Mind-Body Intervention for Older Adults in Long-term Care
ConditionLong Term Care Facility
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60+
SponsorThe University of Hong Kong
About this trial
Loneliness is a global health issue, particularly affecting the physical and mental health of older adults residing in long term care. The COVID-19 pandemic has further exacerbated isolation in these settings, calling for an urgent attention for finding an effective intervention to alleviate loneliness among long term care residents. Mind-body interventions (MBIs) present as a potentially promising approach aimed at reducing loneliness and mental wellbeing. This study aims to examine the effect of a nurse-led MBI compared to a befriending intervention on loneliness, quality of life, depression and level of mindfulness among older adults in long term care. The primary outcome is loneliness while secondary outcome is quality of life, depression and level of mindfulness.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Long-term care residents aged 60 or above
Communicable in Cantonese/Chinese
Mentally competent (Abbreviated Mental Test score >6)
Could read, write and understand Chinese language
Disqualifiers
Have regular practice of mindfulness once a week or more during the past 6 months
Have any other contraindication or severe comorbidity that may limit their full participation (e.g. acute psychiatric conditions, severe hearing, vision impairment, or severe medical condition etc).
Trial design
Design model
Parallel
Treatments tested in this trial
Mind-body Intervention
BehavioralThe Mind-Body Intervention group designed to included several elements with mind and body involvement such as mindful breathing, body scan, stretching, mindful movement as well as adapting mindful practice in their routine. Mind-Body Intervention group will join the activities in a group setting for 5 sessions. Each session 45 to 60 minutes. Intervention is led by a registered nurse. Each session (except for the first session) will start by sharing of practice from the past week. Followed by mind-body practices. Before the end of session, a group discussion on the practice of that day and reflection will be done.
Befriending Intervention
BehavioralIn this group, volunteer will spend time with the participants, engaging in conversation and join their routine activities by the time of visit or other scheduled activities in the institution (such as arts and crafts, playing board games or reminiscing activities).
Treatment groups
120 Participants
are divided into 2 treatment groupsGroup A: Mind-Body Intervention GroupExperimental treatment 1 intervention
Group B: Befriending Intervention GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Loneliness
For Mind-Body Intervention group and Befriending Intervention group, measured by UCLA 8-item Loneliness Scale is the shortened version of UCLA Loneliness Scale. The shortened scale consists of 8 questions with 4-point Likert scale ranged from 'never' to 'often'. The higher the score, the higher the level of perceived loneliness. Item 3 and Item 5 are reversely scored. Higher the score, the higher loneliness level.
Time frame
Baselines , 5 weeks, and 12 weeks after baselineSecondary outcomes
1
Level of mindfulness
For Mind-Body Intervention group and Befriending Intervention group, measured by Multidimentional Assessment of Interoceptive Awareness (MAIA). It is a 32 items state-trait self reported questionnaires and is categorized into eight scales in 6 point Likert scale from 0 (never ) to 5 (always). A higher score indicates a more appraised interoceptive awareness and higher level of mindfulness.
Time frame
Baselines , 5 weeks, and 12 weeks after baseline2
Depression
For Mind-Body Intervention group and Befriending Intervention group, measured by Geriatric Depression Scale 4 items (GDS-4) is a brief version of Geriatric Depression Scale 30 items (GDS-30). GDS-4 consists of 4 items from the original items of GDS-30. Total scores more than 2 is considered at risk of depression.
Time frame
Baseline, 5 weeks, and 12 weeks after baseline3
Health-related quality of life
For Mind-Body Intervention group and Befriending Intervention group, measured by World Health Organization Well-Being Index (WHO-5 scale). It is a five items 6-point Likert-type scale from 0 (at no time) to 5 (all of the time). It focuses on positive emotions that included 5 items: "I have felt cheerful and in good spirits", "I have felt calm and relaxed", "I have felt cheerful and in good spirits", "I woke up feeling fresh and rested" and "I have felt active and vigorous". The participants are asked how well each of the items applied to them in the past two weeks. The higher the score, the better the mental wellbeing.
Time frame
Baseline , 5 weeks, and 12 weeks after baselineSponsors and contacts
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Source ClinicalTrials.gov