This trial will take the form of a feasibility study; designed to assess the feasibility of a proposed future clinical trial in this setting. This proposed future clinical trial is proposed to assess the impact of physical activity, in the form of specialised chair based physical activity interventions, on the physiological, psychological, cognitive, social and emotional health, and functional capacity of geriatric populations with pre-existing frailty within a clinical hospital ward setting; recognising health as a holistic concept incorporating a multitude of inter-related dimensions. This feasibility study is single-centre (taking place in the Harborne Ward of the Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham, United Kingdom).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
30
An established chair-based physical activity programme for older adults.
Specialised, chair-based, pneumatic resistance training equipment for older adults.
Harborne Ward, Queen Elizabeth Hospital Birmingham
Birmingham, West Midlands, United Kingdom
RECRUITINGFeasibility
The primary dependent variable of this feasibility study will relate to the eight primary areas of focus of feasibility studies (Bowen et al. 2009), relating to: * Acceptability * Demand * Implementation * Practicality * Adaptation * Integration * Expansion and * Limited-efficacy testing These eight aforementioned areas (constituting the one variable of feasibility) will serve as the primary dependent variable for this study, in order to establish the feasibility of a proposed future clinical trial within this setting. The dependent variable of feasibility will be assessed through semi-structured interviews with participants post intervention, while focus groups will be utilised with both the intervention implementers and study support staff in order to assess the primary dependent variable of the study. Participant uptake and adherence records will also be employed throughout.
Time frame: Post-Intervention (2 weeks)
Cortisol (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Dehydroepiandrosterone-sulphate (DHEAS) (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Serum cortisol : DHEAS ratio (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
C-reactive proteins (CRP) (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Inflammatory Cytokine: Interleukin 6 (IL-6) (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Inflammatory Cytokine: Tumor Necrosis Factor alpha (TNFα) (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Inflammatory Cytokine: Interferon gamma (IFNy) (Physiological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Hand grip strength (Functional Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Leg strength (Functional Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Leg power output (Functional Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Short Physical Performance Battery (SPPB) (Functional Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Katz Index of Independence in Activities of Daily Living (Katz ADL) (Functional Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Fried Frailty Phenotype (Functional Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Geriatric Depression Scale (GDS) (Psychological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Hospital Anxiety Depression Scale (HADS) (Psychological Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Standardized Mini-Mental State Examination (SMMSE) (Cognitive Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
Interpersonal Support Evaluation List (ISEL) (Social Dependent Variable)
Time frame: Pre-intervention (baseline), and post-intervention (2 weeks)
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