A Multi-level and Mixed-method Impact Evaluation for the Jockey Club Elders Get Active Fitness Campaign

The goal of this clinical trial is provide a scientific evaluation on the impact of the Jockey Club Get Fitness Campaign to improve the physical capacity and health condition of the community-dwelling older adults after the COVID-19 pandemic. Participants will take part in any of the four care models:

• a box of exercise equipment
• a box of exercise equipment with verbal briefing
• a box of exercise equipment and engage in the 8-week group-based exercise training
• receive the wonderful box of exercise equipment and engage in the 8-week group-based exercise training together with the 6-week behavioral modification

Participants with greater physical dependency, greater chronic disease burden or lower motivation for social engagement will take part in any of the three care models:

• a box of exercise equipment only
• a box of exercise equipment with verbal briefing
• a box of exercise equipment and engage in the 4-session home-based exercise training, together with the 6-week behavioral modification

Study Overview

• Status: Recruiting
• Conditions: Aging Well
• Intervention / Treatment: Behavioral: Equipment box; Behavioral: Equipment box with briefing; Behavioral: Exercise training; Behavioral: Exercise training with behavioral modification

Detailed Description

This clinical trial is a mixed-method study which uses multi-level design to compare the effects of different program care models on behavioral and health-related outcomes among two different cohort of community-dwelling older adults. Exercise level and self-efficacy, physical capacity, social connectivity, geriatric symptoms, and health status are measured. A total of 1300 participants will be recruited. Outcome evaluation 8 weeks after intervention and 3 months after intervention will be included to allow the detection of immediate and long-term program benefits. In-depth individual and focus-group interviews will be conducted to solicit the participants' experience and perceived benefits of the program.

• Study Type: Interventional
• Enrollment (Estimated): 1300
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Doris Sau Fung Yu, PhD; Phone Number: 852 3817 6319; Email: yu1@hku.hk

Study Locations

• Hong Kong
  • Hong Kong, Hong Kong
    • Recruiting
    • The University of Hong Kong
    • Contact: Doris Yu, PhD; Phone Number: 3817 6319; Email: dyu1@hku.hk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Age above 60 years
• Resident of public rental house

Exclusion Criteria:

• Any contraindication to exercise training

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

7

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Equipment box (general); A box of exercise equipment is distributed to community dwelling older adults.	Behavioral: Equipment box; Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction only.
Experimental: Equipment box with briefing (general); A box of exercise equipment is distributed. Verbal briefing of exercise equipment is provided to community dwelling older adults.	Behavioral: Equipment box with briefing; Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction, and they are given verbal briefing on how to use the equipment.
Experimental: Group-based exercise (general); A box of exercise equipment is distributed. Verbal briefing of exercise equipment and an 8-week group exercise training program is provided to community dwelling older adults.	Behavioral: Exercise training; Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises.
Experimental: Group-based exercise with behavioral modification (general); A box of exercise equipment is distributed. Verbal briefing of exercise equipment and an 8-week group exercise training program is provided to community dwelling older adults, following by a 6-week behavioral modification.	Behavioral: Exercise training with behavioral modification; Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises. After finishing the exercise training program, a 6-week behavioral modification is provided. Two home visits and four telephone visits are conducted to empower the participants for exercise at home.
Experimental: Equipment box (home-bound); A box of exercise equipment is distributed to home-bound community dwelling older adults.	Behavioral: Equipment box; Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction only.
Experimental: Equipment box with briefing (home-bound); A box of exercise equipment is distributed. Verbal briefing of exercise equipment is provided to home-bound community dwelling older adults.	Behavioral: Equipment box with briefing; Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction, and they are given verbal briefing on how to use the equipment.
Experimental: Home-based exercise with behavioral modification (home-bound); A box of exercise equipment is distributed. Verbal briefing of exercise equipment and an 8-week group exercise training program is provided to home-bound community dwelling older adults, following by a 6-week behavioral modification.	Behavioral: Exercise training with behavioral modification; Participants receive al box of exercise equipment. They attend an 8-week group exercise training program for 1 hour /session and 1 session/ week, and are supervised by a physical fitness training. The exercise program includes a combination of aerobic, resistance, balance and flexibility exercises. After finishing the exercise training program, a 6-week behavioral modification is provided. Two home visits and four telephone visits are conducted to empower the participants for exercise at home.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Step count	Step count per day measured by a pedometer	Changes from baseline to 8 weeks after start intervention
Functional mobility score	Score measured by Life Space Assessment questionnaire (range: 0-120), higher score better performance	Changes from baseline to 8 weeks after start intervention
Exercise self-efficacy score	Score measured by Self-Efficacy for Exercise Scale questionnaire (range 0-90), higher score higher self-efficacy for exercise	Changes from baseline to 8 weeks after start intervention
Hand grip strength	Hand grip strength measured by hand-held dynamometer in unit of KG	Changes from baseline to 8 weeks after start intervention
Performance of timed up-and-go test	Measured by timed up-and-go test in unit of second	Changes from baseline to 8 weeks after start intervention
Mobility limitation score	Measured by Short Physical Performance Battery (range 0-12), higher score better physical performance	Changes from baseline to 8 weeks after start intervention
Sarcopenia risk score	Measured by Sarcopenia(SARC) questionnaire and calf circumference in unit of cm (range0-20), higher score higher risk of sarcopenia	Changes from baseline to 8 weeks after start intervention
Frailty risk score	Measured by Edmonton Frail Scale questionnaire (range0-17), higher score more severer frailty	Changes from baseline to 8 weeks after start intervention
Social connectedness score	Measured by Social Connectedness Scale questionnaire (20-100), higher score stronger social connectedness	Changes from baseline to 8 weeks after start intervention
Insomnia risk score	Measured by Insomnia Severity Index questionnaire (range0-28), higher score greater severity of insomnia	Changes from baseline to 8 weeks after start intervention
Mental health score	Measured by Mental Health Inventory questionnaire (range 0-100), higher score better mental health	Changes from baseline to 8 weeks after start intervention
Fatigue score	Measured by Brief Fatigue Inventory questionnaire (range0-10), higher score greater fatigue	Changes from baseline to 8 weeks after start intervention
Loneliness score	Measured by UCLA Loneliness Scale questionnaire (range20-80), higher score greater loneliness	Changes from baseline to 8 weeks after start intervention
Health status self-rated score	Measured by EQ05D-5L questionnaire (range -0.59-1.0), higher score better quality of life	Changes from baseline to 8 weeks after start intervention

Collaborators and Investigators

• Sponsor: The University of Hong Kong
• Collaborators: The Hong Kong Jockey Club Charities Trust; Hong Kong Housing Society
• Investigators: Principal Investigator: Doris Sau Fung YU, PhD, The University of Hong Kong

Study record dates

Study Major Dates

• Study Start (Actual): January 2, 2023
• Primary Completion (Estimated): October 31, 2024
• Study Completion (Estimated): October 31, 2024

Study Registration Dates

• First Submitted: May 31, 2023
• First Submitted That Met QC Criteria: June 9, 2023
• First Posted (Estimated): June 16, 2023

Study Record Updates

• Last Update Posted (Estimated): June 16, 2023
• Last Update Submitted That Met QC Criteria: June 9, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: Exercise; Aging; Care model; Community-dwelling
• Other Study ID Numbers: EGA

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No