup)
- Able to walk (assistance is ok) before admission.
- Speak and understand Danish.
- Discharged with rehabilitatinplan for physiotherapy within the last 30 days.
- Dementia or other cognitive impairments.
- Terminal ill.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention (A) Person-centered strength training and nutrition intervention Intervention focusing on strength training and nutritional optimization. Control (B) Standard training Usual care. Physiotherapy (type of training decided by the physiotherapist) without nutritional intervention.
- Primary Outcome Measures
Name Time Method Short Physical Performance Battery (SPPB) 26 weeks A group of measures that combines the results of the gait speed, chair stand and balance tests
- Secondary Outcome Measures
Name Time Method Clinical Frailty Scale (CFS) 15 weeks The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill)
Short Physical Performance Battery (SPPB) 15 weeks A group of measures that combines the results of the gait speed, chair stand and balance tests
Height Baseline Measured in cm
Tilburg Frailty Indicator 15 weeks The Tilburg Frailty Indicator (TFI) is a self-report user-friendly questionnaire for assessing multidimensional frailty among community-dwelling older people
Other healthcare services 26 weeks. ex. Occupational therapy or psychologist
Timed Up and Go 15 weeks A simple test used to assess a person's mobility and requires both static and dynamic balance.
Grip strength 15 weeks Measures the muscular strength or the maximum force generated using a hand held dynamometer
Body mass, body fat mass and body muscle mass 15 weeks Inbody270 measurement. I scale measuring mass, fat mass and muscle mass at the same time. Measured in kg.
Home care 15 weeks. Hours of home care
EQ5D-5L 15 weeks A descriptive system which comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has five response levels: no problems (Level 1); slight; moderate; severe; and extreme problems (Level 5). There are 3,125 possible health states defined by combining one level from each dimension, ranging from 11111 (full health) to 55555 (worst health)
Admission 15 weeks. Number of admissions
Trial Locations
- Locations (1)
Aalborg Municipality
🇩🇰Aalborg, Denmark