社区老年人衰弱现状及数字化综合干预的研究

注册号:

Registration number:

ChiCTR2500101188 

最近更新日期:

Date of Last Refreshed on:

2025-04-21 18:01:51 

注册时间:

Date of Registration:

2025-04-21 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

社区老年人衰弱现状及数字化综合干预的研究

Public title:

Study on the current status of frailty among community-dwelling older adults and integrated digital interventions

注册题目简写:

English Acronym:

研究课题的正式科学名称:

社区老年人衰弱现状及数字化综合干预的研究

Scientific title:

Study on the current status of frailty among community-dwelling older adults and integrated digital interventions

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

杨为燕 

研究负责人:

陈玉华 

Applicant:

Yang Weiyan 

Study leader:

Chen Yuhua 

申请注册联系人电话:

Applicant telephone:

+86 181 8441 4542

研究负责人电话:

Study leader's
telephone:

+86 136 1523 7401

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1733085926@qq.com

研究负责人电子邮件:

Study leader's E-mail:

1301842216@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

江苏省南通市南通大学啬园校区公共卫生学院 F205

研究负责人通讯地址:

江苏省南通卫生高等职业技术学校老年保健与管理教研室

Applicant address:

Room F205, The Public Health School of Nantong University, Nantong City, Jiangsu province

Study leader's address:

Department of Geriatric Health Care and management, Nantong Health College of Jiangsu province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

南通大学公共卫学院

Applicant's institution:

School of Public Health, Nantong University

研究负责人所在单位:

江苏省南通卫生高等职业技术学校

Affiliation of the Leader:

Nantong Health College of Jiangsu province

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

NTWXLL-2022-001

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

江苏省南通卫生高等职业技术学校 - 南通高等卫生职业技术学校医学伦理委员会

Name of the ethic committee:

Nantong Health College of Jiangsu Province - Medical Ethics Committee of Nantong Health College of Jiangsu Province

伦理委员会批准日期:

Date of approved by ethic committee:

2022-05-06 00:00:00

伦理委员会联系人:

张其裴

Contact Name of the ethic committee:

Zhang Qipei

伦理委员会联系地址:

南通高等卫生职业技术学校医学伦理委员会办公室

Contact Address of the ethic committee:

Office of the Medical Ethics Committee of the Nantong Higher Vocational School of Health

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 513 5108 3102

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

江苏省南通卫生高等职业技术学校

Primary sponsor:

Nantong Health College of Jiangsu province

研究实施负责(组长)单位地址:

南通市经济技术开发区振兴东路 288 号

Primary sponsor's address:

Number 288 Zhenxing East Road, Nantong Economic and Technological Development Zones

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江苏

市(区县):

南通

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

江苏省南通卫生高等职业技术学校

具体地址:

南通市经济技术开发区振兴东路 288 号

Institution
hospital:

Nantong Health College of Jiangsu province

Address:

Number 288 Zhenxing East Road, Nantong Economic and Technological Development Zones

国家:

中国

省(直辖市):

江苏

市(区县):

南通

Country:

China

Province:

Jaingsu

City:

Nantong

单位(医院):

南通大学

具体地址:

江苏省南通市崇川区啬园路9号

Institution
hospital:

Nantong University

Address:

No. 9, Seyuan Road, Chongchuan District, Nantong City, Jiangsu province

经费或物资来源:

南通市科技计划项目“社区失能老年人营养不良现状及营养管理策略研究”(MS22022090) 江苏省老年健康科研项目“社区老年人衰弱现状及数字化综合干预的研究”(LKZ2022017)

Source(s) of funding:

Nantong Municipal Science and Technology Plan Project "Study on the Current Status of Malnutrition and Nutrition Management Strategies for Disabled Elderly People in the Community" (MS22022090). Jiangsu Provincial Elderly Health Research Project "Study on the Current Status of Frailty in Community Elderly People and Digital Comprehensive Intervention" (LKZ2022017).

研究疾病:

衰弱  

Target disease:

frailty

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究旨在探索一项以社区衰弱老年人为中心、基于社会支持理论的干预措施,通过数字化的综合干预模式和专业康复医生和护士指导干预练习,以探索一套有效的社区衰弱老年人的干预策略。  

Objectives of Study:

The aim of this study is to explore an intervention for community-dwelling frail older adults, based on the theory of social support, through a digitised integrated intervention model and guided intervention exercises by professional rehabilitation doctors and nurses, to explore a range of effective intervention strategies for community-dwelling frail older adults.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 自报的中风、关节炎、帕金森病、严重肺炎或重大心脏病(抑郁症、双相障碍)病史 2. 影响沟通的严重视力障碍 3. 参与类似体育活动计划 4. 患有终末期疾病、住院或近期有亲人去世 5. 由当地研究医生确定的不适宜安全参与试验活动的禁忌症

