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Effect of an Intervention on Health in Older Care Home Residents

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ClinicalTrials.gov Identifier: NCT04659694
Recruitment Status : Withdrawn (Withdrawal of PhD)
First Posted : December 9, 2020
Last Update Posted : December 9, 2020
Sponsor:
Collaborators:
Oomph! Wellness
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
Solent University
Information provided by (Responsible Party):
Bournemouth University

Brief Summary:

Care home residents spent 79% of their time being sedentary. Reduced physical activity and lack of mental stimulation causes general weakness and frailty in older adults that can result in increased healthcare needs. It is important that care home residents spend their time being both physically and psychosocially engaged.

This study aims to investigate the effect of a wellness programme on physical and psychosocial wellbeing in older adults living in care homes. Through this process this study will assess the feasibility of implementing the programme and collecting data in care home settings.

There are two main groups of participants, 1) care home residents and 2) care home staff.

Care home residents will have data collected at three time points. The first time point will be before the intervention (baseline) in the care home setting. The second time point will be three months after the intervention has been delivered. The third time point will be 6 months after the intervention has been delivered.

The following measurements will be conducted:

  1. Measuring hand grip strength by having to grip a device as firmly as possible and measurements will be taken,
  2. Answering questionnaires about quality of life, daily routine, appetite, thoughts about wellness activities the participants have participated in,
  3. Wearing a little 'match box-like' device (that measures daily movements and sleep patterns) for 7 consecutive days.

Care home staff will be invited to participate in a focus group discussion 6 months after the intervention. Hence, this research will aim to understand the impact of a wellness programme that incorporates physical and psychosocial components that targets the holistic wellbeing of older adults.


Condition or disease Intervention/treatment Phase
Sedentary Behavior Frail Elderly Syndrome Frailty Lifestyle, Sedentary Life Style Induced Illness Other: Wellness programme provided by Oomph! Wellness company Not Applicable

Detailed Description:

The following potential issues have been identified:

  1. This feasibility study is being carried out in older adults living in care homes. Older adults are considered to be vulnerable population by the definition of the World Health Organisation.
  2. This study involves residents with cognitive impairment who may not be able to give consent for themselves to take part in the study. To overcome these issues, the research team is very mindful not to exclude residents with cognitive impairment who otherwise are able to participate in the Wellness activities. Th investigators will strictly adopt the Dewing process of gaining consent for older adults with cognitive impairment which involves ongoing consent monitoring. The investigators have followed the guidelines of Mental Capacity Act 2005 and designed participant information sheets and consulted declaration form who could consent on the participant's behalf (consultee). If consent is not obtained, the participant will not be recruited into the study. The consultee will be able to withdraw consent at any time in the study. Any visible distress observed during participation (eg. use of handgrip dynamometer & accelerometer) will be recorded and the participant will be withdrawn from the study.

    Participants will also be regularly reminded that they can choose to withdraw from the study at any point, without any explanation and that care received would not be affected or compromised due to this study.

  3. All data collected will be stored on password protected computers and/or the BU secure server and will be handled in accordance with the General Data Protection Regulation 2018 and Data Protection Act 2018. Data will only be accessed by the investigator and the supervisor, and the participant's identity will be anonymised using a coding system.

    Conflict of Interest:

  4. There will be no conflict of interest in the study.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: A mixed method design is an integrative methodology in understanding the social inquiry into the implementation of an intervention(Greene,2008). The whole system wellness intervention will be applied to care home residents by (intervention-trained) care home staff.
Masking: None (Open Label)
Primary Purpose: Other
Official Title: The Physical and Psychosocial Effects of a Whole Systems Wellness Intervention for Older Adults Living in Care Homes: A Feasibility Study
Estimated Study Start Date : July 2020
Estimated Primary Completion Date : January 2021
Estimated Study Completion Date : April 2022

Arm Intervention/treatment
Single arm study
This study only contains one arm
Other: Wellness programme provided by Oomph! Wellness company
The Oomph! wellness programme empowers older adults to lead a full life for life. It focuses on building an individual-centred programme that consists of a varied exercise and activity plans including days out. All of these, aims in improving the physical and psychosocial wellness in older adults. This intervention is a three day training session for care home staff to understand and learn how to facilitate care activities within their care home.
Other Name: Oomph! Wellness




