The Home-Based Older People's Exercise (HOPE) trial: study protocol for a randomised controlled trial

Area of Science:

• Gerontology
• Exercise Science
• Public Health

Background:

• Frailty is prevalent in older adults, increasing risks of disability and institutionalization.
• Exercise interventions can mitigate adverse outcomes by enhancing muscle strength and mobility.

Purpose of the Study:

• To assess the effectiveness of a 12-week home-based exercise program (HOPE) for frail older adults.
• To improve mobility and functional abilities in frail older individuals living at home.

Main Methods:

• A pilot randomized controlled trial (RCT) comparing the HOPE exercise program to usual care.
• Primary outcome: Timed-Up-and-Go Test (TUGT) at 14 weeks.
• Secondary outcomes: Barthel Index (ADL), EQ-5D quality of life, Geriatric Depression Scale (GDS), frailty assessment (Edmonton Frail Scale).

Main Results:

• The HOPE trial is designed to explore and evaluate a home-based exercise intervention.
• It aims to assess the feasibility of data collection for required therapy resources.

Conclusions:

• The HOPE trial is the first RCT of an exercise intervention for frail older adults to use a validated frailty assessment tool.
• This study will provide insights into the effectiveness of home-based exercise for improving health outcomes in frail older populations.