Comprehensive Risk Assessment and Prevention Plan of Osteoporosis and Sarcopenia for the Elderly Participating in Community-based Long-term Care Services
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 600
- 试验地点
- 1
- 主要终点
- The changes of Quality of life and quality adjusted life year
研究概览
简要总结
The purpose of this project is:
- Provide the epidemiological data of the prevalence, incidence, and risk factors of osteoporosis and sarcopenia among the elderly in rural areas.
- Screen osteoporosis and sarcopenia among the elderly and provide with assistance for following care in order to improve the diagnosis and treatment rates of osteoporosis and sarcopenia
- Construct a pragmatic and integrated care service model for osteoporosis and sarcopenia in the elderly people from rural areas
详细描述
Detailed Description:
Investigators plan to use a stepped-wedge cluster randomized trial that allocates participants into the following three groups:
- Screening group: Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment.
- Multi-disciplinary team intervention group: Introduce integrated services of health education, nutrition, rehabilitation, medication evaluation and other multi-specialties to assist study participants with health promotion.
- Control group (Delayed intervention): receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age≥ 50 old and lived in the community
排除标准
- •Life expectancy less than two years
结局指标
主要结局
The changes of Quality of life and quality adjusted life year
时间窗: one year, two year, 3 year, four year
Using EQ5D / WHOQOL Brief questionnaires to measure quality of life and evaluate the changes after intervention. In addition, to calculate quality adjusted life year by using utility index derived from qualify of life measurement.
Institutionalilzation rate
时间窗: one year, two year, 3 year, four year
To define if the Institutionalilzation rate would be changed after intervention
Intrinsic capacity
时间窗: one year, two year, 3 year, four year
To define if the Intrinsic capacity would be changed after intervention
次要结局
- Incidence of fracture(one year, two year, 3 year, four year)
- Incidence of unexpected hospitalization(one year, two year, 3 year, four year)
- Incidence of fall(one year, two year, 3 year, four year)