Status:
COMPLETED
Individualized Exercise Program Plus Behavioral Change Enhancement Strategies for Managing Fatigue in Frail Older People
Lead Sponsor:
The Hong Kong Polytechnic University
Conditions:
Fatigue
Eligibility:
All Genders
70+ years
Phase:
NA
Brief Summary
This project aims to investigate the effects of an individualized exercise programme with and without BCE strategies for community-dwelling frail older people with general fatigue, so as to reduce the...
Detailed Description
All twelve community centres, which provide similar types of community care and social support services for community-dwelling older people, have been invited by a convenience method to work as collab...
Eligibility Criteria
Inclusion
- community-dwelling older people aged \> 70 years;
- able to communicate in Cantonese to ensure that they understand our instructions;
- able to walk with or without an assistive device and able to complete the Time Up and Go (TUG) test with no specific cutoff point to ensure that their mobility and balance is good enough to join the exercise training; and
- in a frail state with exhaustion as determined using the Fried Frailty Index (FFI), including: i) an unintentional loss of 10% of body weight in the past year; ii) exhaustion: by answering 'Yes' to either 'I felt that everything I did was an effort', or 'I could not get going in the last week'; iii) a slow walk time: with an average walking speed in the lowest quintile stratified by median body height; iv) reduced grip strength: with maximal grip strength in the lowest quintile stratified by body mass index quartile; and v) the Physical Activity Scale for the Elderly-Chinese (PASE-C) score in the lowest quintile (i.e., \< 30 for men and \< 27.7 for women). The presence of \> 3 items indicates frailty, and one criterion indicates that they suffer from exhaustion.
Exclusion
- are older people who:
- are suffering from any disease in which fatigue is a dominant symptom (such as neurodegenerative diseases, cancer, and end-stage renal failure cachexia cases;
- have been hospitalized for \> 5 days in the preceding 3 months, which may lead to muscle wasting due to recent bed rest or reduced activity levels during hospitalization;
- underwent major surgery (such as total joint replacement, major abdominal surgeries) during the last 6 months;
- are confined to bed or restricted by the permanent use of a wheelchair;
- report that they regularly perform moderately intense exercise (such as hiking, Tai Chi) for \> 3 hours per week;
- are terminally ill;
- have been diagnosed with major depression entailing frequent adjustments of their antidepressants to control unstable depressive moods. The criteria were chosen to avoid recruiting people with depression-induced fatigue. However, a consistent feeling of fatigue may manifest as a depressed mood. Thus, the participants' mood will be assessed using the Chinese-Geriatric Depression Scale (C-GDS).
Key Trial Info
Start Date :
February 26 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
January 1 2021
Estimated Enrollment :
184 Patients enrolled
Trial Details
Trial ID
NCT03394495
Start Date
February 26 2018
End Date
January 1 2021
Last Update
February 28 2024
Active Locations (1)
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1
Justina Liu
Hong Kong, Hong Kong