Holistic Self-Empowerment Care Intervention for Optimized Independent Living and Quality of Life: A Study Protocol
NCT ID: NCT06736782
Last Updated: 2024-12-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
207 participants
INTERVENTIONAL
2024-07-01
2025-03-01
Brief Summary
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Detailed Description
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As populations age, maintaining independence in activities of daily living (ADLs) becomes essential to enhance quality of life (QOL) and reduce caregiver burden. However, traditional custodial practices often exacerbate functional decline among older adults. The Self-Empowerment Care model emphasizes enhancing independence through tailored interventions addressing physical, social, and cultural needs. Despite its successful implementation in Japan and Taiwan, its application in Hong Kong remains unexplored.
Objectives:
Evaluate the feasibility, acceptability, and effectiveness of the Self-Empowerment Care model in improving ADLs and QOL for frail older adults.
Assess the impact on caregivers, including reduced burden and enhanced job satisfaction.
Identify factors affecting the sustainability of the intervention.
Methods:
Study Design: Quasi-experimental with a 1:1 allocation ratio.
Participants:
Older adults aged ≥65 years with functional decline. Informal and formal caregivers participating voluntarily. Exclusion: severe cognitive or mental illness, terminal illness. Sample Size: 60 older adults (30 per group), plus caregivers.
Intervention: Four components:
* Hydration: Promote daily water intake of 2000 mL.
* Exercise: Sequential activities tailored by physiotherapists.
* Defecation Care: Personalized interventions based on habits.
* Dietary Support: Nutritionally balanced meals and independent eating. Control Group: Standard care without structured interventions.
Data Collection:
Quantitative: ADLs (Barthel Index), QOL (EQ-5D-5L), caregiver burden (Zarit Interview), and caregiver satisfaction (Minnesota Satisfaction Questionnaire).
Qualitative: Focus groups with caregivers to explore their experiences. Timeline: Pre- and post-intervention assessments with a follow-up focus group. Analysis A mixed-method approach will be used. Quantitative data will undergo statistical analyses (e.g., linear mixed-effects models) to compare outcomes between intervention and control groups. Qualitative data will be analyzed thematically.
Ethics and Dissemination:
Approved by the Human Research Ethics Committee of the University of Hong Kong, the study prioritizes participants' dignity and autonomy. Results will be disseminated through academic publications and shared with policymakers to inform eldercare practices.
Significance:
This study is among the first in Hong Kong to implement and evaluate the Self-Empowerment Care model. It aims to provide empirical evidence for integrating holistic eldercare models into routine practices, with the potential to benefit both aging individuals and caregivers.
Conditions
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Keywords
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Study Design
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NON_RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Self-Empowerment Care Intervention Group
Participants in the experimental group will receive a 12-week intervention based on the Self-Empowerment Care model.
Self-Empowerment Care Intervention Group
The intervention emphasizes four key principles: hydration, exercise, dietary support, and defecation care. Each component is designed to address fundamental needs and promote independence in activities of daily living (ADLs).
Individualized care plans will be developed in collaboration with healthcare professionals and caregivers to ensure alignment with participants' functional capabilities and personal goals.
Control Group
Participants in the control group will receive usual care provided in their respective care settings. This includes routine assistance with daily activities, basic medical support, and general health monitoring without the structured interventions specific to the Self-Empowerment Care model.
Control Group
Standard caregiving practices without emphasis on structured hydration, exercise, or dietary programs.
General assistance with ADLs as per existing care routines in the respective facilities.
Interventions
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Self-Empowerment Care Intervention Group
The intervention emphasizes four key principles: hydration, exercise, dietary support, and defecation care. Each component is designed to address fundamental needs and promote independence in activities of daily living (ADLs).
Individualized care plans will be developed in collaboration with healthcare professionals and caregivers to ensure alignment with participants' functional capabilities and personal goals.
Control Group
Standard caregiving practices without emphasis on structured hydration, exercise, or dietary programs.
General assistance with ADLs as per existing care routines in the respective facilities.
Eligibility Criteria
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Inclusion Criteria
* Functional decline
* Potential to benefit from reablement.
Exclusion Criteria
* Severe mental illness
* Terminal illness
65 Years
ALL
No
Sponsors
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Christian Family Service Centre
OTHER
The University of Hong Kong
OTHER
Responsible Party
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Prof. Vivian W.Q. Lou
Professor
Locations
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Sau Po Centre on Ageing, HKU
Hong Kong, , Hong Kong
Countries
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Central Contacts
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Facility Contacts
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Vivian Lou, PhD
Role: primary
Other Identifiers
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EA240023
Identifier Type: -
Identifier Source: org_study_id