About this trial
This study focuses on the "Strength-based Tailored-Exercise Program at Home (STEP@Home)" aimed at improving health outcomes for geriatric patients at risk of hospitalization-associated functional decline. It is a sequential mixed-method study that combines quantitative and qualitative approaches.
Eligibility criteria
Qualifiers
i) aged 60 or above
ii) has an acute hospitalization and the length of hospital stay is of ≥ 2 days2,
iii) has risk of functional decline in 3 months following hospitalization as measured by the Screening for High-Risk Patients (SHERPA) score of >3.5. SHERPA is a brief measure to identify the high risk by screening for the risk factors, including old age, poor health perception, IADL dysfunction, mild cognitive impairment and fall in the previous year.
iv) discharged home without any referral for exercise-based rehabilitation
Disqualifiers
i) admitted with a disabling condition leading to significant functional loss such as stroke,)
ii) bed-bound or chair bound
iii) with conditions contradictory to exercise training (e.g., acute muscular-skeletal problem, acute and unstable cardio-respiratory disease, etc),
iv) engaging in moderate or vigorous exercise (>60min/week) in the past 6 months.
Trial design
Treatments tested in this trial
- Strength-based Tailored-Exercise Program at Home (STEP@Home)
- Physical activity education