Primary Outcome Measures :
  1. Accelerometer(Actigraph) [ Time Frame: Pre-intervention for 7 days ]
    To measure the level of physical activity

  2. Accelerometer(Actigraph) [ Time Frame: 3 months post-intervention ]
    To measure the level of physical activity

  3. Accelerometer(Actigraph) [ Time Frame: 6 months post-intervention ]
    To measure the level of physical activity

  4. Barthel Index [ Time Frame: Pre-intervention ]
    To measure the independence in performing activities of daily living

  5. Barthel Index [ Time Frame: 3 months post-intervention ]
    To measure the independence in performing activities of daily living

  6. Barthel Index [ Time Frame: 6 months post-intervention ]
    To measure the independence in performing activities of daily living

  7. Hand grip dynamometer [ Time Frame: Pre-intervention ]
    To measure their grip strength by using their hands to grip the dynamometer

  8. Hand grip dynamometer [ Time Frame: 3 months post-intervention ]
    To measure their grip strength by using their hands to grip the dynamometer

  9. Hand grip dynamometer [ Time Frame: 6 months post-intervention ]
    To measure their grip strength by using their hands to grip the dynamometer

  10. Simplified Nutritional Appetite Questionnaire (SNAQ) [ Time Frame: Completed pre-intervention ]
    Self-administered questionnaire that will measure appetite levels

  11. Simplified Nutritional Appetite Questionnaire (SNAQ) [ Time Frame: Completed 3 months post-intervention and 6 months post intervention ]
    Self-administered questionnaire that will measure appetite levels

  12. Simplified Nutritional Appetite Questionnaire (SNAQ) [ Time Frame: Completed 6 months post-intervention ]
    Self-administered questionnaire that will measure appetite levels

  13. EQ-5D-5L questionnaire [ Time Frame: Completed pre-intervention ]
    self-administered questionnaire that will measure quality of life

  14. EQ-5D-5L questionnaire [ Time Frame: Completed 3 months post-intervention and 6 months post intervention ]
    self-administered questionnaire that will measure quality of life

  15. EQ-5D-5L questionnaire [ Time Frame: Completed 6 months post-intervention ]
    self-administered questionnaire that will measure quality of life

  16. Focus group discussion for care home staff [ Time Frame: Conducted at the 6 month timeline of data collection ]
    this will be a guided discussion facilitated by the researcher to understand the feasibility of implementing personalised interactive exercises & activities in a care home



Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria (care home residents):

  • Residents' Age: 65 years of age and older living in a care home, and
  • Have no cognitive impairment or in case of cognitive impairment have a score of more than 14 on the Montreal Cognitive Assessment (MOCA) screening (Nasreddine et al 2005) and who are able to provide consent or have next-of-kin/relatives/ friends who can give consent on their behalf.

Inclusion criteria (care home employee):

• All full time care home employees and part-time employees who work in the care home on a long-term basis and interact with the care home residents

Exclusion criteria (care home residents):

  • 65 years of age and above residents who score less than 14 on the MOCA screening will have moderate to severe cognitive impairment as they may not be able to follow the intervention and tests, or
  • with physical or neurological condition that impedes the usage of the hand grip dynamometer, or
  • with skin contraindications to wearing an accelerometer, or
  • Known to have a diagnosis of severe dementia or other health conditions that contraindicate their participation in the study, or
  • residents with cognitive impairment where English is not primary language as screening test is language sensitive, or
  • residents who are registered blind with or without mild cognitive impairment

Exclusion criteria (care home employees):

• Part time employees who work on an ad hoc basis and only have intermittent/minimal interaction with care home residents


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04659694


Sponsors and Collaborators
Bournemouth University
Oomph! Wellness
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
Solent University
Investigators
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Study Director: Jane Murphy Professor of Nutrition
Publications:
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Responsible Party: Bournemouth University
ClinicalTrials.gov Identifier: NCT04659694    
Other Study ID Numbers: 276089
First Posted: December 9, 2020    Key Record Dates
Last Update Posted: December 9, 2020
Last Verified: December 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Plan Description: Individual participant data are strictly confidential and will not be accessed by researcher. This will be assessed by care home staff.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Bournemouth University:
elderly
older adults
physical activity
psychosocial activity
care home
care home staff
care home residents
Additional relevant MeSH terms:
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Frailty
Pathologic Processes