Measuring the effects of nurse-led frailty intervention on community-dwelling older people in Ethiopia: a quasi-experimental study

Ayele Semachew Kasa; Victoria Traynor; Peta Drury

doi:10.1186/s12877-024-04909-2

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Measuring the effects of nurse-led frailty intervention on community-dwelling older people in Ethiopia: a quasi-experimental study

Journal article

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Peer reviewed

Measuring the effects of nurse-led frailty intervention on community-dwelling older people in Ethiopia: a quasi-experimental study

Ayele Semachew Kasa, Victoria Traynor and Peta Drury

BMC Geriatrics, Vol.24, pp.1-12

2024

DOI: https://doi.org/10.1186/s12877-024-04909-2

PMID: 38689218

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Abstract

frailty

aged

intervention

effects

nurse

community

Ethiopia

Background: Despite the critical need, interventions aimed at frailty in sub-Saharan Africa are scarce, attributed to factors such as insufficient healthcare infrastructure, the pressing need to address infectious diseases, maternal and child health issues, and a general lack of awareness. Hence, the aim of this research was to develop, implement, and evaluate the effect of a nurse-led program on frailty and associated health outcomes in community-dwelling older individuals in Ethiopia. Methods: This study utilised a pre-test, post-test, and follow-up single-group quasi-experimental design. The main outcome measure was to determine changes in the frailty levels of older individuals living in communities at three different intervals: initially (T0), immediately after the intervention (T1), and 12 weeks following the intervention (T2). Secondary outcomes were the observed changes in daily living activities, nutritional status, depression levels, and quality of life (QOL), evaluated at each of these data collection points. To analyse changes in frailty and response variables over these periods, Friedman's ANOVA and Cochran's Q test were employed, setting the threshold for statistical significance at P < 0.05. Results: Sixty-six older people with a high adherence rate of 97% completed the intervention and the follow-up measurements. Participants had an average age of 66.7 +/- 7.9 years, with females comprising 79.4% of the group. Notably, 12 weeks post-intervention, there was a marked decrease in frailty (chi(2)(2) = 101.05, p < 0.001) and depression scores (chi(2)(2) = 9.55, p = 0.008) compared to the baseline. However, the changes in depression, physical, mental, and environmental domains of QOL were not sustained for 12 weeks post-intervention. Study participants showed an improvement in nutritional status (chi(2)(2) = 25.68, p < 0.001), activity of daily living (chi(2)(2) = 6.00, p = 0.05), and global quality of life (chi(2)(2) = 20.64, p < 0.001). Conclusions: The nurse-led intervention notably, 12 weeks post-intervention reduced frailty and depression. The intervention improved the nutritional status and some components of the quality of life of the participants. There is a need for further studies, especially with larger participant groups and stronger research designs such as randomized controlled trials (RCTs).

Details

Title: Measuring the effects of nurse-led frailty intervention on community-dwelling older people in Ethiopia: a quasi-experimental study
Authors: Ayele Semachew Kasa (Corresponding Author) - University of Wollongong
Victoria Traynor - University of Wollongong
Peta Drury - University of Wollongong
Publication details: BMC Geriatrics, Vol.24, pp.1-12
Publisher: BioMed Central Ltd.
Date published: 2024
DOI: 10.1186/s12877-024-04909-2
ISSN: 1471-2318
PMID: 38689218
Copyright note: © The Author(s) 2024. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Grant note: This work was supported by the University Postgraduate Award (UPA) received from the University of Wollongong (UOW) as a stipend scholarship.
Organisation Unit: Healthy Ageing Research Cluster; School of Health - Nursing
Language: English
Record Identifier: 991154937102621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Geriatrics & Gerontology; Gerontology

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