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- Klinische proef NCT07920328
Pilot Project on Enhancing Support for Hidden Elderly in the Three-nil Buildings and Old Tenement Buildings: Capacity Building & Impact Evaluation
The aims of this interventional study are of two-fold. First, the study aims to develop the capacity to facilitate the collaborating NGOs to address the social determinants of aging well for 3-N seniors. The second aim of the study is to evaluate the impact of the transitional support for 3-N elders. The main question is aims to answer is:
Does the transitional support facilitate a better physical and psychological wellbeing in 3-N seniors.
Participants will be categorized into transitional-support group or non-transitional-support group based on their existing community service. They will join evaluation at four timepoints (baseline 3-, 6-, and 12-month) over the 1-year follow-up period.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
The project will set up the following digital platform:
- Neighbor Link for Healthy Living
- Healthy Lifestyle Hubs without Walls
- Service Connect Compass Central to the concept of prompting 'aging well' through addressing the social determinants of health, the evaluation not only focuses on the direct impact on the social cohesion of the beneficiaries with their immediate community context, but also captures the indirect impact on the broader dimensions reflecting 'aging well'.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Doris Sau Fung YU, PhD
- Telefoonnummer: 852-3917-6319
- E-mail: dyu1@hku.hk
Studie Locaties
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Hong Kong, Hongkong
- The University of Hong Kong
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Contact:
- Doris Sau Fung YU, PhD
- Telefoonnummer: 852-3917-6319
- E-mail: dyu1@hku.hk
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Engaged in the transitional care model
- Consent to participate in the impact evaluation
- Able to complete the impact evaluation
Exclusion Criteria:
- Unable or unwilling to provide informed consent
- An acute or unstable health condition makes participation unsafe
- Unable to complete research assessments despite reasonable support
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Intervention status
This arm covers two major service dimensions including living support and district-based caring buddy network. Participants will join evaluation at four timepoints (i.e., baseline, 3-month, 6-month, 12-month) |
Intervention will be conducted to improve lifestyle based on their needs which include 1) Neighbor Link for Healthy Living, 2) Healthy Lifestyle Hubs without Walls and 3) Service Connect Compass. |
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Geen tussenkomst: No-intervention status
The corresponding no-treatment status is defined as subjects who have not received any mapped intervention for the corresponding length of time. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Edmonton Frailty Scale
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
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Overall frailty |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Neighborhood Cohesion Inventory (HK version)
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
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Neighborhood cohesion and social engagement |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Life Space Assessment
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Life space mobility |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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3-item UCA Loneliness Scale
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Loneliness |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Health-Promoting Lifestyle Profile II
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Lifestyle behaviors |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
|
Social Frailty Scale-8 items (SFS-8)
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Social vulnerability |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
|
Short Physical Performance Battery
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Measuring by (range from 0 to 12), with higher score indicating better physical performance |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Geriatric Depression Scale
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Psychological wellness |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Mini-nutritional Assessment
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Vitality |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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5-minute Montreal Cognitive Assessment (MoCA)
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Measuring Cognitive function (range from 0 to 30), A score of 26 or over is considered to be normal. |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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EuroQoL-5 Dimension-5 Level
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Measuring Health-related quality of life (HRQL) (range from -0.59 to 1.0), higher score indicates better quality of life |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Insomnia Severity Index (ISI)
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Severity of sleeping problem |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Hearing Handicap Inventory
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
Hearing loss |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
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Handgrip
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
physical wellness |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
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7-item Abbreviation Memory Inventory for the Chinese
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
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subjective memory complaints |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
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Body composition
Tijdsspanne: Changes from baseline to 3 month, 6 month, 12 month post-intervention.
|
the percentages of fat and muscle in the human body |
Changes from baseline to 3 month, 6 month, 12 month post-intervention.
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Doris Sau Fung YU, PhD, The University of Hong Kong
Publicaties en nuttige links
Algemene publicaties
- Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K. Validity and reliability of the Edmonton Frail Scale. Age Ageing. 2006 Sep;35(5):526-9. doi: 10.1093/ageing/afl041. Epub 2006 Jun 6. No abstract available.
- Wong A, Nyenhuis D, Black SE, Law LS, Lo ES, Kwan PW, Au L, Chan AY, Wong LK, Nasreddine Z, Mok V. Montreal Cognitive Assessment 5-minute protocol is a brief, valid, reliable, and feasible cognitive screen for telephone administration. Stroke. 2015 Apr;46(4):1059-64. doi: 10.1161/STROKEAHA.114.007253. Epub 2015 Feb 19.
- Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999 Feb;15(2):116-22. doi: 10.1016/s0899-9007(98)00171-3.
- Cheng KY, Chow SK, Hung VW, Wong CH, Wong RM, Tsang CS, Kwok T, Cheung WH. Diagnosis of sarcopenia by evaluating skeletal muscle mass by adjusted bioimpedance analysis validated with dual-energy X-ray absorptiometry. J Cachexia Sarcopenia Muscle. 2021 Dec;12(6):2163-2173. doi: 10.1002/jcsm.12825. Epub 2021 Oct 4.
