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Completed

NCT Number: NCT06415617

Home-based Psychoeducation for Older Adults With Frailty: A Feasibility Trial

This study aims to test the feasibility and acceptability of home-based psychoeducation in older adults with frailty in the community. The main questions it aims to answer are

1. Are the proposed eligibility criteria for participants and the study process in recruiting and retaining the participants appropriate? 2. Is home-based psychoeducation feasible and acceptable for older adults with frailty in the community?

Participants will receive 12 weekly online group-based sessions at their homes. The content for the experimental group and control group is different:

* Intervention group: psychoeducation * Control group: physical health education

Participants will receive two home visits for data collection. An individual interview will be conducted with participants in the experimental group to explore their experiences.

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Key information

Conditions

Frailty Behavior Pathologic Processes Pathological Conditions, Signs and Symptoms Personal Satisfaction Psychological Well-Being Well-Being, Psychological

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Nethersole School of Nursing, The Chinese University of Hong Kong

Shatin, New Territories, Hong Kong

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

(1) aged 65 years or over; (2) meeting frailty criteria by FRAIL scale (score 3 or above) ; (3) mentally competent screened by The Abbreviated Mental Test (AMT≥6) ; (4) able to speak and understand Cantonese; (5) living at home; (6) having experience using a smartphone (e.g.: sending messages, watching videos)

Exclusion criteria

(1) have a visual or hearing problem or a language barrier that may affect their communication or understanding; (2) being unfit for home-based exercise, as defined by having one point or above at either the 25-item Home Falls and Accidents self-reported screening tool (HOME-FAST), which is a comprehensive tool for identify home hazards for fall (3) are currently practising exercise for at least 150 minutes per week in previous four weeks; (4) are receiving active psychiatric or antidepressant treatment or joining other physical exercises or rehabilitation programmes

Treatment and study plan

Psychoeducation

Other

The content of psychoeducation is based on "Five Ways of Well-being" which covers "Be active", "Connect", "Take Notice", "Keep learning" and "Giving" . The participants will be engaged in psychoeducation through group discussion, individualised goal setting and reflective exercises.

Attention Control

Other

The content of the sessions mainly focuses on physical health information, such as healthy eating, physical exercise, prevention of falls, and pain management.

Primary outcomes

  1. Participation rate, self-reported intervention adherence, and attrition rate.

    Time frame: 12 weeks post-allocation

    The feasibility of the study will be measured in terms of participation rate, self-reported intervention adherence, and attrition rate.

  2. Acceptability

    Time frame: 12 weeks post-allocation

    A 5-item satisfaction survey will be conducted by the end of the intervention for participants to rate the intervention in terms of appropriates of the session content, length of each session, overall intervention duration and delivery mode, from 1 (very dissatisfied) to 5 (very satisfied).

Secondary outcomes

  1. Frailty level

    Time frame: 12 weeks post-allocation

    FRAIL scale

  2. Physical functioning

    Time frame: 12 weeks post-allocation

    The Senior Fitness Test: It covers four dimensions, including muscle endurance, balance, flexibility, and tolerance measured by 30-sec arm-curl test, 30-sec chair-stand test, back-scratch test, chair sit-and-reach test, 8-foot up-and-go test, two-min step test.

  3. Activities of daily living

    Time frame: 12 weeks post-allocation

    Katz Index of Independence in Activities of Daily Living

  4. Instrumental activities of daily living

    Time frame: 12 weeks post-allocation

    Lawton Instrumental Activities of Daily Living Scale

  5. Subjective well-being

    Time frame: 12 weeks post-allocation

    The Chinese 5-item World Health Organization Well-Being Index

  6. Depressive symptoms

    Time frame: 12 weeks post-allocation

    4-item Geriatric Depression scale

  7. Social support

    Time frame: 12 weeks post-allocation

    10-item Duke Social Support Index

  8. Quality of life

    Time frame: 12 weeks post-allocation

    EuroQol 5-Dimension 5-Level

Sponsors and collaborators

Lead sponsor

TAO An

Other

Registry information

Official study title

Effects of A Home-based Psychoeducation Programme on Subjective Well-being for Older Adults With Frailty in the Community: A Feasibility Trial

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
May 16, 2024
Registry last updated
May 16, 2024

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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