Frailty at Older AdultsNCT07273253
Multimodal Intervention for Older Adults After an Earthquake
A study testing Multimodal intervention in people with Frailty at Older Adults and Post-Traumatic Stress Disorder in Old Age, run by Kahramanmaras Sutcu Imam University at 1 site in Turkey (Türkiye).
Trial summary
This randomized controlled study was conducted among older adults (≥65 years) living in temporary container housing in Kahramanmaraş after the February 2023 earthquakes. A total of 60 participants meeting inclusion criteria were recruited and randomized into two groups: an intervention group (n=30) and a control group… Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Frailty at Older Adults, Post-Traumatic Stress Disorder in Old Age, Depression in Adults
- What is being tested?
- Multimodal intervention
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Sep 2024to 15 Jul 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Living in a container city,
- Scoring 4 or below on the vulnerability scale,
- Being an earthquake victim,
- Being able to understand verbal commands and being over 65 years of age,
- Being able to speak and understand Turkish,
- Volunteering to participate in the research.
Who cannot join
- Not being an earthquake victim,
- Not living in a container,
- Being under 65 years of age,
- Not knowing or understanding Turkish,
- Not wanting to participate in the study,
- Not being able to understand verbal commands,
Show all 9Show fewer
- Having received any psychological diagnosis,
- Having undergone any surgery within the last 6 months,
- Scoring 5 or above on the frailty scale.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Kahramanmaras Sutcu İmam University
Kahramanmaraş
About this study
Official title: Multimodal Intervention for Older Adults Residing in Temporary Housing After an Earthquake: A Randomized Controlled Study
This randomized controlled study was conducted among older adults (≥65 years) living in temporary container housing in Kahramanmaraş after the February 2023 earthquakes. A total of 60 participants meeting inclusion criteria were recruited and randomized into two groups: an intervention group (n=30) and a control group (n=30). Randomization was performed using a sealed envelope method following minimization based on frailty scores (Edmonton Frailty Scale ≥4).
The intervention group received a 12-week health management program designed with a holistic approach, addressing physical, mental, and nutritional health needs. Individualized exercise prescriptions (balance, strength, range of motion, posture correction), lifestyle counseling, nutrition education, and medication use training were provided under professional supervision. The control group received no active intervention and only underwent assessments at baseline and at the end of the study.
Read more
Measurements were performed at baseline and after 12 weeks. Primary assessments included frailty status (Edmonton Frailty Scale), balance and mobility (Berg Balance Scale, Timed Up and Go Test, Functional Reach Test, Gyko postural sway analysis), physical activity level (PASE questionnaire), physical performance (Short Physical Performance Battery), muscle strength (hand dynamometer, pinch meter, digital force measurement), posture (PostureScreen app), and nutritional status (Mini Nutritional Assessment, anthropometric measures). Cognitive and mental health were evaluated using the Mini-Mental State Examination (MMSE) and the Geriatric Anxiety Scale. Quality of life was assessed with the Nottingham Health Profile.
The study aims to determine whether a structured, holistic health management plan can improve balance, physical activity, and overall health outcomes compared with control in older adults living in post-disaster temporary housing. Findings are expected to inform rehabilitation and preventive health strategies for vulnerable elderly populations in disaster settings.
Read the detailed description
This randomized controlled trial was designed to address the health priorities of older adults (≥65 years) living in temporary container housing following the devastating Kahramanmaraş earthquakes in February 2023. Recognizing the unique vulnerabilities of elderly individuals in post-disaster environments - such as frailty, physical inactivity, limited access to care, and psychosocial distress - the study implemented a multidisciplinary, holistic intervention targeting their comprehensive health needs.
Participants were allocated into two groups (intervention and control) based on frailty stratification using the Edmonton Frailty Scale and randomized using a sealed-envelope method. The intervention group received a 12-week individualized health management program, tailored to physical, mental, and nutritional domains. The program was developed and delivered by a multidisciplinary team including physiotherapists, geriatric nurses, nutritionists, and mental health professionals.
The intervention included:
Physical health sessions: individualized exercise plans for posture correction, mobility, strength, and balance.
Nutritional counseling: personalized dietary education based on individual risk factors and nutritional deficiencies.
