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This study aims to test the feasibility and acceptability of home-based psychoeducation in older adults with frailty in the community. The main questions it aims to answer are
Participants will receive 12 weekly online group-based sessions at their homes. The content for the experimental group and control group is different:
Participants will receive two home visits for data collection. An individual interview will be conducted with participants in the experimental group to explore their experiences.
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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" . The participants will be engaged in psychoeducation through group discussion, individualised goal setting and reflective exercises. |
| Measure | Description | Time Frame |
|---|---|---|
| Participation rate, self-reported intervention adherence, and attrition rate. | The feasibility of the study will be measured in terms of participation rate, self-reported intervention adherence, and attrition rate. | 12 weeks post-allocation |
| Acceptability | A 5-item satisfaction survey will be conducted by the end of the intervention for participants to rate the intervention in terms of appropriates of the session content, length of each session, overall intervention duration and delivery mode, from 1 (very dissatisfied) to 5 (very satisfied). | 12 weeks post-allocation |
| Measure | Description | Time Frame |
|---|---|---|
| Frailty level | FRAIL scale | 12 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 years or over; (2) meeting frailty criteria by FRAIL scale (score 3 or above) ; (3) mentally competent screened by The Abbreviated Mental Test (AMT≥6) ; (4) able to speak and understand Cantonese; (5) living at home; (6) having experience using a smartphone (e.g.: sending messages, watching videos)
Exclusion Criteria:
(1) have a visual or hearing problem or a language barrier that may affect their communication or understanding; (2) being unfit for home-based exercise, as defined by having one point or above at either the 25-item Home Falls and Accidents self-reported screening tool (HOME-FAST), which is a comprehensive tool for identify home hazards for fall (3) are currently practising exercise for at least 150 minutes per week in previous four weeks; (4) are receiving active psychiatric or antidepressant treatment or joining other physical exercises or rehabilitation programmes
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Nethersole School of Nursing, The Chinese University of Hong Kong | Shatin | New Territories | Hong Kong |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41992403 | Derived | Tao A, Chan HYL, Xiao S, Ho KHM. A Home-Based Online Psychoeducation Programme on Subjective Well-Being Amongst Community-Dwelling Older Adults With Frailty: A Pilot Randomised Controlled Trial. Int J Older People Nurs. 2026 May;21(3):e70079. doi: 10.1111/opn.70079. |
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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. |
|
| 12 weeks post-allocation |
| Activities of daily living | Katz Index of Independence in Activities of Daily Living | 12 weeks post-allocation |
| Instrumental activities of daily living | Lawton Instrumental Activities of Daily Living Scale | 12 weeks post-allocation |
| Subjective well-being | The Chinese 5-item World Health Organization Well-Being Index | 12 weeks post-allocation |
| Depressive symptoms | 4-item Geriatric Depression scale | 12 weeks post-allocation |
| Social support | 10-item Duke Social Support Index | 12 weeks post-allocation |
| Quality of life | EuroQol 5-Dimension 5-Level | 12 weeks post-allocation |