Abstract
Purpose: To evaluate a comprehensive pro-active intervention for community frail older adults and examine its effectiveness.
Methods: This is a pilot experimental study. The older adults who consented and met the frail or pre-frail status assessed by Fried Frailty Criteria were randomly assigned into experimental (N=55) and control groups (n=54). The experimental group received a 6-month comprehensive pro-active intervention. We provided a comprehensive assessment for each participants. Based on their individual needs, we provided physical activity practice, health education, community resource referrals, community support groups, group community activity participation, counseling, self-management skills teaching, regular telephone follow-up, and home visits every two weeks or monthly. The control group received the usual primary care. Both the intervention and control groups completed the Health Related Quality of Life (WHOQOL-BREF) at baseline and again at a 6-month follow up. Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate.
Results: There were 109 clients participated in this study. The overall average age of participants was 76.96 years old. The 57.8% participants were male. Assessed by Fried Frailty Criteria, 12 participants (11.0%) were frail, and 97 participants (89.0 %) were pre-frail. During the research process, 7 participants in experimental group and 8 participants in control group withdraw from the study. Finally, 48 participants in experimental group and 46 participants in control group completed the post-test. The differences of mean scores of quality of life between pre and post-test were assessed by paired t-test. The results showed that quality of life of post-test in experimental group were improved compared to that of pre-test except for social relationship domain. After adjusted the pre-test scores, the results showed that the mean scores of quality of life for physical domain in experimental group were statistically increased compared to that of control group (F=5.343, p=0.023).
Conclusion: The results showed that the interventions were significantly improved the quality of life for physical domain. Future research to investigate effective interventions for other domains is recommended.
Sigma Membership
Lambda Beta at-Large
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Comprehensive Pro-active Inttervention, Frail Older Adults, Health-related Quality of Life
Recommended Citation
Lin, Yen-Chun; Huang, Lian-Hua; and Lou, Meei-Fang, "Evaluation of a comprehensive pro-active intervention on quality of life for community frail older adults" (2017). INRC (Congress). 363.
https://www.sigmarepository.org/inrc/2017/posters_2017/363
Conference Name
28th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Dublin, Ireland
Conference Year
2017
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Acquisition
Proxy-submission
Evaluation of a comprehensive pro-active intervention on quality of life for community frail older adults
Dublin, Ireland
Purpose: To evaluate a comprehensive pro-active intervention for community frail older adults and examine its effectiveness.
Methods: This is a pilot experimental study. The older adults who consented and met the frail or pre-frail status assessed by Fried Frailty Criteria were randomly assigned into experimental (N=55) and control groups (n=54). The experimental group received a 6-month comprehensive pro-active intervention. We provided a comprehensive assessment for each participants. Based on their individual needs, we provided physical activity practice, health education, community resource referrals, community support groups, group community activity participation, counseling, self-management skills teaching, regular telephone follow-up, and home visits every two weeks or monthly. The control group received the usual primary care. Both the intervention and control groups completed the Health Related Quality of Life (WHOQOL-BREF) at baseline and again at a 6-month follow up. Analysis of covariance (ANCOVA) was used to compare the outcome across groups with post-test as outcome and baseline values as a covariate.
Results: There were 109 clients participated in this study. The overall average age of participants was 76.96 years old. The 57.8% participants were male. Assessed by Fried Frailty Criteria, 12 participants (11.0%) were frail, and 97 participants (89.0 %) were pre-frail. During the research process, 7 participants in experimental group and 8 participants in control group withdraw from the study. Finally, 48 participants in experimental group and 46 participants in control group completed the post-test. The differences of mean scores of quality of life between pre and post-test were assessed by paired t-test. The results showed that quality of life of post-test in experimental group were improved compared to that of pre-test except for social relationship domain. After adjusted the pre-test scores, the results showed that the mean scores of quality of life for physical domain in experimental group were statistically increased compared to that of control group (F=5.343, p=0.023).
Conclusion: The results showed that the interventions were significantly improved the quality of life for physical domain. Future research to investigate effective interventions for other domains is recommended.