Examining the Effectiveness of Mindful Yoga in Enhancing Psychological Well-being Among Older Adults Discharged From Hospital and Their Caregivers: A Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 668
- 试验地点
- 1
- 主要终点
- The Depression, Anxiety, and Stress Scale
研究概览
简要总结
This study will adopt the intervention of mindful yoga to improve the psychological well-being of older adults who discharged from hospital and their caregivers in Hong Kong.
详细描述
In the proposed study, the investigators will conduct a fully powered, double-blind, and multicentered randomized controlled trial (RCT) of the efficacy of mindful yoga versus a psychoeducation control. The study sample will consist of older adults discharged from hospitals within the previous 3 months and their informal caregivers. The investigators will aim to determine: (1) the efficacy of mindful yoga in the study group versus the control group in improving the dyadic psychological well-being (as measured by depression, anxiety, stress, and meaning of life) of older adult-caregiver dyads (e.g., both actor and partner effects); (2) whether these improvements were maintained after 3 and 6 months; and (3) the lived experiences of older adults and their caregivers. The investigators hypothesize that: (1) mindful yoga will be more efficacious in improving outcomes compared with the control condition; (2) there will be both actor and partner effects of the intervention on the primary and secondary outcomes; and (3) these outcome improvements will be maintained at 3 and 6 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Older adults discharged from hospital
- •older adults aged 65 years or above;
- •individuals who have been discharged from a local hospital within the previous 3 months who qualify for the Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment and are receiving services from community support services;
- •individuals with no mobility issues or who have limited mobility but can access the intervention sites using a wheelchair and are capable of practicing mindful yoga, even if in a wheelchair; and
- •individuals who can understand Cantonese.
- •Caregivers:
- •living with older adults during the transition period from hospital to home.
排除标准
- •Older adults discharged from hospital
- •older adults diagnosed with depression, anxiety, or stress disorders by certified doctors;
- •older adults diagnosed with severe dementia;
- •homebound older adults who face difficulty attending the intervention sites; and
- •older adults having a tech-enabled Hospital Admission Risk Reduction Program for the Elderly (HARRPE) score <0.17 or >0.
- •Caregivers:
- •Family caregivers who have been diagnosed with severe mental health issues will be excluded from the proposed study.
结局指标
主要结局
The Depression, Anxiety, and Stress Scale
时间窗: Through study completion, an average of 12 weeks
The total score ranges from 0 to 63. Higher score indicates higher level of depression, anxiety and stress
次要结局
- The meaning in life scale(6 months follow-up)
- The Depression, Anxiety, and Stress Scale(6 months follow-up)
- Five Facet Mindfulness Questionnaire(6 months follow-up)
研究者
Xiaochen Zhou
Research Assistant Professor
The University of Hong Kong