Evaluating the Efficacy of a Detection and Prevention Program for Frail Community-dwelling Older Adults
- Conditions
- Older Adults
- Interventions
- Behavioral: Tailored care and support
- Registration Number
- NCT03168204
- Lead Sponsor
- Vrije Universiteit Brussel
- Brief Summary
The evaluation of a detection and prevention program which aims to create a continuum of care and support for frail community-dwelling older people (from early detection, over intervention, to follow-up). First, the program aims to develop methods to easily, accurately and timely detect and prevent a negative frailty-balance in older people. Second, the study aims to improve the quality and efficacy of care and support given to frail community-dwelling older people.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 869
Sample 1: 150 older people per municipality (total: 3 municipalities) (inclusion criteria: at least one selection criterion)
- Gender: 75 men - 75 women
- Age: 25 older people aged between 60 and 70 years old - 125 older people older than 70 years
- Marital status: 50 older people with partner - 100 older people without partner
- Living situation: 100 older people who have not moved last 10 years - 50 older people who have moved last 10 years
- Migration background: 100 older people born in Belgium - 50 older people born elsewhere
Sample 2: 150 older people per municipality (total: 3 municipalities) (inclusion criteria: all selection criteria at once)
- 75 men, older than 70 years, living together/widowed/divorced/never married, moved last 10 years
- 75 women, older than 70 years, widowed/divorced/never married, moved last 10 years
- Current institutionalization
- Current hospitalization
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Risk of being frail experimental group Tailored care and support -
- Primary Outcome Measures
Name Time Method Change from baseline Quality of Life at 6 months Assessed during baseline testing + 6 months after inclusion One question from the WHOQOL-BREF will be used to measure the quality of life of participants (1 item). Older participants will also be asked to rate their quality of life on a scale from 0 to 10.
Change from baseline aging well in place at 6 months Assessed during baseline testing + 6 months after inclusion One self-constructed question (1 item) will assess if the older person lives at home in a qualitative manner
Change from baseline Community Inclusion at 6 months Assessed during baseline testing + 6 months after inclusion Community inclusion will be measured using 1 item from the Community Integration Measure (CIM). Older participants will also be asked to rate their community inclusion on a scale from 0 to 10.
Change from baseline Satisfaction with Life at 6 months Assessed during baseline testing + 6 months after inclusion The Satisfaction with Life Scale will be administered to explore the life satisfaction of the participants (5 items)
Change from baseline sense of mastery at 6 months Assessed during baseline testing + 6 months after inclusion To assess the sense of mastery of older people, the current mastery questionnaire will be used and one self-constructed item will be added which will assess mastery in relation to others. Older participants will also be asked to rate their mastery on a scale from 0 to 10.
Change from baseline Meaning in Life at 6 months Assessed during baseline testing + 6 months after inclusion Meaning in life will be evaluated with 5 items from the Meaning in Life Questionnaire (MLQ). Older participants will also be asked to rate their meaning in life on a scale from 0 to 10.
- Secondary Outcome Measures
Name Time Method Multidimensional frailty Assessed during baseline testing + 6 months after inclusion The Comprehensive Frailty Assessment Instrument (CFAI) will be used to measure multidimensional frailty: physical, cognitive, psychological, social and environmental frailty
Resilience Assessed during baseline testing + 6 months after inclusion Resilience will be measured using the Connor-Davidson Resilience Scale (CD-RISC2), which is an abbreviated 2-item version of the original scale
Coping Assessed during baseline testing + 6 months after inclusion Coping will be measured using 12 items from the BRIEF cope. Two items from active coping, positive reframing, religion, use of emotional support and self-distraction and one item from acceptance and behavioral disengagement will be used
Physical phenotype of frailty Assessed during baseline testing + 6 months after inclusion The Fried's phenotype of frailty will be used to assess the physical phenotype of frailty as well as the questionnaire of Op het Veld
Neighborhood Assessed during baseline testing + 6 months after inclusion Different dimensions of neighborhood will be assessed. First, the social environment will be administered by using 3 items from the social cohesion dimension of the Neighbourhood Scale. Second, the physical environment will be explored by using 4 items from the BAS-questionnaire as well as from the Neighbourhood Environment Walkability Scale. Finally, low-key participation will be examined by using 2 items from the questionnaire of Oswald \& Konopik.
Feeling frail Assessed during baseline testing + 6 months after inclusion The subjective feeling of frailty will be assessed using 1 self-constructed question and will assess to what extent an older person feels frail
Help needed for activities in daily life Assessed during baseline testing + 6 months after inclusion Older people will be asked if they need help with 8 activities of daily life, and to what extent the help they receive for these activities is sufficient. These questions are adapted from the questionnaire of the Belgian Ageing Studies (BAS)
Medical care Assessed during baseline testing + 6 months after inclusion The participants will be asked if they needed to go to the hospital, to a residential setting and a rehabilitation center over the past 6 months (day case/overnight stay). These questions are adapted from the Health Interview Survey. In addition, the participants will be asked when they visited the general practitioner for the last time over the last 6 months.
Leisure time Assessed during baseline testing + 6 months after inclusion Leisure time will be measured by using an adapted question with 8 items derived from the BAS-questionnaire and will examine how often the participants perform the listed activities
Life-events Assessed during baseline testing + 6 months after inclusion A shortened version of the Geriatric Adverse Life Events Scale (GALES) will be adapted to assess to occurrence of life-events (11 items)
Informal and formal care Assessed during baseline testing + 6 months after inclusion Older people will be asked if they receive care from 6 informal and 14 formal caregivers and if they are satisfied with the help they receive from these caregivers. These questions are adapted from the BAS-questionnaire.
Trial Locations
- Locations (3)
OCMW Tienen
🇧🇪Tienen, Belgium
OCMW Gent
🇧🇪Gent, Belgium
OCMW Knokke-Heist
🇧🇪Knokke-Heist, Belgium