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A multimodal intervention program for older people with frailty – a randomized controlled pilot trial

Not Applicable
Conditions
Frailty in older people
R54
Senility
Registration Number
DRKS00011831
Lead Sponsor
Hochschule für Gesundheit, Bochum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
41
Inclusion Criteria

Community-dwelling people with frailty (Frailty Index = 0.25).

Exclusion Criteria

[1] blindness/severe visual impairment
[2] deafness/severe hearing impairment
[3] language barrier (German)
[4] inability to understand/comply the study information and to give informed consent (e.g. severe aphasia, severe cognitive impairment/dementia)
[5] infection / acute illness
[6] scheduling issues (e.g. planed absence such as holidays, rehabilitation/hospital stay within the study period with a duration of >14 days in a row)
[7] life expectancy of <12 months
[8] not living in the city of Bochum
[9] currently or planed participation in another regular sport or exercise training (>1x/week)
[10] any medical restriction for an individually tailored exercise training:
[10a] one of the following severe cardio-vascular diseases: unstable angina pectoris; decompensated congestive heart failure; unstable blood pressure; heart attack with the last 3 months
[10b] Complex fractures or orthopedic surgery with complications and/or persisting severe complaints within the last 3 months; severe joint disorders.
[10c] Severe neurological diseases which would prevent participation in the exercise program, such as severe Parkinsons’s disease (Hoehn & Yahr >3), stroke with severe hemiparesis (National Institutes of Health Stroke Scale >6)

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Feasibility: Process aspects, resource aspects, management aspects, scientific aspects (Thabane 2010)<br><br>Effectiveness: Between-group difference in the number of people with frailty (assessed by the Frailty Index Searle et al. 2008) after the intervention (after 3 months) and at follow-up (after further 3 months).<br>
Secondary Outcome Measures
NameTimeMethod
Effectiveness: The secondary outcomes are assessed after the intervention period and at follow-up.<br><br>[1] Physical frailty (Physical Frailty Phenotype)<br>[2] Cognition (Minimal Mental State Examination)<br>[3] Mobility (De Morton Mobility Index)<br>[4] Ambulation (Functional Ambulation Categories )<br>[5] Mobility/fall risk (Timed Up And Go Test)<br>[6] Gait speed (4m gait speed test)<br>[7] Physical functioning (Short Physical Performance Battery)<br>[8] Fear of falling (Falls Efficacy Scale International)<br>[9] Health-related quality of life (SF-12)<br>[10] Depression/mood (Geriatric Depression Scale)<br>[11] Disability (Late Life Function Index)<br>[12] Participation (Late Life Disability Index<br>[13] Multimorbidity (Charlson Comorbidity Index)<br>[14] Nutritional state (Mini Nutritional Assessment)<br>[15] Physical activity (accelerometry)<br>[16] Falls (falls diary)<br>[17] Hospital admissions (self-report of participants)<br>
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