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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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | Participants will receive 60-minute weekly online group-based psychoeducation sessions for 12 weeks. |
|
| Control group | Active Comparator | Participants will receive 60-minute weekly online group-based physical health sessions for 12 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychoeducation | Other | The content of psychoeducation is based on "Five Ways of Well-being" which covers "Be active", "Connect", "Take Notice", "Keep learning" and "Giving". |
|
| 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 |
| 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 |
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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.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| An TAO | Contact | (852) 39439929 | andersontao@link.cuhk.edu.hk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Nethersole School of Nursing, The Chinese University of Hong Kong | Recruiting | Shatin | New Territories | Hong Kong |
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| ID | Term |
|---|---|
| D000073496 | Frailty |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
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| Attention control | Other | The content of the sessions mainly focuses on physical health information, such as healthy eating, physical exercise, prevention of falls, and pain management. |
|
| 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 |