Exclusion criteria:

1.Self-reported history of stroke, arthritis, Parkinson’s disease, severe pneumonia, or significant heart disease (depression, bipolar, disorder) 2.Severe visual impairment that affects communication 3.Participation in a similar physical activity program 4.Presence of terminal illness, hospitalization, or recent death 5.Contraindications to safely engage in trial activities as determined by local study physicians

研究实施时间:

Study execute time:

From 2023-03-01 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-04-12 00:00:00 To 2023-05-30 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

135

Group:

intervention group

Sample size:

干预措施:

IIG将在每个社区的卫生中心接收标准化的综合干预视频课程,并由康复医生和专业护士领导。标准化的综合干预视频课程将包含四个关键组成部分,并且每周进行两次,每次课程持续50到60分钟。 热身(10分钟):参与者将进行温和的热身运动,为主要内容活动做准备。 体育锻炼(20分钟):这一部分将专注于涉及肩部、肘部、髋部、膝盖和脚踝的关节活动,以及为老年人特别设计的肌肉力量训练。 认知训练(10分钟):活动将包括交替手指运动(例如,触摸时钟、玩石头剪刀布、用双手交替触摸鼻子和耳垂)和基于图片的口语练习,如描述图片。 口腔训练(3分钟):参与者将进行涉及上颚、脸颊和嘴唇的动作,包括发出像“pa-ta-ka-ra”这样的声音。 尿失禁预防(3分钟):练习将包括臀桥、下肢肌肉训练和盆底肌肉训练。 减少社交隔离(4分钟):这一部分将涉及注意力训练和前额敲击练习。 放松练习和知识讲座(10分钟):课程将以放松技巧、课程总结和健康教育结束。干预组的每位参与者都将收到一本小册子,其中包含有关老年人常见慢性病护理的信息、平衡营养饮食的指南以及适度体育活动的建议。

干预措施代码:

Intervention:

The IIG will receive standardised integrated intervention video courses in the health centres of each community and will be led by rehabilitation physicians and professional nurses. The standardised integrated intervention video courses will encompass four key components, and will be conducted twice a week, with each session lasting 50 to 60 minutes. Warm-Up (10 minutes): Participants will engage in gentle warm-up exercises to prepare for the main training activities. Physical Exercise (20 minutes): This segment will focus on joint activities involving the shoulder, elbow, hip, knee, and ankle, as well as muscle strength training specifically designed for older adults. Cognitive Training (10 minutes): Activities will include alternating finger movements (e.g., touching a clock, playing rock-paper-scissors, and alternately touching the nose and earlobes with both hands) and picture-based speech exercises, such as describing images. Oral Training (3 minutes): Participants will perform movements involving the upper jaw, cheeks, and lips, including the pronunciation of sounds like "pa-ta-ka-ra." Urinary Incontinence Prevention (3 minutes): Exercises will include the Hip Bridge, lower extremity muscle training, and pelvic floor muscle training. Reducing Social Isolation (4 minutes): This component will involve attention training and forehead tapping exercises. The session will conclude with relaxation techniques, a course summary, and health education. Each participant in the intervention group will receive a booklet containing information on nursing care for common chronic diseases associated with aging, guidelines for a balanced nutritional diet, and recommendations for moderate physical activity.

Intervention code:

组别:

对照组

样本量:

135

Group:

control group

Sample size:

干预措施:

保持日常生活方式,不施加任何干预

干预措施代码:

Intervention:

Maintain their usual daily lifestyle without any additional interventions.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区春晖社区 

单位级别:

无 

Institution
hospital:

Chunhui Sub-district, Chongchuan District, Nantong

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区郭里头社区 

单位级别:

无 

Institution
hospital:

Guo Litou Sub-district, Chongchuan District, Nantong

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区龙湖佳苑社区 

单位级别:

无 

Institution
hospital:

Longhu Jiayuan Sub-district, Chongchuan District, Nantong

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区新港花苑社区 

单位级别:

无 

Institution
hospital:

Xingang Huayuan Sub-district, Chongchuan District, Nantong

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区陈桥社区 

单位级别:

无 

Institution
hospital:

Chen Qiao Sub-district, Chongchuan District, Nantong City

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区唐闸社区 

单位级别:

无 

Institution
hospital:

Tang Zha Sub-district, Chongchuan District, Nantong City

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区永兴社区 

单位级别:

无 

Institution
hospital:

Yongxing Sub-district, Chongchuan district, Nantong City

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区曙光社区 

单位级别:

无 

Institution
hospital:

Shuguang Sub-district, Chongchuan District, Nantong City

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区秦西社区 

单位级别:

无 

Institution
hospital:

Qinxi Sub-district, Chongchuan District, Nantong City

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区秦灶社区 

单位级别:

