Improving Health and Reducing Disability of Depressed Elderly With Chronic Conditions Through Qigong Exercise: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Disease
- Sponsor
- The Hong Kong Polytechnic University
- Enrollment
- 47
- Locations
- 1
- Primary Endpoint
- Personal Well-Being Index (PWI)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Qigong exercise is beneficial for older adults with co-occurring chronic physical illness and depression in terms of psychological and physical outcomes. However, the effects on functional independence, sleep quality, and mobility of depressive older adults remain unclear. It is also important to replicate its benefits for subjective well-being and muscle strength. A randomized clinical trial was conducted among older adults who were aged 60 or above and with chronic medical conditions for one year. After random assignment, intervention group (n = 25) went through qigong exercise twice a week and for 12 weeks,whereas control group (n = 22) was involved in cognitive training activities with mobilization elements. The psychosocial and physical outcomes of the two groups were compared.
Investigators
TSANG Hector Wing-Hong
Professor and Head of Department of Rehabilitation Sciences
The Hong Kong Polytechnic University
Eligibility Criteria
Inclusion Criteria
- •aged 60 or above
- •have been suffering from chronic medical conditions for more than one year
- •have depressive symptoms as indicated by Geriatric Depression Scale (GDS ≥ 6)
Exclusion Criteria
- •have practiced or received training of any form of mind-body exercises (including tai chi, yoga, and qigong) during the 6 months prior to intervention.
- •have changed medication or the dosage prior to or during intervention
- •have obvious cognitive and language impairment or score less than 20 in Mini-Mental State Examination (MMSE)
- •undergo electroconvulsive therapy, psychotherapy, or psychoeducation
- •cannot demonstrate satisfactory sitting balance
Outcomes
Primary Outcomes
Personal Well-Being Index (PWI)
Time Frame: the change from baseline to the completion of intervention (12 weeks later)
It is measured by the 8-item scale of Personal Well-Being Index (PWI). Each item was rated according to an 11-point scale ranging from '0' (extremely dissatisfied) to '10' (extremely satisfied). An overall score of PWI score was the sum of all items. The overall score ranges from 0 to 110, with higher score indicating higher subjective well-being.
Secondary Outcomes
- Timed up and Go Test (TUG)(baseline, 12 weeks after baseline, and 16 weeks after baseline)
- Handgrip Strength(baseline, 12 weeks after baseline, and 16 weeks after baseline)
- Functional Independence Measure (FIM)(baseline, 12 weeks after baseline, and 16 weeks after baseline)
- Pittsburgh Sleep Quality Index (PSQI)(baseline, 12 weeks after baseline, and 16 weeks after baseline)