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Completed

NCT Number: NCT02904174

Healthy Living Programme for Older Adults

Malnutrition, risk of falls and medication incidents are commonly faced by the older adults. This study aimed to provide health education to community-dwelling older adults and to assess the effectiveness of a Healthy Living Program (HLP) to older adults in terms of fall prevention, drug management and healthy eating habits.

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Key information

Conditions

Frail Older Adults

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

This was a single group pre-post trial. Participants aged 60 or above were recruited from the community elderly centres. A 6-week HLP, which included one 45 minutes weekly session, was offered to the participants.

122 participants were recruited. This study shows that the 6-week HLP has a potential to improve the physical well-being of the participants, and to increase their knowledge in diet, drug management and fall prevention.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • able to communicate and understand Cantonese
  • > 1 in frailty score
  • members of the Pentecostal Church of Hong Kong

Exclusion criteria

  • nil

Treatment and study plan

Healthy Living Programme

Behavioral

A 6-week Healthy Living Program (HLP) was developed and implemented for all the participants. There was one 45 minutes weekly session over 6 week. Week 1 & 2 focused on healthy eating habits including food pyramid, balanced diet for the elderly, food labels, healthy snacks and healthy eating out. Week 3 & 4 were about fall prevention, which included risk factors and complications of fall among older adults, preventive measures, strengthening exercises and aerobic dance. Week 5 & 6 focused on drug management, such as knowledge on commonly used drugs, drug storage, use of analgesics and non-pharmacological pain relief strategies. Interactive activities such as games, puzzles and question & answer session were included in the group education.

Primary outcomes

  1. Change in subjective happiness level

    Time frame: Baseline, Week 6

    Measured by Subjective Happiness Scale (SHS), which consisted of 4 statements answered on a 7-point Likert scale. Scores for each statement range from 1 to 7 and the scores from the four statements were added, thus the possible range of scores on the SHS is 4 to 28. Higher scores reflect higher levels of subjective happiness.

Secondary outcomes

  1. Change in frailty status

    Time frame: Baseline, Week 6

    Measured by the FRAIL scale, which includes five items: fatigue, resistance, ambulation, illness, and loss of weight. The FRAIL scale ranges from 0-5, with a score of 0 regards as normal, 1-2 as pre-frail and 3-5 as frail.

  2. Change in pain intensity

    Time frame: Baseline, Week 6

    Measured using the numerical rating scale, to assess the presence and intensity of pain among participants, which was presented with 0 referring to no pain and 10 referring to the worst pain imaginable

  3. Change in Generalized pain self-efficacy beliefs

    Time frame: Baseline, Week 6

    Measured by the Pain Self-Efficacy Questionnaire. It consists of 10 statements, and participants were asked to rate their confidence in performing 10 activities or tasks despite experiencing pain, on a 7-point scale.

  4. Change in functional mobility

    Time frame: Baseline, Week 6

    Measured by Timed Up and Go Test. The participants were required to walk a distance of three meters, turn, walk back to the chair and sit down.

  5. Change in hand grip strength

    Time frame: Baseline, Week 6

    Measured using a dynamometer. Participants were seated with arms by the trunk, the elbow flexed to 90 and in a neutral position, and the wrist in slight extension. Participants were told to squeeze the dynamometer as hard as they could

  6. Change in knowledge in healthy eating habits

    Time frame: Baseline, Week 6

    Measured by self-developed questionnaire. Range of score is 0-12, with higher score indicates having more knowledge.

  7. Change in knowledge in drug management

    Time frame: Baseline, Week 6

    Measured by self-developed questionnaire. Range of score is 0-10, with higher score indicates having more knowledge.

  8. Change in knowledge in fall prevention

    Time frame: Baseline, Week 6

    Measured by self-developed questionnaire. Range of score is 0-5, with higher score indicates having more knowledge.

Sponsors and collaborators

Lead sponsor

The Hong Kong Polytechnic University

Other

Collaborators

  • Pentecostal Church of Hong Kong

Registry information

Official study title

Healthy Living Programme (HLP): Diet, Drug and Fall Prevention for Community-dwelling Frail Older Adults

Acronym: HLP

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Sep 16, 2016
Registry last updated
Sep 16, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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