- Holtrop JS, Estabrooks PA, Gaglio B, Harden SM, Kessler RS, King DK, Kwan BM, Ory MG, Rabin BA, Shelton RC, Glasgow RE. Understanding and applying the RE-AIM framework: Clarifications and resources. J Clin Transl Sci. 2021 May 14;5(1):e126. doi: 10.1017/cts.2021.789. eCollection 2021.
- Mitchell AJ, Bird V, Rizzo M, Meader N. Diagnostic validity and added value of the Geriatric Depression Scale for depression in primary care: a meta-analysis of GDS30 and GDS15. J Affect Disord. 2010 Sep;125(1-3):10-7. doi: 10.1016/j.jad.2009.08.019. Epub 2009 Oct 2.
- Teng HL, Yen M, Fetzer S. Health promotion lifestyle profile-II: Chinese version short form. J Adv Nurs. 2010 Aug;66(8):1864-73. doi: 10.1111/j.1365-2648.2010.05353.x. Epub 2010 Jun 16.
- Welch SA, Ward RE, Beauchamp MK, Leveille SG, Travison T, Bean JF. The Short Physical Performance Battery (SPPB): A Quick and Useful Tool for Fall Risk Stratification Among Older Primary Care Patients. J Am Med Dir Assoc. 2021 Aug;22(8):1646-1651. doi: 10.1016/j.jamda.2020.09.038. Epub 2020 Nov 13.
- Ho LYW, Lai CKY, Ng SSM. Psychometric properties testing of a Cantonese version of the Life-Space Assessment in people with stroke. Sci Rep. 2021 Oct 18;11(1):20614. doi: 10.1038/s41598-021-00140-w.
- Yu R, Cheung O, Leung J, Tong C, Lau K, Cheung J, Woo J. Is neighbourhood social cohesion associated with subjective well-being for older Chinese people? The neighbourhood social cohesion study. BMJ Open. 2019 May 10;9(5):e023332. doi: 10.1136/bmjopen-2018-023332.
- Snell, W. E., Johnson, G., Lloyd, P. J., & Hoover, M. W. The Health Orientation Scale: A measure of psychological tendencies associated with health. European Journal of Personality 1991; 5(2): 169-183.
- Luo H, Hu H, Zhao Y, Hao Y, Xie L, Gao J, Sun C. Associations between living environment factors and frailty among middle-aged and older adults. Interdisciplinary Nursing Research 2022; 4(2): 91-98.
- Hong Kong Population Projections for 2022 to 2046. Hong Kong: Census and Statistics Department.
- Fierro-Marrero J, Reina-Varona A, Paris-Alemany A, La Touche R. Frailty in Geriatrics: A Critical Review with Content Analysis of Instruments, Overlapping Constructs, and Challenges in Diagnosis and Prognostic Precision. J Clin Med. 2025 Mar 7;14(6):1808. doi: 10.3390/jcm14061808.
- Limpawattana P, Khammak C, Manjavong M, So-Ngern A. Frailty as a Predictor of Hospitalization and Low Quality of Life in Geriatric Patients at an Internal Medicine Outpatient Clinic: A Cross-Sectional Study. Geriatrics (Basel). 2022 Aug 31;7(5):89. doi: 10.3390/geriatrics7050089.
- Robles MC, O'Brien A, Islam N, McBride AC, Corches CL, Mansour M, Bailey S, Thrash-Sall E, Skolarus LE. Exploring Social Determinants of Health in Healthy Aging Among Older Adults: A Qualitative Study. Prog Community Health Partnersh. 2023;17(1):71-78. doi: 10.1353/cpr.2023.0011.
- Tomkinson GR, Lang JJ, Rubin L, McGrath R, Gower B, Boyle T, Klug MG, Mayhew AJ, Blake HT, Ortega FB, Cadenas-Sanchez C, Magnussen CG, Fraser BJ, Kidokoro T, Liu Y, Christensen K, Leong DP; iGRIPS (international handGRIP Strength) Group. International norms for adult handgrip strength: A systematic review of data on 2.4 million adults aged 20 to 100+ years from 69 countries and regions. J Sport Health Sci. 2025 Dec;14:101014. doi: 10.1016/j.jshs.2024.101014. Epub 2024 Dec 6.
- Lam LC, Lui VW, Tam CW, Chiu HF. Subjective memory complaints in Chinese subjects with mild cognitive impairment and early Alzheimer's disease. Int J Geriatr Psychiatry. 2005 Sep;20(9):876-82. doi: 10.1002/gps.1370.
- Mackenzie L, Byles J, Higginbotham N. Reliability of the Home Falls and Accidents Screening Tool (HOME FAST) for identifying older people at increased risk of falls. Disabil Rehabil. 2002 Mar 20;24(5):266-74. doi: 10.1080/09638280110087089.
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Studieregistratiedata
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Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- 3NIL
Plan Individuele Deelnemersgegevens (IPD)
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