Mental health support: education on coping mechanisms, peer group interaction, and anxiety-reducing strategies.
Medication education: safe drug use training, including awareness of polypharmacy and drug-food interactions.
All sessions were conducted in person within the container housing area, considering participants' mobility limitations. Adherence was monitored throughout the study. The control group underwent only baseline and 12-week follow-up assessments and received no active intervention during the trial period.
This trial aims to demonstrate the feasibility and effectiveness of a holistic health model in disaster-stricken elderly populations. The approach moves beyond disease management, incorporating lifestyle reorganization and psychosocial support. The findings are intended to contribute to the creation of post-disaster rehabilitation guidelines and policies for geriatric populations in similar emergency settings.
- Conditions
- Frailty at Older Adults, Post-Traumatic Stress Disorder in Old Age, Depression in Adults, Malnutrition Elderly, Falls (Accidents) in Old Age
- Being tested
- Multimodal intervention
- Keywords
- Older adults,, Earthquake survivors,, Temporary housing,, Container housing,, Health management program,, Rehabilitation,, Exercise,, Balance,, Physical activity, Nutrition education, Post-disaster, Frailty, Kahramanmaras
- Medical subject headings
- Motor Activity, Frailty
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multimodal interventionOther
Pre-earthquake and post-earthquake health problems were identified, and general health status was assessed using a holistic approach. A health management plan was developed to address changing health priorities, and this plan was implemented by the participants under the supervision and consultancy of the researchers. A three-month health management plan and observation were conducted to determine the impact of the health management plan and recommendations on quality of life. Participants' general health status was reassessed at the end of the study.
| Study group | Role | What they receive |
|---|---|---|
| Study Group | Experimental | Individuals over the age of 65 who experienced the earthquake Receives: Other: Multimodal intervention |
| Control Group | No intervention | Individuals over the age of 65 who experienced the earthquake |
What is being measured
The primary outcome is the main question the study is designed to answer.
Daily Living and Instrumental Activities Scale
The instrumental activities of daily living scale consists of eight items measuring an individual's ability to make phone calls, shop, prepare meals, do housework, do laundry, use transportation, take their own medication, and manage their finances. A participant can receive a minimum of 8 and a maximum of 24 points. A score range of 0-8 indicates that the participant is dependent in instrumental activities of daily living, a score range of 9-16 indicates that the participant is semi-dependent, and a score range of 17-24 indicates that the participant is independent. A higher scale score indicates a higher degree of independence.
Measured: 1.week and 12.week intervention
Physical Activity Scale For The Elderly (PASE)
The PASE examines the intensity, frequency, and duration of physical activities such as walking; light, moderate, and strenuous sports and recreational activities; muscle-strengthening and endurance exercises; work-related activities, including walking and standing; lawn and garden care; caregiving; home repairs; and assesses both strenuous and light household activities performed by participants in the past week. the overall PASE score ranges from 0 to 400 or more, with higher scores indicating better physical activity levels.
Measured: 1.week and 12.week intervention
Posture Screen mobile app
The Posture Screen mobile app allows you to quickly capture posture images using photography in frontal and lateral stances. This app identifies postural deviations.
Measured: 1.week and 12.week intervention
The Short Physical Performance Battery
The Short Physical Performance Battery (SPPB) is widely used to assess the physical and functional health of elderly people living in the community (20). The SPPB consists of three objective tests that assess lower body function: a 4-meter walk, a chair rise, and a standing balance test. A 5-level summary score (0-4) is assigned to each test. A score of zero indicates "failure to perform." Participants included in the "failure to perform" category were: 1. Those who attempted but were unable to perform the activity, 2. Those who felt unsafe due to the interviewer or the subject, and 3. Those who were unable to perform the activity due to other health reasons. The scores 1-4 obtained by the subjects indicate the progressive performance required to complete the test according to the times specified below.
Measured: 1.week and 12.week intervention
Muscle Strength Measurement
It will be evaluated by isometric strength measurement of bilateral serratus anterior, trapezius, deltoid, supraspinatus, teres minor, biceps brachii muscles of the upper extremity and bilateral iliopsoas, gluteus medius, gluteus maximus, hamstring, quadriceps femoris, tibialis anterior muscles of the lower extremity with a digital muscle strength measurement device (KFORCE KINVENT digital muscle strength measurement device).
Measured: 1.week and 12.week intervention
Grip strength measurement
Jamar hand dynanometer (Baseline®) (Svens B, 2005) and PinchMetre Pinch Meter (Baseline Mechanical Pinch Gauge With Case, Blue, 30 Lb) (Dukelow NJ, 1996) will be used for grip strength measurement.
Measured: 1.week and 12.week intervention
Timed Up and Go Test (TWAT)
Timed Up and Go Test (TWAT) is a reliable test that measures walking speed, postural control, functional mobility, and balance. TWAT is a clinical measure that is easy to administer to older adults and indicates the risk of falls.
Measured: 1.week and 12.week intervention
Postural Sway and Balance Assessment
Postural Sway and Balance Assessment with Gyko: This device determines three main measures of body sway: sway length and area, sway progression rate, and sway frequency. Postural analysis is objectively performed through biomechanical movement analysis, with changes in minimal postural adjustments. This device measures postural sway, sway length, sway duration, and frequency. Used to assess and measure individuals' balance in various situations and/or on various surfaces, Gyko measures this by detecting postural sway in forward-backward, medial-lateral directions, and changes and imbalances within the support surface. By determining the main directions and amplitude of trunk movement, this device records the movement.
Measured: 1.week and 12.week intervention
Nutritional evaluation
Nutritional evaluation; eating habits, body mass index, waist/hip ratio, and fat type will be determined.
Measured: 1.week and 12.week intervention
Food Consumption Frequency
Food Consumption Frequency Form: This form will be used to determine the frequency and quantity of food groups or foods consumed. Consumption frequency is given by day, month, or week. Food consumption frequency provides information about an individual's dietary pattern. It is a frequently used method for assessing the relationship between nutrition and health. The food consumption frequency form can be prepared differently depending on the purpose of the person preparing it. Foods are listed as a single statement or by classification (full-fat, low-fat, or fat-free). The food consumption frequency form used in the study includes a total of 18 food items. The food groups are milk and dairy products, meat, eggs, legumes, vegetables and fruits, grains, fats and sweets, and beverages. Participants will be asked how often they consume the food (1-2 times a day, 1-3 times a week, 4-6 times a week, once every 15 days, once a month, never) to determine their daily energy and nutrient intake.
Measured: 1.week and 12.week intervention
Body Mass Index
Body Mass Index: Individuals' body weights will be measured using a scale with a capacity of at least 100 g and 150 kg, and their heights will be measured using a non-flexible tape measure, held in the Frankfurt plane, with shoes and feet together and not fixed to a wall. BMI values will be calculated by dividing individuals' body weight (kg) by the square of their height (kg/m2), and they will be classified according to the WHO BMI classification.
Measured: 1.week and 12.week intervention
Waist and hip circumference
Waist circumference will be measured with a 0.1 cm precision, non-flexible tape measure, with the individual standing, arms relaxed, feet together, and the midpoint between the lower rib and the groin without applying pressure.
Hip circumference will be measured with the individual standing upright, with the researcher holding the tape measure parallel to the floor, at the skin level of the trochanterion points of the femur. The measurement will be taken with the tape measure parallel to the floor and taut. The measurement will be recorded in millimeters.
Measured: 1.week and 12.week intervention
Waist/Hip Ratio
Waist/Hip Ratio: According to the World Health Organization, when determining obesity, body mass index, waist circumference, and waist-hip ratio methods are used, a ratio of 0.85 or higher in women and 0.90 or higher in men will be considered obese.
Measured: 1.week and 12.week intervention
Nutritional Assessment
Nutritional Assessment; Mini Nutrition Test (MNA), whose Turkish validity and reliability study was conducted by Sarıkaya (2013), is one of the most frequently used tests to screen for nutritional status and indicate the risk of malnutrition in older adults. The MNA test consists of 18 questions: 6 screening and 12 assessment questions. Fifteen of these questions are verbal questions and three are anthropometric measurements. The nutritional score is evaluated out of 30 points. A score of 12 or higher out of 14 in the six-question preliminary questioning section is considered normal, and the test is terminated. Individuals who score 11 or less in this section continue with the remaining 12 questions. A total score of <17 indicates definite malnutrition, 17-23 indicates risk of malnutrition, and 23.5-30 indicates normal nutritional status.
Measured: 1.week and 12.week intervention
Mental State Examination
Mini Mental State Examination: The Mini Mental State Examination (MMSE), which is highly suitable for screening cognitive function in the elderly and assesses cognitive functions in five separate areas (orientation, registration, attention and calculation, recall, and language), is frequently used. A score below 24 on the MMSE indicates dementia, 24-26 indicates mild cognitive impairment, and 26 or above indicates normal cognitive function.
Measured: 1.week and 12.week intervention
Geriatric Anxiety
Geriatric Anxiety Scale (GAS) aims to measure anxiety symptoms in the elderly dimensionally. The scale's fundamental psychometric property is its ability to distinguish between those with and without anxiety and those with and without generalized anxiety disorder. The cut-off point for generalized anxiety disorder is set at 10/11. Accordingly, the scale is structured as "anxiety symptoms and generalized anxiety disorder > 10; anxiety symptoms only < 10." The 20-item scale, scored on two dimensions: "agree" and "disagree," contains no reverse-coded items. Therefore, "agree" is assigned 1 point and "disagree." Therefore, scale scores can range from 0 to 20.
Measured: 1.week and 12.week intervention
Health Care Assessment
Health Care Assessment; Nottingham Health Profile (NSP), available in Turkish, is a measurement tool that assesses individuals' health problems and how these problems impact their daily activities. It is used to assess the quality of life of older adults. The NSP consists of 38 items across six dimensions. The subdimensions are: energy level (ES), emotional reactions (ER), physical activity (PA), pain (A), sleep (U), and social isolation (SI). It is a general health questionnaire consisting of 38 items and six subparameters. Answers to the questions are given as "yes" or "no" based on the current situation.
Measured: 1.week and 12.week intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Dec 2025
- Study start15 Sep 2024
- Primary completion15 May 2025
- Study completion15 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Frailty at Older AdultsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- study and control groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kahramanmaras Sutcu Imam University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yusuf Şinasi Kirmaci, Kahramanmaras Sutcu Imam University
- Investigators
- Yusuf Şinasi KIRMACI, Assist.Prof, Principal investigator, Kahramanmaras Sutcü Imam University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07273253
- Sponsor's protocol ID
- EARTHQUAKE_GERIARTRIC_1
- Status last verified
- Dec 2025
- First submitted
- 19 Nov 2025
- Last updated
- 9 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multimodal Intervention for Older Adults Residing in Temporary Housing After an Earthquake: A Randomized Controlled Study
- ClinicalTrials.gov ID
- NCT07273253
- Acronym / sponsor ID
- EARTHQUAKE_GERIARTRIC_1
- Conditions
- Frailty at Older Adults, Post-Traumatic Stress Disorder in Old Age, Depression in Adults, Malnutrition Elderly, Falls (Accidents) in Old Age
- Keywords
- Older adults,, Earthquake survivors,, Temporary housing,, Container housing,, Health management program,, Rehabilitation,, Exercise,, Balance,
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Kahramanmaras Sutcu Imam UniversityUniversity, hospital or other
- Study start
- 15 Sep 2024 (actual)
- Primary completion
- 15 May 2025 (actual)
- Study completion
- 15 Jul 2025 (actual)
- First posted
- 9 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled study was conducted among older adults (≥65 years) living in temporary container housing in Kahramanmaraş after the February 2023 earthquakes. A total of 60 participants meeting inclusion criteria were recruited and randomized into two groups: an intervention group (n=30) and a control group (n=30). Randomization was performed using a sealed envelope method following minimization based on frailty scores (Edmonton Frailty Scale ≥4).
The intervention group received a 12-week health management program designed with a holistic approach, addressing physical, mental, and nutritional health needs. Individualized exercise prescriptions (balance, strength, range of motion, posture correction), lifestyle counseling, nutrition education, and medication use training were provided under professional supervision. The control group received no active intervention and only underwent assessments at baseline and at the end of the study.
Measurements were performed at baseline and after 12 weeks. Primary assessments included frailty status (Edmonton Frailty Scale), balance and mobility (Berg Balance Scale, Timed Up and Go Test, Functional Reach Test, Gyko postural sway analysis), physical activity level (PASE questionnaire), physical performance (Short Physical Performance Battery), muscle strength (hand dynamometer, pinch meter, digital force measurement), posture (PostureScreen app), and nutritional status (Mini Nutritional Assessment, anthropometric measures). Cognitive and mental health were evaluated using the Mini-Mental State Examination (MMSE) and the Geriatric Anxiety Scale. Quality of life was assessed with the Nottingham Health Profile.
The study aims to determine whether a structured, holistic health management plan can improve balance, physical activity, and overall health outcomes compared with control in older adults living in post-disaster temporary housing. Findings are expected to inform rehabilitation and preventive health strategies for vulnerable elderly populations in disaster settings.
Detailed description
This randomized controlled trial was designed to address the health priorities of older adults (≥65 years) living in temporary container housing following the devastating Kahramanmaraş earthquakes in February 2023. Recognizing the unique vulnerabilities of elderly individuals in post-disaster environments - such as frailty, physical inactivity, limited access to care, and psychosocial distress - the study implemented a multidisciplinary, holistic intervention targeting their comprehensive health needs.
Participants were allocated into two groups (intervention and control) based on frailty stratification using the Edmonton Frailty Scale and randomized using a sealed-envelope method. The intervention group received a 12-week individualized health management program, tailored to physical, mental, and nutritional domains. The program was developed and delivered by a multidisciplinary team including physiotherapists, geriatric nurses, nutritionists, and mental health professionals.
The intervention included:
Physical health sessions: individualized exercise plans for posture correction, mobility, strength, and balance.
Nutritional counseling: personalized dietary education based on individual risk factors and nutritional deficiencies.
Mental health support: education on coping mechanisms, peer group interaction, and anxiety-reducing strategies.
Medication education: safe drug use training, including awareness of polypharmacy and drug-food interactions.
All sessions were conducted in person within the container housing area, considering participants' mobility limitations. Adherence was monitored throughout the study. The control group underwent only baseline and 12-week follow-up assessments and received no active intervention during the trial period.
This trial aims to demonstrate the feasibility and effectiveness of a holistic health model in disaster-stricken elderly populations. The approach moves beyond disease management, incorporating lifestyle reorganization and psychosocial support. The findings are intended to contribute to the creation of post-disaster rehabilitation guidelines and policies for geriatric populations in similar emergency settings.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- study and control groups
| Arm | Type | Receives |
|---|---|---|
| Study Group | Experimental | Other: Multimodal interventionIndividuals over the age of 65 who experienced the earthquake |
| Control Group | No intervention | –Individuals over the age of 65 who experienced the earthquake |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (6 listed)
- Living in a container city,
- Scoring 4 or below on the vulnerability scale,
- Being an earthquake victim,
- Being able to understand verbal commands and being over 65 years of age,
- Being able to speak and understand Turkish,
Key exclusion criteria (9 listed)
- Not being an earthquake victim,
- Not living in a container,
- Being under 65 years of age,
- Not knowing or understanding Turkish,
- Not wanting to participate in the study,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Multimodal interventionPre-earthquake and post-earthquake health problems were identified, and general health status was assessed using a holistic approach. A health management plan was developed to address changing health priorities, and this plan was implemented by the participants under the supervision and consultancy of the researchers. A three-month health management plan and observation were conducted to determine the impact of the health management plan and recommendations on quality of life. Participants' general health status was reassessed at the end of the study. | Other | Study Group |
Primary outcome
Daily Living and Instrumental Activities Scale
Time frame: 1.week and 12.week intervention
The instrumental activities of daily living scale consists of eight items measuring an individual's ability to make phone calls, shop, prepare meals, do housework, do laundry, use transportation, take their own medication, and manage their finances. A participant can receive a minimum of 8 and a maximum of 24 points. A score range of 0-8 indicates that the participant is dependent in instrumental activities of daily living, a score range of 9-16 indicates that the participant is semi-dependent, and a score range of 17-24 indicates that the participant is independent. A higher scale score indicates a higher degree of independence.
