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Home-based Psychoeducation for Older Adults With Frailty: A Randomised Controlled Trial

Not Applicable
Recruiting
Conditions
Well-Being, Psychological
Frailty
Interventions
Other: Psychoeducation
Other: Attention control
Registration Number
NCT06415604
Lead Sponsor
TAO An
Brief Summary

This study aims to examine the effectiveness of a 12-week home-based telerehabilitation programme on improving subjective well-being among community-dwelling older people with frailty.

The main question it aims to answer is

- Could home-based psychoeducation significantly enhance subjective well-being in older adults with frailty in the community?

Participants will receive 12 weekly online group-based sessions at their homes. The content for the experimental group and control group is different:

* Intervention group: psychoeducation

* Control group: physical health education Participants will receive three home visits for data collection. Some of participants in experimental group will receive interview for process evaluation.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
138
Inclusion Criteria

(1) Aged 65 or older; (2) Identified as frail by the FRAIL scale (score ≥3); (3) Mentally competent as determined by the Abbreviated Mental Test (AMT ≥6); (4) Able to speak and understand Cantonese; (5) Living at home; (6) Experienced in using a smartphone (e.g., sending messages, watching videos).

Exclusion Criteria

(1) Have visual or hearing impairments or language barriers that may impact communication or understanding; (2) Unfit for home-based exercise, as indicated by a score of 1 or higher on the 25-item HOME-FAST, a tool for identifying home fall hazards; (3) Currently engaging in exercise for at least 150 minutes per week over the past four weeks; (4) Undergoing active psychiatric or antidepressant treatment or participating in other physical exercise or rehabilitation programs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental groupPsychoeducationParticipants will receive 60-minute weekly online group-based psychoeducation sessions for 12 weeks.
Control groupAttention controlParticipants will receive 60-minute weekly online group-based physical health sessions for 12 weeks.
Primary Outcome Measures
NameTimeMethod
Subjective well-beingbaseline, 12 weeks post-allocation, 24 weeks post-allocation

The Chinese 5-item World Health Organization Well-Being Index

Secondary Outcome Measures
NameTimeMethod
Activities of daily livingbaseline, 12 weeks post-allocation, 24 weeks post-allocation

Katz Index of Independence in Activities of Daily Living

Frailty levelbaseline, 12 weeks post-allocation, 24 weeks post-allocation

FRAIL scale

Physical functioningbaseline, 12 weeks post-allocation, 24 weeks post-allocation

The Senior Fitness Test: It covers four dimensions, including muscle endurance, balance, flexibility, and tolerance measured by 30-sec arm-curl test, 30-sec chair-stand test, back-scratch test, chair sit-and-reach test, 8-foot up-and-go test, two-min step test

Social supportbaseline, 12 weeks post-allocation, 24 weeks post-allocation

10-item Duke Social Support Index

Quality of lifebaseline, 12 weeks post-allocation, 24 weeks post-allocation

EuroQol 5-Dimension 5-Level

Instrumental activities of daily livingbaseline, 12 weeks post-allocation, 24 weeks post-allocation

Lawton Instrumental Activities of Daily Living Scale

Depressive symptomsbaseline, 12 weeks post-allocation, 24 weeks post-allocation

4-item Geriatric Depression scale

Trial Locations

Locations (1)

The Nethersole School of Nursing, The Chinese University of Hong Kong

🇭🇰

Shatin, New Territories, Hong Kong

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