About this trial
This protocol describes a pilot study evaluating the effectiveness of the Self-Empowerment Care Model in promoting independence and quality of life among frail older adults in Hong Kong. Rooted in Nordic re-enablement principles and refined in Japan, the intervention adopts a holistic approach that focuses on hydration, exercise, diet, and defecation care. This 12-week intervention will be tested across three care settings-residential, day care, and home care. The study uses a quasi-experimental design involving 60 participants, aiming to compare outcomes of the intervention group with a control group receiving standard care. The study also assesses its impact on caregivers' burden and job satisfaction.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 65 years or older
Functional decline
Potential to benefit from reablement.
Disqualifiers
Severe cognitive impairment, those with mild impairment will be considered.
Severe mental illness
Terminal illness
Trial design
Parallel
Treatments tested in this trial
Self-Empowerment Care Intervention Group
BehavioralThe 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
BehavioralStandard caregiving practices without emphasis on structured hydration, exercise, or dietary programs. General assistance with ADLs as per existing care routines in the respective facilities.
Treatment groups
Trial outcomes
Primary outcomes
Barthel Index
Evaluates participants' ability to perform basic activities of daily living (ADLs) independently. Scores range from 0 to 100, with higher scores indicating greater independence.
EQ-5D-5L
A standardized instrument measuring health-related quality of life across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Adult Social Care Outcomes Toolkit (ASCOT)
Assesses quality of life in the context of social care, with higher scores indicating better social care outcomes.
Self-Determination Survey
Measures participants' autonomy and motivation in managing their own care, capturing changes in self-determination over time.
Secondary outcomes
Minnesota Satisfaction Questionnaire (MSQ)
Measures job satisfaction among formal caregivers, with higher scores indicating greater satisfaction in their caregiving roles.
Zarit Caregiver Burden Interview (ZBI)
Evaluates the emotional, physical, and financial burden experienced by informal caregivers, with higher scores indicating greater burden.
Sponsors and contacts
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The University of Hong Kong
Lead sponsor
Christian Family Service Centre
Collaborator