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Article: Effects of an individualised exercise programme plus Behavioural Change Enhancement (BCE) strategies for managing fatigue in frail older adults: a cluster randomised controlled trial

TitleEffects of an individualised exercise programme plus Behavioural Change Enhancement (BCE) strategies for managing fatigue in frail older adults: a cluster randomised controlled trial
Authors
KeywordsBehaviour change enhancement
Exercise
Fatigue
Frailty
Issue Date16-Jun-2023
PublisherBioMed Central
Citation
BMC Geriatrics, 2023, v. 23, n. 1 How to Cite?
Abstract

Background: To the best of our knowledge, although ageing-induced fatigue could cause adverse outcomes such as frailty, there is currently no intervention for it. This study evaluated the effects of an individualised exercise programme with/without BCE strategies on reducing fatigue in older adults.

Methods: A three-armed cluster-randomised controlled trial (RCT) was conducted with 184 participants (mean age: 79.1 ± 6.4; mean frailty score: 2.8 + 0.8) from 21 community centres (ClinicalTrials.gov: NCT03394495). They were randomised into either: the COMB group (n = 64), receiving 16 weeks of exercise training plus the BCE programme; the EXER group (n = 65), receiving exercise training and health talks; or the control group (n = 55), receiving only health talks. Fatigue was assessed using the Multi-dimensional Fatigue Inventory (range: 20 to 100, with higher scores indicating higher fatigue levels) at baseline, and immediately, 6 months, and 12 months post-intervention.

Results: The GEE analyses showed significant interaction (time x group) between the COMB and control groups immediately (p < 0.001), 6 months (p < 0.001), and 12 months (p < 0.001) post-intervention. Comparing the COMB and EXER groups, there was a significant interaction immediately (p = 0.013) and at 12 months post-intervention (p = 0.007). However, no significant difference was seen between the EXER group and control group at any time point.

Conclusions: The COMB intervention showed better immediate and sustainable effects (i.e., 12 months after the intervention) on reducing fatigue in frail older adults than exercise training or health education alone.


Persistent Identifierhttp://hdl.handle.net/10722/331934
ISSN
2023 Impact Factor: 3.4
2023 SCImago Journal Rankings: 1.203
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLiu, Justina Y W-
dc.contributor.authorYin, Yue-Heng-
dc.contributor.authorKor, Patrick P K-
dc.contributor.authorKwan, Rick Y C-
dc.contributor.authorLee, Paul H-
dc.contributor.authorChien, Wai Tong-
dc.contributor.authorSiu, Parco M-
dc.contributor.authorHill, Keith D-
dc.date.accessioned2023-09-28T04:59:42Z-
dc.date.available2023-09-28T04:59:42Z-
dc.date.issued2023-06-16-
dc.identifier.citationBMC Geriatrics, 2023, v. 23, n. 1-
dc.identifier.issn1471-2318-
dc.identifier.urihttp://hdl.handle.net/10722/331934-
dc.description.abstract<p><strong>Background: </strong>To the best of our knowledge, although ageing-induced fatigue could cause adverse outcomes such as frailty, there is currently no intervention for it. This study evaluated the effects of an individualised exercise programme with/without BCE strategies on reducing fatigue in older adults.</p><p><strong>Methods: </strong>A three-armed cluster-randomised controlled trial (RCT) was conducted with 184 participants (mean age: 79.1 ± 6.4; mean frailty score: 2.8 + 0.8) from 21 community centres (ClinicalTrials.gov: <a href="http://clinicaltrials.gov/show/NCT03394495" title="See in ClinicalTrials.gov">NCT03394495</a>). They were randomised into either: the COMB group (n = 64), receiving 16 weeks of exercise training plus the BCE programme; the EXER group (n = 65), receiving exercise training and health talks; or the control group (n = 55), receiving only health talks. Fatigue was assessed using the Multi-dimensional Fatigue Inventory (range: 20 to 100, with higher scores indicating higher fatigue levels) at baseline, and immediately, 6 months, and 12 months post-intervention.</p><p><strong>Results: </strong>The GEE analyses showed significant interaction (time x group) between the COMB and control groups immediately (p < 0.001), 6 months (p < 0.001), and 12 months (p < 0.001) post-intervention. Comparing the COMB and EXER groups, there was a significant interaction immediately (p = 0.013) and at 12 months post-intervention (p = 0.007). However, no significant difference was seen between the EXER group and control group at any time point.</p><p><strong>Conclusions: </strong>The COMB intervention showed better immediate and sustainable effects (i.e., 12 months after the intervention) on reducing fatigue in frail older adults than exercise training or health education alone.</p>-
dc.languageeng-
dc.publisherBioMed Central-
dc.relation.ispartofBMC Geriatrics-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectBehaviour change enhancement-
dc.subjectExercise-
dc.subjectFatigue-
dc.subjectFrailty-
dc.titleEffects of an individualised exercise programme plus Behavioural Change Enhancement (BCE) strategies for managing fatigue in frail older adults: a cluster randomised controlled trial-
dc.typeArticle-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12877-023-04080-0-
dc.identifier.scopuseid_2-s2.0-85161983135-
dc.identifier.volume23-
dc.identifier.issue1-
dc.identifier.eissn1471-2318-
dc.identifier.isiWOS:001007008800004-
dc.identifier.issnl1471-2318-

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