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| Name | Class |
|---|---|
| The Hong Kong Jockey Club Charities Trust | OTHER |
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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:
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:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Equipment box (general) | Experimental | A box of exercise equipment is distributed to community dwelling older adults. |
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| Equipment box with briefing (general) | Experimental | A box of exercise equipment is distributed. Verbal briefing of exercise equipment is provided to community dwelling older adults. |
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| Group-based exercise (general) | Experimental | 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. |
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| Group-based exercise with behavioral modification (general) | Experimental | 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. |
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| Equipment box (home-bound) | Experimental | A box of exercise equipment is distributed to home-bound community dwelling older adults. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Equipment box | Behavioral | Participants receive a box of exercise equipment containing dumbbell, elastic band, hand cycle machine, and booklet of exercise instruction only. |
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| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Doris Sau Fung Yu, PhD | The University of Hong Kong | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Hong Kong | Hong Kong | Hong Kong |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| D001521 | Behavior Therapy |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Equipment box with briefing (home-bound) | Experimental | A box of exercise equipment is distributed. Verbal briefing of exercise equipment is provided to home-bound community dwelling older adults. |
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| Home-based exercise with behavioral modification (home-bound) | Experimental | 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. |
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| Equipment box with briefing | Behavioral | 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. |
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| Exercise training | Behavioral | 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. |
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| Exercise training with behavioral modification | Behavioral | 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. |
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| 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 |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |