An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial
Abstract Background Frailty is the deterioration of physiological functions due to aging, linked to negative outcomes. Frailty, being a reversible and dynamic state, calls for individualized and comprehensive management. Goal Attainment Scaling (GAS) is a personalized method for establishing and ass...
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BMC
2025-07-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-025-06203-1 |
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| author | Yu Kang Zi-Cheng Qi Meng-Tian Guo Xiao-Juan Wang |
| author_facet | Yu Kang Zi-Cheng Qi Meng-Tian Guo Xiao-Juan Wang |
| author_sort | Yu Kang |
| collection | DOAJ |
| description | Abstract Background Frailty is the deterioration of physiological functions due to aging, linked to negative outcomes. Frailty, being a reversible and dynamic state, calls for individualized and comprehensive management. Goal Attainment Scaling (GAS) is a personalized method for establishing and assessing progress towards individual goals, suitable for older adults with complex requirements. We focus on attaining personalized intervention goals for elderly patients with frailty, correcting frailty manifestations, maintaining enhanced functional capacity, and cultivating sustainable health awareness, with the goal of improving overall quality of life. Methods We conducted a randomized clinical trial of an individualized intervention program using GAS as goal setting and evaluation method designed to improve physical functional in frailty elderly. A total of 160 individuals aged ≥ 60 years, who fulfill the Fried scale of frailty will be recruited from Beijing Chaoyang Hospital, Capital Medical University. All participants set personalized goals through GAS. Patients in the intervention group receive individualized interventions, implement tailored measures based on personalized goals, attain personalized intervention goals to improve or reverse the frailty state. The participants will be followed up for 3 months and 12 months. Discussion The advantage of the present study is the method of intervention. Personalized interventions will implement based on patient-specific needs through individualized goal-setting formulated according to the GAS. If a positive consequence could be obtained, this study’s findings will offer essential information for managing frailty in older adults, applicable in regular clinical settings. Ethics and trial registration The trials have received ethics approval from the Institutional Review Board for Human Studies of Beijing Chaoyang Hospital, Beijing, China. The clinical study is supported by the National Health Commission of the People’s Republic of China (2024YB53). We declare that the funding agency has independently reviewed the protocol as part of the process of awarding funding. The trial is registered as ClinicalTrials.gov Identifier: NCT06919575 (Registration Date: 2025-04-02). |
| format | Article |
| id | doaj-art-1769993c52cd45dba8ebb0e8ed95b2cf |
| institution | DOAJ |
| issn | 1471-2318 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj-art-1769993c52cd45dba8ebb0e8ed95b2cf2025-08-20T03:06:00ZengBMCBMC Geriatrics1471-23182025-07-012511810.1186/s12877-025-06203-1An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trialYu Kang0Zi-Cheng Qi1Meng-Tian Guo2Xiao-Juan Wang3Department of General Practice, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of General Practice, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of General Practice, Beijing Chaoyang Hospital, Capital Medical UniversityDepartment of General Practice, Beijing Chaoyang Hospital, Capital Medical UniversityAbstract Background Frailty is the deterioration of physiological functions due to aging, linked to negative outcomes. Frailty, being a reversible and dynamic state, calls for individualized and comprehensive management. Goal Attainment Scaling (GAS) is a personalized method for establishing and assessing progress towards individual goals, suitable for older adults with complex requirements. We focus on attaining personalized intervention goals for elderly patients with frailty, correcting frailty manifestations, maintaining enhanced functional capacity, and cultivating sustainable health awareness, with the goal of improving overall quality of life. Methods We conducted a randomized clinical trial of an individualized intervention program using GAS as goal setting and evaluation method designed to improve physical functional in frailty elderly. A total of 160 individuals aged ≥ 60 years, who fulfill the Fried scale of frailty will be recruited from Beijing Chaoyang Hospital, Capital Medical University. All participants set personalized goals through GAS. Patients in the intervention group receive individualized interventions, implement tailored measures based on personalized goals, attain personalized intervention goals to improve or reverse the frailty state. The participants will be followed up for 3 months and 12 months. Discussion The advantage of the present study is the method of intervention. Personalized interventions will implement based on patient-specific needs through individualized goal-setting formulated according to the GAS. If a positive consequence could be obtained, this study’s findings will offer essential information for managing frailty in older adults, applicable in regular clinical settings. Ethics and trial registration The trials have received ethics approval from the Institutional Review Board for Human Studies of Beijing Chaoyang Hospital, Beijing, China. The clinical study is supported by the National Health Commission of the People’s Republic of China (2024YB53). We declare that the funding agency has independently reviewed the protocol as part of the process of awarding funding. The trial is registered as ClinicalTrials.gov Identifier: NCT06919575 (Registration Date: 2025-04-02).https://doi.org/10.1186/s12877-025-06203-1FrailtyGoal attainment scalingPhysical functionStudy protocolGeriatric |
| spellingShingle | Yu Kang Zi-Cheng Qi Meng-Tian Guo Xiao-Juan Wang An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial BMC Geriatrics Frailty Goal attainment scaling Physical function Study protocol Geriatric |
| title | An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial |
| title_full | An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial |
| title_fullStr | An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial |
| title_full_unstemmed | An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial |
| title_short | An individualized physical function improvement program for frailty elderly using goal attainment scaling (GAS) as evaluation method: protocol for a randomized controlled trial |
| title_sort | individualized physical function improvement program for frailty elderly using goal attainment scaling gas as evaluation method protocol for a randomized controlled trial |
| topic | Frailty Goal attainment scaling Physical function Study protocol Geriatric |
| url | https://doi.org/10.1186/s12877-025-06203-1 |
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