Evaluation of a Comprehensive Pro-Active Intervention on Quality of Life for Community Frail Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/621965
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Evaluation of a Comprehensive Pro-Active Intervention on Quality of Life for Community Frail Older Adults
Author(s):
Lin, Yen-Chun; Huang, Lian-Hua; Lou, Meei-Fang
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Yen-Chun Lin, PhD, RN, Professional Experience: Assistant Professor, School of Nursing, National Taiwan University, 2010/8~now Instructor, School of Nursing, National Taiwan University, 1995/2-2010/7 Assistant Instructor, School of Nursing, National Taiwan University, 1993/8-1995/1 Nurse, Department of Nursing, National Taiwan University Hospital, 1989/8-1991/1 Author Summary: Research field: community health nursing, especially focus on health promotion for community older adults. Research topics: promoting physical activity for community older adults, intergenerational community learning program, and advanced care planning for community older adults.
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.

Keywords:
Comprehensive Pro-active Inttervention; Frail Older Adults; Health-related Quality of Life
Repository Posting Date:
19-Jul-2017
Date of Publication:
19-Jul-2017
Other Identifiers:
INRC17PST632
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleEvaluation of a Comprehensive Pro-Active Intervention on Quality of Life for Community Frail Older Adultsen_US
dc.contributor.authorLin, Yen-Chunen
dc.contributor.authorHuang, Lian-Huaen
dc.contributor.authorLou, Meei-Fangen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsYen-Chun Lin, PhD, RN, Professional Experience: Assistant Professor, School of Nursing, National Taiwan University, 2010/8~now Instructor, School of Nursing, National Taiwan University, 1995/2-2010/7 Assistant Instructor, School of Nursing, National Taiwan University, 1993/8-1995/1 Nurse, Department of Nursing, National Taiwan University Hospital, 1989/8-1991/1 Author Summary: Research field: community health nursing, especially focus on health promotion for community older adults. Research topics: promoting physical activity for community older adults, intergenerational community learning program, and advanced care planning for community older adults.en
dc.identifier.urihttp://hdl.handle.net/10755/621965-
dc.description.abstract<p><strong><strong>Purpose: </strong> </strong><span>To evaluate a comprehensive pro-active intervention for community frail older adults and examine its effectiveness.</span></p> <p><strong>Methods: </strong>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 p<span lang="EN-US">hysical activity practice, health education, community resource referrals, community support groups, group community activity participation, counseling, s</span><span lang="EN-US">elf-management skills teaching, regular telephone </span><span lang="EN-US">follow-up, and home visits every two weeks or monthly.</span> 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.</p> <p><strong><strong>Results: </strong> </strong><span lang="EN-US">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. <span lang="EN-US">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. </span><span lang="EN-US">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.</span></span> 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, <em>p</em>=0.023).</p> <p><strong>Conclusion: </strong>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.</p>en
dc.subjectComprehensive Pro-active Intterventionen
dc.subjectFrail Older Adultsen
dc.subjectHealth-related Quality of Lifeen
dc.date.available2017-07-19T21:22:13Z-
dc.date.issued2017-07-19-
dc.date.accessioned2017-07-19T21:22:13Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.