Healthy Living Programme for Older Adults

Overview

Malnutrition, risk of falls and medication incidents are commonly faced by the older adults. This study aimed to provide health education to community-dwelling older adults and to assess the effectiveness of a Healthy Living Program (HLP) to older adults in terms of fall prevention, drug management and healthy eating habits.

Full Title of Study: “Healthy Living Programme (HLP): Diet, Drug and Fall Prevention for Community-dwelling Frail Older Adults”

Study Type

  • Study Type: Interventional
  • Study Design
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Prevention
    • Masking: None (Open Label)
  • Study Primary Completion Date: March 2016

Detailed Description

This was a single group pre-post trial. Participants aged 60 or above were recruited from the community elderly centres. A 6-week HLP, which included one 45 minutes weekly session, was offered to the participants.

122 participants were recruited. This study shows that the 6-week HLP has a potential to improve the physical well-being of the participants, and to increase their knowledge in diet, drug management and fall prevention.

Interventions

  • Behavioral: Healthy Living Programme
    • A 6-week Healthy Living Program (HLP) was developed and implemented for all the participants. There was one 45 minutes weekly session over 6 week. Week 1 & 2 focused on healthy eating habits including food pyramid, balanced diet for the elderly, food labels, healthy snacks and healthy eating out. Week 3 & 4 were about fall prevention, which included risk factors and complications of fall among older adults, preventive measures, strengthening exercises and aerobic dance. Week 5 & 6 focused on drug management, such as knowledge on commonly used drugs, drug storage, use of analgesics and non-pharmacological pain relief strategies. Interactive activities such as games, puzzles and question & answer session were included in the group education.

Arms, Groups and Cohorts

  • Experimental: Healthy Living Programme
    • 6 weeks program, with 45 minutes weekly session over 6 weeks.Week 1 & 2 focused on healthy eating habits including food pyramid, balanced diet for the elderly, food labels, healthy snacks and healthy eating out. Week 3 & 4 were about fall prevention, which included risk factors and complications of fall among older adults, preventive measures, strengthening exercises and aerobic dance. Week 5 & 6 focused on drug management, such as knowledge on commonly used drugs, drug storage, use of analgesics and non-pharmacological pain relief strategies.

Clinical Trial Outcome Measures

Primary Measures

  • Change in subjective happiness level
    • Time Frame: Baseline, Week 6
    • Measured by Subjective Happiness Scale (SHS), which consisted of 4 statements answered on a 7-point Likert scale. Scores for each statement range from 1 to 7 and the scores from the four statements were added, thus the possible range of scores on the SHS is 4 to 28. Higher scores reflect higher levels of subjective happiness.

Secondary Measures

  • Change in frailty status
    • Time Frame: Baseline, Week 6
    • Measured by the FRAIL scale, which includes five items: fatigue, resistance, ambulation, illness, and loss of weight. The FRAIL scale ranges from 0-5, with a score of 0 regards as normal, 1-2 as pre-frail and 3-5 as frail.
  • Change in pain intensity
    • Time Frame: Baseline, Week 6
    • Measured using the numerical rating scale, to assess the presence and intensity of pain among participants, which was presented with 0 referring to no pain and 10 referring to the worst pain imaginable
  • Change in Generalized pain self-efficacy beliefs
    • Time Frame: Baseline, Week 6
    • Measured by the Pain Self-Efficacy Questionnaire. It consists of 10 statements, and participants were asked to rate their confidence in performing 10 activities or tasks despite experiencing pain, on a 7-point scale.
  • Change in functional mobility
    • Time Frame: Baseline, Week 6
    • Measured by Timed Up and Go Test. The participants were required to walk a distance of three meters, turn, walk back to the chair and sit down.
  • Change in hand grip strength
    • Time Frame: Baseline, Week 6
    • Measured using a dynamometer. Participants were seated with arms by the trunk, the elbow flexed to 90 and in a neutral position, and the wrist in slight extension. Participants were told to squeeze the dynamometer as hard as they could
  • Change in knowledge in healthy eating habits
    • Time Frame: Baseline, Week 6
    • Measured by self-developed questionnaire. Range of score is 0-12, with higher score indicates having more knowledge.
  • Change in knowledge in drug management
    • Time Frame: Baseline, Week 6
    • Measured by self-developed questionnaire. Range of score is 0-10, with higher score indicates having more knowledge.
  • Change in knowledge in fall prevention
    • Time Frame: Baseline, Week 6
    • Measured by self-developed questionnaire. Range of score is 0-5, with higher score indicates having more knowledge.

Participating in This Clinical Trial

Inclusion Criteria

  • able to communicate and understand Cantonese
  • > 1 in frailty score
  • members of the Pentecostal Church of Hong Kong

Exclusion Criteria

  • nil

Gender Eligibility: All

Minimum Age: 60 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • The Hong Kong Polytechnic University
  • Collaborator
    • Pentecostal Church of Hong Kong
  • Provider of Information About this Clinical Study
    • Principal Investigator: TSE Mun Yee Mimi, Assistant Professor – The Hong Kong Polytechnic University
  • Overall Official(s)
    • Mimi Mun Yee Tse, PhD, Principal Investigator, The Hong Kong Polytechnic University

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