无 

Institution
hospital:

Qin Zao Sub-district, Chongchuan District, Nantong City

Level of the institution:

N/A

国家:

中国

省(直辖市):

江苏 

市(区县):

南通 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通市崇川区锅里园社区 

单位级别:

无 

Institution
hospital:

Guo Li Yuan Sub-district, Chongchuan District, Nantong City

Level of the institution:

N/A

测量指标:

Outcomes:

指标中文名:

衰弱

指标类型:

主要指标

Outcome:

Frailty

Type:

Primary indicator

测量时间点:

测量方法:

KCL量表

Measure time point of outcome:

Measure method:

Kihon Checklist (KCL)

指标中文名:

柔韧性

指标类型:

次要指标

Outcome:

Flexibility

Type:

Secondary indicator

测量时间点:

测量方法:

1)上肢柔韧性:将使用后背牵手测试来测量上肢的柔韧性。2)总体柔韧性:将使用站立前屈测试来评估总体柔韧性

Measure time point of outcome:

Measure method:

1) Upper Limb Flexibility: The Back Scratch Test will be employed to measure upper extremity flexibility. 2) Overall Flexibility: The Standing Forward Bend Test will be utilized to assess overall flexibility.

指标中文名:

力量与耐力

指标类型:

次要指标

Outcome:

Strength and Endurance

Type:

Secondary indicator

测量时间点:

测量方法:

1)30秒椅子站立测试:此测试将评估下肢的力量和耐力。2)握力测试:将使用测力计对非优势手的肢体肌肉力量进行评估。

Measure time point of outcome:

Measure method:

1)30-Second Chair Stand Test: This test will evaluate lower limb strength and endurance. 2)Handgrip Strength Test: Limb muscle strength will be assessed using a dynamometer on the non-dominant hand.

指标中文名:

平衡性

指标类型:

次要指标

Outcome:

Balance

Type:

Secondary indicator

测量时间点:

测量方法:

睁眼单脚站立测试将被用来测量平衡。将记录参与者能够保持单脚站立的时间,最大时间限制为120秒。

Measure time point of outcome:

Measure method:

The One-Leg Stand Test with Eyes Open will be used to measure balance. The duration for which participants can maintain a one-legged stance will be recorded, with a maximum time limit of 120 seconds.

指标中文名:

社会隔离评分

指标类型:

次要指标

Outcome:

Social Isolation Score

Type:

Secondary indicator

测量时间点:

测量方法:

“是”的回答得分为0,而“否”的回答得分为1,总分范围从0到4。得分≥1表示存在社交隔离,分数越高反映隔离程度越大。

Measure time point of outcome:

Measure method:

A response of 'yes' is scored as 0, while 'no' is scored as 1, resulting in a total score ranging from 0 to 4. A score of ≥1 indicates the presence of social isolation, with higher scores reflecting greater levels of isolation.

指标中文名:

认知功能

指标类型:

次要指标

Outcome:

Cognitive function

Type:

Secondary indicator

测量时间点:

测量方法:

简易精神状态量表

Measure time point of outcome:

Measure method:

Mini - Mental State Examination ( MMSE )

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

结束

/Completed

年龄范围:

Participant age:

最小 Min age 65 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

数据分析员通过Excel 随机数字表法对筛选出的,符合标准的衰弱老年人进行随机化分组,按照 1:1 的比例分为对照组和干预组

Randomization Procedure (please state who generates the random number sequence and by what method):

The data analysts used an Excel random-number table to randomly group the eligible, frail elderly into a 1:1 ratio of control and intervention groups

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

开放标签

Blinding:

Open-label

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

在研究结束并发表后,公开原始数据。预计2026.09公开原始数据,将上传数据至国家生物信息中心(https://ngdc.cncb.ac.cn/gsub/))

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

After the study concludes and is published, the original data will be made public. The original data is expected to be released in September 2026 and will be uploaded to the National Center for Biotechnology Information (https://ngdc.cncb.ac.cn/gsub/).

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据采集采用线下面对面访谈方式进行数据管理: (1)研究材料、干预内容以电子形式存储在研究者的硬盘。 (2)研究结果:问卷数据保存在研究者的硬盘中。 (3)有关研究的全部材料及数据,除非在必要条件下,不会转借、发送给任何研究组织及个人,不会以任何形式公开给研究者和被试之外的第三方。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Data collection is conducted through face-to-face interviews. Data management: (1) Research materials and intervention content are stored electronically on the researcher's hard drive. (2) Survey data is saved on the researcher's hard drive. (3) All materials and data related to the study will not be lent, sent, or disclosed to any research organizations or individuals, nor made publicly available to third parties other than the researchers and participants, unless absolutely necessary.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-04-21 18:01:44