Social Participation Program for Older Adults in Nursing Homes
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Multi-level Social Participation Intervention, Health Education.
- Who it may be relevant to
- Registry conditions: Older Adults. Basic parameters: from 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Multilevel Social Participation Intervention for Older Adults in Nursing Homes: Development and Implementation Based on the Social Ecological Model
Overview
The goal of this clinical trial is to learn whether a multi-level social participation program can help improve social engagement and slow down cognitive decline in older adults living in nursing homes. The main questions it aims to answer are: Can this program improve how often and how meaningfully participants engage in social activities? Can this program help maintain or improve participants' cognitive abilities? Researchers will compare this program to a health education group to see if it is more effective in supporting social participation and cognitive health. Participants will: Join a 12-week program that includes group activities, personalized support, staff assistance, and health education content Be assessed before and after the program using cognitive and social participation questionnaires Be randomly assigned to either the multi-level social participation program group or the health education group
Detailed description
This study aims to evaluate the feasibility and effectiveness of a multi-level social participation intervention among older adults residing in nursing homes, based on the Social Ecological Model (SEM). Against the backdrop of accelerated aging and rising dementia prevalence in institutional settings, the intervention seeks to enhance social engagement and mitigate cognitive decline through a structured, multi-dimensional approach.
A total of 120 older adults aged 60 years and above will be recruited from nursing homes and randomly assigned to either the intervention group or a health education group. The intervention will span 12 weeks and comprises five core components:
1. a health education manual, 2. a resource information package, 3. a structured library of social activities, 4. a motivational incentive kit, and 5. a training toolkit for staff.
The intervention addresses three levels of influence:
1. Individual level: enhancing motivation and cognitive engagement through behavior activation strategies; 2. Interpersonal level: fostering peer interaction and support networks; 3. Organizational level: enabling supportive environments through staff training and institutional support.
Assessments will be conducted at baseline and post-intervention. The health education group will receive standardized health education materials during the study. This trial will provide empirical evidence for a scalable model of dementia prevention through social participation in institutional settings.
Interventions
- Behavioral Multi-level Social Participation Intervention
The intervention will span 12 weeks and comprises five core components: (1) a health education manual, (2) a resource information package, (3) a structured library of social activities, (4) a motivational incentive kit, and (5) a training toolkit for staff. - Behavioral Health Education
Standardized Health Education Materials
Primary outcome measures
- Change in global cognitive function assessed by the Montreal Cognitive Assessment (MoCA) [Time frame: From enrollment to the end of treatment at 12 weeks.]
Secondary outcome measures (10)
- Social participation [Time frame: At baseline and the end of treatment at 12 weeks.]
- Loneliness [Time frame: At baseline and the end of treatment at 12 weeks.]
- Change in health-related quality of life (HRQoL) assessed by EQ-5D-5L [Time frame: From enrollment to the end of treatment at 12 weeks.]
- Psychological state [Time frame: At baseline and the end of treatment at 12 weeks.]
- Cost-benefit [Time frame: At the end of treatment at 12 weeks.]
- Fidelity [Time frame: At the end of treatment at 12 weeks.]
- Compliance [Time frame: At the end of treatment at 12 weeks.]
- Intervention satisfaction with intervention measured by 5-point Likert scale [Time frame: At the end of treatment at 12 weeks.]
- Incidence of intervention-related adverse events (AEs) recorded by Self-compiled questionnaire [Time frame: At the end of treatment at 12 weeks.]
- Intervention acceptability [Time frame: At the end of treatment at 12 weeks.]
Eligibility criteria
Inclusion criteria
- Age 60 years or older
- Basic comprehension and verbal communication abilities
- Resided in a long-term care facility for at least one month
Exclusion criteria
- Clinically diagnosed with dementia (based on DSM-IV-R criteria)
- Presence of severe physical illness or psychiatric disorder
- Significant visual or hearing impairments that may interfere with accurate cognitive assessment
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Health services research
Study locations
China · 1 center
- Fujian Medical University — Fuzhou
Identifiers
NCT: NCT07079124 · 2025[302]