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RCT of Health-promoting Intervention for Older Foreign-born Adults

Not Applicable
Completed
Conditions
Health Behavior
Interventions
Behavioral: Senior meetings
Registration Number
NCT01841853
Lead Sponsor
Göteborg University
Brief Summary

The overarching aim with this study was to develop, implement and evaluate a health promoting programme for people from Finland or the Western Balkan region, who were 70 years of age or older and independent daily activites (1). The aim of the programme was to prevent or delay dependence in daily activities, health decline, and frailty. The study focused on both evaluation and implementation and the data collection finished in 2016

Detailed Description

The study has developed tools for collaboration between the target group, staff and researchers, as well as with tools to bridge barriers to health promotion. For example, alternative ways to recruit participants and to collect and analyse data in studies with and for people who are ageing in a migration context.

The findings describe how a person-centred approach could be used to make use of the resources of the target groups, and visualise methods to bridge linguistic barriers. The education material from Older people in the risk zone has also been translated to Bosnian Serbo-Croatian and Finnish.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
131
Inclusion Criteria
  • Foreign-born from Finland or any of five countries in the Western Balkans (Bosnia-Herzegovina, Croatia, Macedonia, Montenegro, and Serbia)
  • 70 years of age or older
  • Living in Angered, Gothenburg
  • Living in their ordinary housing
  • Not dependent on informal or formal help in daily activities
Exclusion Criteria
  • Impaired cognition, Mini Mental State Examination (MMSE) below 80% of administered items

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Senior meetingsSenior meetingsThe intervention will comprise four weekly meetings in small groups (4-6 participants) in addition to an individual follow-up home visit two to three weeks after the last senior meeting.The main purpose of the senior meetings is to give information and facilitate discussion of the ageing process and provide tools and suggest strategies to enable the clients to solve the various problems that may arise at home in order to remain living at home in a safe and secure way. The information will also include what the municipality provides in the form of local meeting places, activities run by local associations, physical training for seniors, walking groups, possibilities of offering or accepting help on a voluntary basis. Furthermore, they will be informed about help and support available in their city district. Identification of risks for, and advice on, how to prevent falls will also be included.
Primary Outcome Measures
NameTimeMethod
Change of Sense of Coherence (KASAM)change from basline at 6 months and 1 year

KASAM (by Antonovsky)

Change of Activities of Daily Life (ADL)change from baseline at 6 months and 1 year

The ADL-staircase

Secondary Outcome Measures
NameTimeMethod
Change of Gait speedbasline, 6 months, and 1 year

Four-meter walking test

Change of Weight lossbasline, 6 months, and 1 year

The Göteborg Quality of Life Instrument

Change of Fear of fallsbaseline, 6 months, 1 year

FES-I

Change of Balancebasline, 6 months, and 1 year

The balance scale

Change of Fallsbasline, 6 months, and 1 year

Questionnaire

Change of Fatiguebaseline, 6 months, and 1 year

The Mob-T scale

Change of Grip strengthbaseline, 6 months, and 1 year

North Coast-dynamometer

Change of Cognitionbasline, 6 months, and 1 year

Mini Mental State Examination (MMSE)

Change of SymptomsBasline, 6 months, and 1 year

The Göteborg Quality of Life Instrument

Health-care consumptionBaseline, 6 months, and 1 year

Register data

Change of Physical activitybasline, 6 months, and 1 year

Questionnaire and Physical and domestic activity scale

Change of IllnessBaline, 6 months, and 1 year

CIRS-G

Change of Change of DepressionBaseline, 6 months, and 1 year

GDS 20

Change of Visual impairmentbasline, 6 months, and 1 year

KM-visual acuity chart

Trial Locations

Locations (1)

Synneve Dahlin-Ivanoff

🇸🇪

Gothenburg, Sweden

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