Physical Activity Scale For The Elderly (PASE)
Time frame: 1.week and 12.week intervention
The PASE examines the intensity, frequency, and duration of physical activities such as walking; light, moderate, and strenuous sports and recreational activities; muscle-strengthening and endurance exercises; work-related activities, including walking and standing; lawn and garden care; caregiving; home repairs; and assesses both strenuous and light household activities performed by participants in the past week. the overall PASE score ranges from 0 to 400 or more, with higher scores indicating better physical activity levels.
Posture Screen mobile app
Time frame: 1.week and 12.week intervention
The Posture Screen mobile app allows you to quickly capture posture images using photography in frontal and lateral stances. This app identifies postural deviations.
The Short Physical Performance Battery
Time frame: 1.week and 12.week intervention
The Short Physical Performance Battery (SPPB) is widely used to assess the physical and functional health of elderly people living in the community (20). The SPPB consists of three objective tests that assess lower body function: a 4-meter walk, a chair rise, and a standing balance test. A 5-level summary score (0-4) is assigned to each test. A score of zero indicates "failure to perform." Participants included in the "failure to perform" category were: 1. Those who attempted but were unable to perform the activity, 2. Those who felt unsafe due to the interviewer or the subject, and 3. Those who were unable to perform the activity due to other health reasons. The scores 1-4 obtained by the subjects indicate the progressive performance required to complete the test according to the times specified below.
Muscle Strength Measurement
Time frame: 1.week and 12.week intervention
It will be evaluated by isometric strength measurement of bilateral serratus anterior, trapezius, deltoid, supraspinatus, teres minor, biceps brachii muscles of the upper extremity and bilateral iliopsoas, gluteus medius, gluteus maximus, hamstring, quadriceps femoris, tibialis anterior muscles of the lower extremity with a digital muscle strength measurement device (KFORCE KINVENT digital muscle strength measurement device).
Grip strength measurement
Time frame: 1.week and 12.week intervention
Jamar hand dynanometer (Baseline®) (Svens B, 2005) and PinchMetre Pinch Meter (Baseline Mechanical Pinch Gauge With Case, Blue, 30 Lb) (Dukelow NJ, 1996) will be used for grip strength measurement.
Timed Up and Go Test (TWAT)
Time frame: 1.week and 12.week intervention
Timed Up and Go Test (TWAT) is a reliable test that measures walking speed, postural control, functional mobility, and balance. TWAT is a clinical measure that is easy to administer to older adults and indicates the risk of falls.
Postural Sway and Balance Assessment
Time frame: 1.week and 12.week intervention
Postural Sway and Balance Assessment with Gyko: This device determines three main measures of body sway: sway length and area, sway progression rate, and sway frequency. Postural analysis is objectively performed through biomechanical movement analysis, with changes in minimal postural adjustments. This device measures postural sway, sway length, sway duration, and frequency. Used to assess and measure individuals' balance in various situations and/or on various surfaces, Gyko measures this by detecting postural sway in forward-backward, medial-lateral directions, and changes and imbalances within the support surface. By determining the main directions and amplitude of trunk movement, this device records the movement.
Nutritional evaluation
Time frame: 1.week and 12.week intervention
Nutritional evaluation; eating habits, body mass index, waist/hip ratio, and fat type will be determined.
Food Consumption Frequency
Time frame: 1.week and 12.week intervention
Food Consumption Frequency Form: This form will be used to determine the frequency and quantity of food groups or foods consumed. Consumption frequency is given by day, month, or week. Food consumption frequency provides information about an individual's dietary pattern. It is a frequently used method for assessing the relationship between nutrition and health. The food consumption frequency form can be prepared differently depending on the purpose of the person preparing it. Foods are listed as a single statement or by classification (full-fat, low-fat, or fat-free). The food consumption frequency form used in the study includes a total of 18 food items. The food groups are milk and dairy products, meat, eggs, legumes, vegetables and fruits, grains, fats and sweets, and beverages. Participants will be asked how often they consume the food (1-2 times a day, 1-3 times a week, 4-6 times a week, once every 15 days, once a month, never) to determine their daily energy and nutrient intake.
