Integration of Social Art Activities and Qigong for Older People in Nursing Home in Indonesia
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|ClinicalTrials.gov Identifier: NCT02957773|
Recruitment Status : Completed
First Posted : November 8, 2016
Last Update Posted : March 23, 2018
This project will be a randomised controlled trial to investigate the effectiveness of an integrated programme by using social art activity (SA) and exercise, for instance, Qigong (QG, a traditional Chinese exercise) as a therapeutic medium.
This integrated programme aims to increase the well-being and reduce the depressive symptoms that are frequently ascertained in older people who live in nursing homes. The combination of SA and QG might be more beneficial to older people than either individual activity on its own, given that they are addressing different areas of functioning. The art activity focuses on self-expression in non-verbal activity using fine motor movement, whereas physical exercise like Qigong focuses on awareness of breathing and a calm state of mind. This is to help the older person achieve mental and physical relaxation by using gross motor movement. When the interventions are combined by utilising Qigong ahead of the art activities (thus, including both fine and gross motor movements) older people will reach a state of mental and physical relaxation, and moreover, will be able to express their feelings more simply in the social art activities.
|Condition or disease||Intervention/treatment||Phase|
|Well-being Depressive Symptoms||Behavioral: Qigong and art activities Behavioral: Art activities Behavioral: Qigong Behavioral: Daily activities||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||299 participants|
|Intervention Model:||Factorial Assignment|
|Masking:||None (Open Label)|
|Official Title:||Integration of Social Art Activities and Qigong Exercises to Increase the Well-Being of Older People in Nursing Homes in Indonesia|
|Study Start Date :||January 2017|
|Actual Primary Completion Date :||November 2017|
|Actual Study Completion Date :||December 2017|
Experimental: Qigong and art activities
An integrated group of Qigong and art activities for 90 minutes.
Behavioral: Qigong and art activities
Participants join a 90-minute session of integrated Qigong and art activity consisting of 30 minutes Qigong followed by 60 minutes art activity.
Experimental: Art activities
Art activities and daily activities group for 90 minutes.
Behavioral: Art activities
Participants join a 90-minute session that consists of 60-minute art activities followed by 30 minutes daily activities.
A Qigong and daily activities group for 90 minutes
Participants join a 90-minute session that consists of 30-minutes Qigong exercise followed by 60 minutes daily activities (watching television, reading or sitting together).
A daily activities group for 90-minutes.
Behavioral: Daily activities
Participants do their daily activities routine for 90-minutes, such as watching television, reading and sitting together or participants can do free individual activities on their own.
- WHOQOL-BREF [ Time Frame: Change from Baseline to 8 weeks, 3 and 6 months ]The brief version of the World Health Organization Quality of Life (WHOQOL-BREF) (The WHO Group, 1998) was developed to assess the quality of life. It contains a total of 26 questions. All items are rated on a five-point Likert scale using response categories such as 1 represents very poor, and 5 represents very well with the statement. The instrument consists of four domains: psychological health, physiological health, social relationships, and environmental health. The test - re-test reliability for WHOQOL-BREF lies within 0.81 to 0.90.
- SWLS [ Time Frame: Change from Baseline to 8 weeks, 3 and 6 months ]The satisfaction with life scale (SWLS) (Diener, 1984) was developed to assess satisfaction with the respondent's life as a whole. It consists of five statements that the client could either agree or disagree with on a scale of 1 - 7, where 1 represents strongly disagree, and 7 represents strongly agree with the statement. Diener (1985) reported a Cronbach's alpha of 0.87 for the scale and a test - retest stability coefficient of 0.82.
- The Indo BDI-II [ Time Frame: Change from Baseline to 8 weeks, 3 and 6 months ]Beck Depression Inventory-II for Indonesian general population (Beck, Steer, & Brown, 1996; Ginting, Näring, van der Veld, Srisayekti & Becker, 2013), contains 21-item self-report inventory measuring the severity of depression in adolescents and adults. All items are rated on a 4-point Likert-type scale ranging from 0 to 3, based on the severity of each item. Cronbach's alpha of the Indo BDI-II per group was .90 for healthy participants, and .91 for depressed patients. The test-retest correlation of the Indo BDI-II was significant (r = .55, p < .01).
- GDS-15 [ Time Frame: Change from Baseline to 8 weeks, 3 and 6 months ]Geriatric Depression Scale 15-item (GDS 15-item) adapted from the Sheikh and Yesavage (1986). The GDS was designed as a screening tool for depression in elderly populations. It consists of 15 questions with YES or NO answer; where YES was treated as 0 and NO-treated as 1. A score > 5 point is suggestive of depression. The Cronbach's α coefficient was 0,71.
- MMSE [ Time Frame: Change from Baseline to 8 weeks, 3 and 6 months ]Mini-Mental State Exam (MMSE; Folstein, Folstein, & McHugh, 1975) used as a brief indicator of cognitive status. It is an 11-question measure that tests five areas of cognitive function: orientation, registration, attention and calculation, recall, and language. The maximum score is 30. A score of 23 or lower is indicative of cognitive impairment.
- SF-36 [ Time Frame: Change from Baseline to 8 weeks, 3 and 6 months ]A 36-item short-form (SF-36; Ware Jr, 1993; Perwitasari, 2012) is a widely used questionnaire for measuring self-reported physical and mental health status. It is a short-form health survey with only 36 questions. Estimates of reliability in the physical and mental sections are typically above 0.90.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02957773
|Principal Investigator:||Roswiyani Roswiyani, M.Psi||Behavioural Science Institute, Radboud University, The Netherlands; and Tarumanagara University, Jakarta, Indonesia|
|Study Director:||Jan Spijker, Prof. dr.||Behavioural Science Institute, Radboud University, The Netherlands, and Pro Persona Mental Health Care, Depression Expertise Centre, Nijmegen, the Netherlands|
|Study Director:||Cilia Witteman, Prof. dr.||Behavioural Science Institute, Radboud University, The Netherlands|