Home-based Psychoeducation for Older Adults With Frailty: A Randomised Controlled Trial

TAO An

Status: Enrolling

Conditions: Frailty; Well-Being, Psychological

Treatments: Other: Attention control; Other: Psychoeducation

Study type: Interventional

Funder types: Other

Identifiers

NCT06415604

2023.585.M

Details and patient eligibility

About

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:

• Intervention group: psychoeducation
• Control group: physical health education Participants will receive three home visits for data collection. Some of participants in experimental group will receive interview for process evaluation.

Enrollment: 138 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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138 participants in 2 patient groups

Experimental group

Experimental group

Description:

Participants will receive 60-minute weekly online group-based psychoeducation sessions for 12 weeks.

Treatment:

Other: Psychoeducation

Control group

Active Comparator group

Description:

Participants will receive 60-minute weekly online group-based physical health sessions for 12 weeks.

Treatment:

Other: Attention control