The goal of this pilot trial is to evaluate the feasibility and potential effectiveness of a caregiver-mediated, technology-facilitated home-based intervention named Frailty Improvement through Technology With Informal Caregiver Supported Exercise (FITWISE) for pre-frail and frail community-dwelling older adults aged 60 years and older. Frailty is associated with reduced physical function, increased risk of falls, and higher healthcare utilization among older adults. Home-based interventions supported by informal caregivers and facilitated by digital technology may help improve exercise participation and health outcomes in this population. The main questions this study aims to answer are: 1. Whether the FITWISE intervention is feasible in terms of recruitment, participant engagement, adherence, retention, and safety. 2. Whether the FITWISE intervention improves physical performance and other health-related outcomes among pre-frail and frail community-dwelling older adults. Researchers will compare two intervention groups with a control group to determine whether the FITWISE intervention improves health outcomes. Participants will be randomly assigned to one of three groups: * Intervention Group A: Caregiver-mediated multi-component exercise supported by an exergaming system. * Intervention Group B: The same exercise program with additional caregiver-delivered psychosocial support. * Control Group: General health education and usual activities without the FITWISE intervention. The intervention will last 24 weeks and will include an active 12-week intervention phase followed by a 12-week maintenance phase. Outcome measures such as physical performance, frailty status, cognitive function, social support, quality of life, and selected health indicators will be assessed at baseline and after the intervention.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Eligibility Rate
Timeframe: From the start of recruitment until the final sample size is reached and recruitment concludes, up to 1 year.
Recruitment Rate
Timeframe: From the start of recruitment until the final sample size is reached, and recruitment concludes, up to 1 year.
Recruitment Duration
Timeframe: From the date of the first participant screening until the target sample size is achieved, up to 1 year
Average Weekly Exercise Frequency
Timeframe: Up to 6 months
Exercise Adherence Rate
Timeframe: Through study completion, an average of 6 months
Participant Completion Rate
Timeframe: Up to 6 months
Participant Dropout Rate
Timeframe: Up to 6 months
Incidence of Intervention-Related Adverse Events
Timeframe: Through study completion, an average of 6 months
Handgrip Strength
Timeframe: Baseline
Handgrip Strength
Timeframe: 6 months from baseline
Functional Reach Test
Timeframe: Baseline
Functional Reach Test
Timeframe: 6 months from baseline
Timed Up and Go
Timeframe: Baseline
Timed Up and Go
Timeframe: 6 months from baseline
Five Times Sit to Stand
Timeframe: Baseline
Five Times Sit to Stand
Timeframe: 6 months from baseline