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| Name | Class |
|---|---|
| National Cheng Kung University | OTHER |
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Background: The transition to long-term care facility can be a stressful and emotional event for the elderly. The evidences showed that the prevalence of depression and the cognition impairment were higher in the institutionalized elderly than the community dwelling elderly. It could affect the quality of life of the elderly and increase risk of mortality.
Purpose: The aim of the study is to evaluate the effect of outdoor activities and sunlight exposure on depression, cognitive function, and quality of life among institutionalized elderly.
Method: The design is a randomized control trial. Participants will be randomly allocated to experimental or control groups by block randomization. In the experimental group, participants will be encouraged to reduce time spent on bed and bedroom. Nurses, nurse aids or family will take participants outdoors and exposure their face, hands or arm to sunlight for 15-30 minutes a day, five days a week for three months (if the UV index is over 8 according to the forecast of Center Weather Bureau, the participants will be asked to stay inside). In the control group, the participants will receive routine care. The control group will neither be encouraged to stay outdoors nor limit the chance to exposure to sunlight.
Expected outcome: The expected benefit of the research is to improve the depression, cognitive function, and quality of life of the institutionalized elderly.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental | Participants will be encouraged to reduce time spent on bed and bedroom. We will also take participants outdoors and expose to sunlight (if the UV index is over 8 according to the forecast of Center Weather Bureau, the participants will be asked to stay inside) five days a week for three months. |
|
| control group | No Intervention | Participants will receive routine care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sunlight exposure | Behavioral | Participants will be encouraged to reduce time spent on bed and bedroom. We will also take participants outdoors and receiving sunlight exposure (if the UV index is over 8 according to the forecast of Center Weather Bureau, the participants will be asked to stay inside) five days a week for three months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline depression at 3 months | measured with GDS-15 | baseline, three month after recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline cognitive function at 3 months | measured with SPMSQ | baseline, three month after recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline quality of life at 3 months | measured with EQ-5D | baseline, three month after recruitment |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| TZU-CHIA LIN, Master | Contact | +886-5-2765041 | 1256 | 11518@cych.org.tw |
| Name | Affiliation | Role |
|---|---|---|
| LIN TZUCHIA, MASTER | Chiayi christian hospital, Taiwan, R.O.C. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BaoKang Long-Term Care Center | Recruiting | Chiayi City | Taiwan |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 2, 2017 | Oct 5, 2017 | Prot_000.pdf |
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| D003863 | Depression |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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| D001519 |
| Behavior |