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

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

This study aims to examine the effectiveness of a 12-week home-based telerehabilitation programme on improving subjective well-being among community-dwelling older people with frailty.

The main question it aims to answer is

- Could home-based psychoeducation significantly enhance subjective well-being in 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 three home visits for data collection. Some of participants in experimental group will receive interview for process evaluation.

Study Overview

• Status: Recruiting
• Conditions: Frailty; Well-Being, Psychological
• Intervention / Treatment: Other: Psychoeducation; Other: Attention control

• Study Type: Interventional
• Enrollment (Estimated): 138
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: An TAO; Phone Number: (852) 39439929; Email: andersontao@link.cuhk.edu.hk

Study Locations

• Hong Kong
  • New Territories
    • Shatin, New Territories, Hong Kong
      • Recruiting
      • The Nethersole School of Nursing, The Chinese University of Hong Kong
      • Contact: An TAO; Phone Number: (+852) 39439929; Email: andersontao@link.cuhk.edu.hk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

(1) Aged 65 or older; (2) Identified as frail by the FRAIL scale (score ≥3); (3) Mentally competent as determined by the Abbreviated Mental Test (AMT ≥6); (4) Able to speak and understand Cantonese; (5) Living at home; (6) Experienced in using a smartphone (e.g., sending messages, watching videos).

Exclusion Criteria:

(1) Have visual or hearing impairments or language barriers that may impact communication or understanding; (2) Unfit for home-based exercise, as indicated by a score of 1 or higher on the 25-item HOME-FAST, a tool for identifying home fall hazards; (3) Currently engaging in exercise for at least 150 minutes per week over the past four weeks; (4) Undergoing active psychiatric or antidepressant treatment or participating in other physical exercise or rehabilitation programs.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group; Participants will receive 60-minute weekly online group-based psychoeducation sessions for 12 weeks.	Other: Psychoeducation; The content of psychoeducation is based on "Five Ways of Well-being" which covers "Be active", "Connect", "Take Notice", "Keep learning" and "Giving".
Active Comparator: Control group; Participants will receive 60-minute weekly online group-based physical health sessions for 12 weeks.	Other: Attention control; The content of the sessions mainly focuses on physical health information, such as healthy eating, physical exercise, prevention of falls, and pain management.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Subjective well-being	The Chinese 5-item World Health Organization Well-Being Index	baseline, 12 weeks post-allocation, 24 weeks post-allocation

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Frailty level	FRAIL scale	baseline, 12 weeks post-allocation, 24 weeks post-allocation
Physical functioning	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	baseline, 12 weeks post-allocation, 24 weeks post-allocation
Activities of daily living	Katz Index of Independence in Activities of Daily Living	baseline, 12 weeks post-allocation, 24 weeks post-allocation
Instrumental activities of daily living	Lawton Instrumental Activities of Daily Living Scale	baseline, 12 weeks post-allocation, 24 weeks post-allocation
Depressive symptoms	4-item Geriatric Depression scale	baseline, 12 weeks post-allocation, 24 weeks post-allocation
Social support	10-item Duke Social Support Index	baseline, 12 weeks post-allocation, 24 weeks post-allocation
Quality of life	EuroQol 5-Dimension 5-Level	baseline, 12 weeks post-allocation, 24 weeks post-allocation

Collaborators and Investigators

• Sponsor: TAO An

Study record dates

Study Major Dates

• Study Start (Estimated): June 1, 2024
• Primary Completion (Estimated): January 1, 2025
• Study Completion (Estimated): January 1, 2025

Study Registration Dates

• First Submitted: May 10, 2024
• First Submitted That Met QC Criteria: May 10, 2024
• First Posted (Actual): May 16, 2024

Study Record Updates

• Last Update Posted (Actual): May 16, 2024
• Last Update Submitted That Met QC Criteria: May 10, 2024
• Last Verified: May 1, 2024

More Information

Terms related to this study

• Keywords: frailty; psychoeducation; Subjective well-being
• Additional Relevant MeSH Terms: Pathologic Processes; Frailty
• Other Study ID Numbers: 2023.585.M

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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