Comprehensive Risk Assessment and Prevention Plan of Osteoporosis and Sarcopenia for the Elderly Participating in Community-based Long-term Care Services

National Taiwan University

Status: Enrolling

Conditions: Osteoporosis; Frailty; Sarcopenia

Treatments: Behavioral: Osteoporosis screening and treatment as needed; Dietary Supplement: Nutrition; Behavioral: Pharmaceutical care; Behavioral: Exercise; Behavioral: Sarcopenia

Study type: Interventional

Funder types: Other

Identifiers

NCT05104034

202106076RIND

Details and patient eligibility

About

The purpose of this project is:

1. Provide the epidemiological data of the prevalence, incidence, and risk factors of osteoporosis and sarcopenia among the elderly in rural areas.
2. Screen osteoporosis and sarcopenia among the elderly and provide with assistance for following care in order to improve the diagnosis and treatment rates of osteoporosis and sarcopenia
3. Construct a pragmatic and integrated care service model for osteoporosis and sarcopenia in the elderly people from rural areas

Full description

Detailed Description:

Investigators plan to use a stepped-wedge cluster randomized trial that allocates participants into the following three groups:

1. Screening group: Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment.
2. Multi-disciplinary team intervention group: Introduce integrated services of health education, nutrition, rehabilitation, medication evaluation and other multi-specialties to assist study participants with health promotion.
3. Control group (Delayed intervention): receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented.

Enrollment: 600 estimated patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age≥ 50 old and lived in the community

Exclusion criteria

• Life expectancy less than two years

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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600 participants in 3 patient groups, including a placebo group

Screening group

Experimental group

Description:

Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment.

Treatment:

Behavioral: Osteoporosis screening and treatment as needed

Multi-component integrated intervention

Experimental group

Description:

Introduce integrated services of health education, nutrition, rehabilitation, pharmaceutical care, and other multi-specialties to assist study participants with health promotion

Treatment:

Behavioral: Exercise

Behavioral: Osteoporosis screening and treatment as needed

Behavioral: Sarcopenia

Dietary Supplement: Nutrition

Behavioral: Pharmaceutical care

Delayed intervention

Placebo Comparator group

Description:

receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented.

Treatment:

Behavioral: Osteoporosis screening and treatment as needed