Holistic Self-Empowerment Care Intervention for Optimized Independent Living and Quality of Life: A Study Protocol
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 207
- 试验地点
- 1
- 主要终点
- Barthel Index
研究概览
简要总结
This protocol describes a pilot study evaluating the effectiveness of the Self-Empowerment Care Model in promoting independence and quality of life among frail older adults in Hong Kong. Rooted in Nordic re-enablement principles and refined in Japan, the intervention adopts a holistic approach that focuses on hydration, exercise, diet, and defecation care. This 12-week intervention will be tested across three care settings-residential, day care, and home care. The study uses a quasi-experimental design involving 60 participants, aiming to compare outcomes of the intervention group with a control group receiving standard care. The study also assesses its impact on caregivers' burden and job satisfaction.
详细描述
Introduction:
As populations age, maintaining independence in activities of daily living (ADLs) becomes essential to enhance quality of life (QOL) and reduce caregiver burden. However, traditional custodial practices often exacerbate functional decline among older adults. The Self-Empowerment Care model emphasizes enhancing independence through tailored interventions addressing physical, social, and cultural needs. Despite its successful implementation in Japan and Taiwan, its application in Hong Kong remains unexplored.
Objectives:
Evaluate the feasibility, acceptability, and effectiveness of the Self-Empowerment Care model in improving ADLs and QOL for frail older adults.
Assess the impact on caregivers, including reduced burden and enhanced job satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 65 years or older
- •Functional decline
- •Potential to benefit from reablement.
排除标准
- •Severe cognitive impairment, those with mild impairment will be considered.
- •Severe mental illness
- •Terminal illness
研究组 & 干预措施
Self-Empowerment Care Intervention Group
Participants in the experimental group will receive a 12-week intervention based on the Self-Empowerment Care model.
干预措施: Self-Empowerment Care Intervention Group (Behavioral)
Control Group
Participants in the control group will receive usual care provided in their respective care settings. This includes routine assistance with daily activities, basic medical support, and general health monitoring without the structured interventions specific to the Self-Empowerment Care model.
干预措施: Control Group (Behavioral)
结局指标
主要结局
Barthel Index
时间窗: 12 Weeks
Evaluates participants' ability to perform basic activities of daily living (ADLs) independently. Scores range from 0 to 100, with higher scores indicating greater independence.
EQ-5D-5L
时间窗: 12 Weeks
A standardized instrument measuring health-related quality of life across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Adult Social Care Outcomes Toolkit (ASCOT)
时间窗: 12 Weeks
Assesses quality of life in the context of social care, with higher scores indicating better social care outcomes.
Self-Determination Survey
时间窗: 12 Weeks
Measures participants' autonomy and motivation in managing their own care, capturing changes in self-determination over time.
Instrumental Activities of Daily Living (IADL)
时间窗: 12 Weeks
Evaluates participants' ability to perform more complex daily tasks, such as managing finances and medication, with higher scores reflecting better functionality.
次要结局
- Minnesota Satisfaction Questionnaire (MSQ)(12 Weeks)
- Zarit Caregiver Burden Interview (ZBI)(12 Weeks)
研究者
Prof. Vivian W.Q. Lou
Professor
The University of Hong Kong