The Effects of a Tele-health Program to Facilitate the Usage of Internet of Things Among Community-dwelling Frail Older Adults: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 202
- Locations
- 1
- Primary Endpoint
- The change of physical activity before and after the program
Study Overview
Brief Summary
Frailty is a state of being vulnerable and functional disable due to age-related decline of multiple physiological systems, and is often associated with higher risk of falls, institutionalization, hospitalization, disability, dementia, and death. One of the best strategies to combat the burden of frailty is to promote physical activity in the aging population, especially to the older adults who are already in a frail condition
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •For older adults:
- •Inclusion Criteria:
- •aged 60 or above
- •having level of frailty from "managing well" to "living with severe frailty" (Clinical Frailty Scale score 3-7) -- HK-MoCA score 23 or less (add one point to people who had less than 6 year formal education and add 2 points to people who had no formal education)
Exclusion Criteria
- •currently receiving any kind of rehabilitation service
- •living with another older adult who is participating in the same study.
- •For young adults:
- •Inclusion Criteria:
- •aged 17 to 35
- •having educational level of secondary 5 or above
- •Exclusion Criteria:
- •- having a full-time job
Arms & Interventions
Control group
The control group participants will receive usual care, that is, service that provided by community elderly center
Intervention group
Individualized motion-based interactive game program
Intervention: Individualized motion-based interactive game program (Procedure)
Outcomes
Primary Outcomes
The change of physical activity before and after the program
Time Frame: baseline pre-intervention, 4.5 months when the program is completed
Physical activities of the older adults will be measured by the Chinese version of the Physical Activity Scale for the Elderly. The PASE-C is a 12-items scale estimating the frequency and intensity of older adults' lifestyle physical activities with three types of physical activities (leisure-time activity: 5 items; household activity: 6 items; work-related activity: 1 item) during the previous 7-day period. The total score is computed by the multiplication on the time spent (recorded as never, seldom: 1-2 days per week, sometimes: 3-4 days per week, and often: 5-7 days per week) or participation (yes/no) on each activity by items weights, and summarize all the items. Higher scores mean higher frequency and intensity of physical activities.
Secondary Outcomes
- The change of social isolation before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of depression level before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of social connectedness before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of balance before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of short-term memory before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of loneliness level before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of attitude towards elderly before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of community involvement before and after the completion of the program(Six months after the completion of the program)
- The change of cognition status before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of quality of life before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of life satisfaction before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- The change of self-efficacy before and after the program(baseline pre-intervention, 4.5 months when the program is completed)
- Recruitment rate after the completion of the program(6 months after the completion of the program)
Investigators
Arkers, Wong
Assistant professor
The Hong Kong Polytechnic University