Comprehensive Risk Assessment and Prevention Plan of Osteoporosis and Sarcopenia for the Elderly Participating in Community-based Long-term Care Services
Study Details
Study Description
Brief Summary
The purpose of this project is:
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Provide the epidemiological data of the prevalence, incidence, and risk factors of osteoporosis and sarcopenia among the elderly in rural areas.
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Screen osteoporosis and sarcopenia among the elderly and provide with assistance for following care in order to improve the diagnosis and treatment rates of osteoporosis and sarcopenia
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Construct a pragmatic and integrated care service model for osteoporosis and sarcopenia in the elderly people from rural areas
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Detailed Description:
Investigators plan to use a stepped-wedge cluster randomized trial that allocates participants into the following three groups:
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Screening group: Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment.
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Multi-disciplinary team intervention group: Introduce integrated services of health education, nutrition, rehabilitation, medication evaluation and other multi-specialties to assist study participants with health promotion.
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Control group (Delayed intervention): receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Screening group Inform the elderly about the results of the screening and recommend those with moderate to high risk of fracture to receive active examination and treatment. |
Behavioral: Osteoporosis and sarcopenia screening
Use DXA, BIA, and questionnaire to screen the community elderly
|
Experimental: Multi-discipline intervention Introduce integrated services of health education, nutrition, rehabilitation, medication evaluation and other multi-specialties to assist study participants with health promotion |
Behavioral: Osteoporosis and sarcopenia screening
Use DXA, BIA, and questionnaire to screen the community elderly
|
Placebo Comparator: Delayed intervention receive general care after collecting basic information, and provide health education related information such as osteoporosis sarcopenia. After two year's follow-up, multi-disciplinary team intervention service will be implemented. |
Behavioral: Osteoporosis and sarcopenia screening
Use DXA, BIA, and questionnaire to screen the community elderly
|
Outcome Measures
Primary Outcome Measures
- Osteoporosis diagnosis rate [one year]
To define if the osteoporosis diagnosis rate would be changed
Secondary Outcome Measures
- Osteoporosis treatment rate [one year]
To define if the osteoporosis treatment rate would be changed
- Sarcopenia diagnosis rate [one year]
To define if the Sarcopenia diagnosis rate would be changed
- Incidence of fall [two year]
To define if the fall frequency would be changed
Other Outcome Measures
- Incidence of fracture [four year]
To define if the Incidence of fracture would be changed
Eligibility Criteria
Criteria
Inclusion Criteria:
- Ageā„ 50 old and lived in the community
Exclusion Criteria:
- Life expectancy less than two years
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | National Taiwan University Hospital, Yunlin branch | Douliu | Yunlin County | Taiwan |
Sponsors and Collaborators
- National Taiwan University Hospital
- National Health Research Institutes, Taiwan
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 202106076RIND