In the proposed study we aim to investigate determinants of frailty and the effectiveness of a of a structured multi-dimensional intervention program called **KWIEK** on frailty, self-care/functional abilities and quality of life, in different…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
bewegen, eenzaamheid, voedingspatroon en polyfarmacie (fysiotherapie en psycho-sociaal)
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcome of the study is disability (measured by Groningen Activity
Restriction Scale (GARS).
Secondary outcome
Quality of Life measured by means of The Short Form-12 (SF-12) and
self-management in daily living by means of the KATZ-ADL (6) and the Self
Management Ability Scale (SMAS-30).
Background summary
Frailty is a dynamic state affecting an individual who experiences losses in
one or more domains of human functioning (physical, psychological or social),
which is caused by the influence of a range of variables and which increases
the risk of adverse outcomes, leading to the endpoint of frailty: functional
disability. Frailty is assumed to be reversible and malleable by specific
interventions that focus on risk factors. Knowledge about frailty offers care
professionals at individual patient level a good opportunity for estimating
future health risks and vulnerability in functionality of daily activities,
social participation and self-management. Organizing demand-driven care
tailor-made interventions with an important role for primary care, screening of
frail groups and multidisciplinary cooperation are needed.
Study objective
In the proposed study we aim to investigate determinants of frailty and the
effectiveness of a of a structured multi-dimensional intervention program
called **KWIEK** on frailty, self-care/functional abilities and quality of
life, in different subgroups of frail older adults. Next to this we will
investigate the effect of the separate components of the KWIEK program on
medication-use, physical fitness, mental health and nutritional status?
Finally, the effect of **KWIEK** on primary care consumption will be
evaluated.
Study design
A longitudinal cohort study will be started to describe prevalence and
incidence of frailty. Within this cohort a nested randomized controlled trial
will be started to answer the research questions on the effectiveness of the
KWIEK Program on the course and level of frailty and in preventing the onset of
frailty.
Intervention
KWIEK is a group-based program. Mean group size is 8 - 10 older adults. The
KWIEK-program consist of four components: monitoring medication by means of
Prescribing Optimization Method, a physical trainings program, an assertiveness
program to develop social skills, a nutritional education programme.
Study burden and risks
The risks associated with participation are minimized. The training of daily
activities are adapted to the target group. Other interventions concern welfare
or information and prevention and our estimates are free of risks. Baseline
measurement, measurement in between and follow up will take one hour. The
length of of KWIEK-program is nearly 22 weeks (including holidays).
Heidelberglaan 100
Utrecht Postbus 85500, 3508 G.A
NL
Heidelberglaan 100
Utrecht Postbus 85500, 3508 G.A
NL
Listed location countries
Age
Inclusion criteria
Groninger Frailty Index (GFI) score of 1 or higher
Living on their own/community of Wijk bij Duurstede
Age 65 and over;This study focuses on community-dwelling older people (>= 65 years) in different stages of our frailty concept. 400 older adults are included, of whom 200 will receive te intervention, 200 will be included in the controll condition. ;The GFI is a screener for frailty. Frailty is indicated at a score from 3 or higher. In this study older adults with different stages of frailty are included, which enables us to investigate the effectiveness of the intervention in these differents stages of frailty.
Exclusion criteria
Cognitive impairment (MMSE < 23)
Severy immobility as wheelchair dependent
Inability to communicate in Dutch
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL37516.041.12 |