Body Mass Index
Time frame: 1.week and 12.week intervention
Body Mass Index: Individuals' body weights will be measured using a scale with a capacity of at least 100 g and 150 kg, and their heights will be measured using a non-flexible tape measure, held in the Frankfurt plane, with shoes and feet together and not fixed to a wall. BMI values will be calculated by dividing individuals' body weight (kg) by the square of their height (kg/m2), and they will be classified according to the WHO BMI classification.
Waist and hip circumference
Time frame: 1.week and 12.week intervention
Waist circumference will be measured with a 0.1 cm precision, non-flexible tape measure, with the individual standing, arms relaxed, feet together, and the midpoint between the lower rib and the groin without applying pressure. Hip circumference will be measured with the individual standing upright, with the researcher holding the tape measure parallel to the floor, at the skin level of the trochanterion points of the femur. The measurement will be taken with the tape measure parallel to the floor and taut. The measurement will be recorded in millimeters.
Waist/Hip Ratio
Time frame: 1.week and 12.week intervention
Waist/Hip Ratio: According to the World Health Organization, when determining obesity, body mass index, waist circumference, and waist-hip ratio methods are used, a ratio of 0.85 or higher in women and 0.90 or higher in men will be considered obese.
Nutritional Assessment
Time frame: 1.week and 12.week intervention
Nutritional Assessment; Mini Nutrition Test (MNA), whose Turkish validity and reliability study was conducted by Sarıkaya (2013), is one of the most frequently used tests to screen for nutritional status and indicate the risk of malnutrition in older adults. The MNA test consists of 18 questions: 6 screening and 12 assessment questions. Fifteen of these questions are verbal questions and three are anthropometric measurements. The nutritional score is evaluated out of 30 points. A score of 12 or higher out of 14 in the six-question preliminary questioning section is considered normal, and the test is terminated. Individuals who score 11 or less in this section continue with the remaining 12 questions. A total score of <17 indicates definite malnutrition, 17-23 indicates risk of malnutrition, and 23.5-30 indicates normal nutritional status.
Mental State Examination
Time frame: 1.week and 12.week intervention
Mini Mental State Examination: The Mini Mental State Examination (MMSE), which is highly suitable for screening cognitive function in the elderly and assesses cognitive functions in five separate areas (orientation, registration, attention and calculation, recall, and language), is frequently used. A score below 24 on the MMSE indicates dementia, 24-26 indicates mild cognitive impairment, and 26 or above indicates normal cognitive function.
Geriatric Anxiety
Time frame: 1.week and 12.week intervention
Geriatric Anxiety Scale (GAS) aims to measure anxiety symptoms in the elderly dimensionally. The scale's fundamental psychometric property is its ability to distinguish between those with and without anxiety and those with and without generalized anxiety disorder. The cut-off point for generalized anxiety disorder is set at 10/11. Accordingly, the scale is structured as "anxiety symptoms and generalized anxiety disorder > 10; anxiety symptoms only < 10." The 20-item scale, scored on two dimensions: "agree" and "disagree," contains no reverse-coded items. Therefore, "agree" is assigned 1 point and "disagree." Therefore, scale scores can range from 0 to 20.
Health Care Assessment
Time frame: 1.week and 12.week intervention
Health Care Assessment; Nottingham Health Profile (NSP), available in Turkish, is a measurement tool that assesses individuals' health problems and how these problems impact their daily activities. It is used to assess the quality of life of older adults. The NSP consists of 38 items across six dimensions. The subdimensions are: energy level (ES), emotional reactions (ER), physical activity (PA), pain (A), sleep (U), and social isolation (SI). It is a general health questionnaire consisting of 38 items and six subparameters. Answers to the questions are given as "yes" or "no" based on the current situation.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Dec 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yusuf Şinasi KIRMACI, Assist.Prof principal investigator
Kahramanmaras Sutcü Imam University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multimodal intervention in people with Frailty at Older Adults and Post-Traumatic Stress Disorder in Old Age, run by Kahramanmaras Sutcu Imam University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Daily Living and Instrumental Activities Scale (time frame: 1.week and 12.week intervention). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2025.