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Please use this identifier to cite or link to this item:
http://ir.nhri.org.tw/handle/3990099045/16880
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| Title: | Effects of osteoporosis treatment and multicomponent integrated care on intrinsic capacity and happiness among rural community-dwelling older adults: The Healthy Longevity and Ageing in Place (HOPE) randomised controlled trial |
| Authors: | Chang, YH;Hung, CC;Chiang, YY;Chen, CY;Liao, LC;Ma, MHM;Hwang, JJ;Hsu, CC;Li, CY;Fu, SH;Wang, CY |
| Contributors: | National Center for Geriatrics and Welfare Research |
| Abstract: | Background Monitoring and improving intrinsic capacity (IC) and well-being are essential for older adults to maintain functional abilities. However, evidence of effective interventions to improve IC and happiness is scarce. This study examined the effects of multicomponent interventions in the Healthy Longevity and Ageing in Place (HOPE) randomised controlled trial on IC and happiness among rural community-dwelling older adults.Methods This cluster randomised trial was conducted in rural communities in Taiwan (NCT05104034). Participants aged >= 50 were enrolled from September 2021 to April 2022 and randomly assigned by community level to one of three groups: multicomponent integrated care (MIC), osteoporosis care (OC) and usual care (UC). MIC included osteoporosis, sarcopenia and polypharmacy care, along with exercise and nutritional support. OC was a resource-conservative, focusing on osteoporosis screening and treatment alone. IC and happiness were measured at baseline and 12 months after follow-up. IC was assessed across cognition, locomotion, vitality, sensory and psychological domains per World Health Organization Integrated Care for Older People (ICOPE) guidelines. Happiness was measured using the 10-item Chinese Happiness Inventory. Generalised estimating equations were used to estimate the effect of the intervention.Results 567 residents were recruited from 30 congregate meal service centres. Mean IC score increased across all the groups, though the happiness score decreased. Compared to UC, the MIC group exhibited a significantly greater improvement in IC scores (adjusted estimate = 0.30, standard error (SE) = 0.11, P = .01), whereas OC did not show significant effects. Smaller reductions in happiness scores were observed in both the MIC (adjusted estimate = 1.46, SE = 0.48, P = .003) and OC groups (adjusted estimate = 0.95, SE = 0.48, P = .05).Conclusion MIC, including osteoporosis and pharmaceutical care, along with exercise and nutritional support, is an effective strategy to enhance IC and happiness compared to osteoporosis treatment alone and UC. This underscores the importance of comprehensive strategies for promoting healthy ageing in rural communities. |
| Date: | 2025-02 |
| Relation: | Age and Ageing. 2025 Feb;54(2):Article number afaf017. |
| Link to: | http://dx.doi.org/10.1093/ageing/afaf017 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0002-0729&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:001413228800001 |
| Cited Times(Scopus): | https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85217850147 |
| Appears in Collections: | [王貞予] 期刊論文
[許志成] 期刊論文
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| ISI001413228800001.pdf | | 662Kb | Adobe PDF | 38 | View/Open |
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