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Healthy AgingNCT07868575

Cost-Effectiveness Analysis of the Healthy Beat Acupunch Regimen on Physical Fitness, Sleep Quality, and Quality of Life Among Community-Dwelling Older Adults

A study testing Healthy Beat Acupunch (HBA) Exercise Program in people with Healthy Aging and Health Promotion, run by Mahidol University.

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Trial summary

This study will evaluate the effects and preliminary cost-effectiveness of the Healthy Beat Acupunch (HBA) exercise program among community-dwelling older adults in Thailand. HBA is a 40-minute exercise program that combines gentle body movements with rhythmic tapping along traditional Chinese medicine meridian… Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy Aging, Health Promotion
What is being tested?
Healthy Beat Acupunch (HBA) Exercise Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
92 participants
Where
No sites listed yet
Study dates
Dec 2026to Sep 2028
Phase
Interventional

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 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Community-dwelling adults aged 60 years or older.
  • Barthel Index score of 61 or higher, indicating independence or only mild dependence in activities of daily living.
  • Able to stand and walk without a walking aid.
  • Short Portable Mental Status Questionnaire (SPMSQ) score of 8 or higher.
  • Able to communicate in Thai.
  • No visual or hearing impairment that would interfere with participation in the study.
  • Willing to participate and able to provide written informed consent.

Who cannot join

  • Severe cardiovascular or respiratory conditions that may make exercise unsafe, such as ischemic heart disease, severe cardiac arrhythmia, severe hypertension, or severe chronic obstructive pulmonary disease.
  • Severe musculoskeletal disorders that prevent participation in the exercise program.
  • Any medical condition or medical advice indicating that the participant should not exercise.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Siriluk Winitchayothin, PhD, RN contact

+66 24415333 ext. 2608

siriluk.win@mahidol.ac.th

About this study

This study will evaluate the effects and preliminary cost-effectiveness of the Healthy Beat Acupunch (HBA) exercise program among community-dwelling older adults in Thailand. HBA is a 40-minute exercise program that combines gentle body movements with rhythmic tapping along traditional Chinese medicine meridian points.

Older adults in the intervention group will participate in HBA exercise three times per week for 6 months. During months 1-3, the sessions will be led by trained exercise leaders. During months 4-6, participants will exercise using a prerecorded HBA video, with personnel present to monitor safety. Participants in the control group will continue their usual daily activities and usual health services without receiving the HBA program during the study period.

Physical fitness, sleep quality, and health-related quality of life will be assessed at baseline, 3 months, and 6 months. The study will also compare the direct and indirect costs of the leader-led and video-led phases and conduct a preliminary cost-effectiveness analysis to examine whether the HBA program may be a practical and sustainable health-promotion approach for older adults living in the community.

Read the detailed description

The Healthy Beat Acupunch (HBA) regimen is a structured exercise program based on concepts from traditional Chinese medicine and meridian theory. Each 40-minute session consists of a 10-minute warm-up, 20 minutes of rhythmic acupunch movements along selected meridian areas, and a 10-minute cool-down and relaxation period.

Participants assigned to the intervention group will attend approximately 72 HBA sessions over 6 months, three sessions per week. During the first 3 months, approximately 36 sessions will be conducted in a leader-led format by trained exercise leaders. During months 4-6, approximately 36 sessions will be conducted using a prerecorded HBA exercise video. Safety will be monitored throughout the exercise sessions. The control group will not receive the HBA intervention during the study period and will continue usual daily activities, community activities, and routine health services.

Outcome assessments will be conducted at baseline, after 3 months, and after 6 months. Physical fitness will be assessed using seven performance measures: the 2-Minute Step Test, Peak Flow Meter, Back Scratch Test, Chair Sit-and-Reach Test, handgrip strength, 60-Second Arm Curl Test, and 60-Second Chair Sit-to-Stand Test. Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI), and health-related quality of life will be assessed using the SF-12v2 Health Survey.

In addition to health outcomes, the study will collect direct program costs, such as training, video production, materials, participant-related expenses, and transportation, as well as indirect costs such as personnel time and community resource use. Costs will be compared between the leader-led and video-led phases. A preliminary cost-effectiveness analysis will relate differences in costs to changes in health outcomes, including physical fitness and health-related quality of life.

Being tested
Healthy Beat Acupunch (HBA) Exercise Program
Keywords
Healthy Beat Acupunch, Older Adults, Exercise, physical fitness, Sleep Quality, Cost-Effectiveness
Medical subject headings
Motor Activity, Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Healthy Beat Acupunch (HBA) Exercise ProgramBehavioural

    The Healthy Beat Acupunch (HBA) program is a non-invasive 40-minute exercise intervention performed three times per week for 6 months (approximately 72 sessions). Each session consists of a 10-minute warm-up, 20 minutes of rhythmic acupunch movements using gentle tapping along traditional Chinese medicine meridian areas, and a 10-minute cool-down and relaxation period. During months 1-3, approximately 36 sessions are delivered in a leader-led format by trained exercise leaders. During months 4-6, approximately 36 sessions are delivered using a prerecorded HBA exercise video, with personnel present to monitor participant safety.

Study groups in NCT07868575
Study groupRoleWhat they receive
Usual CareNo interventionParticipants will continue their usual daily activities, community activities, and routine health services and will not receive the Healthy Beat Acupunch (HBA) exercise program during the study period.
Healthy Beat Acupunch (HBA) Exercise ProgramExperimentalParticipants assigned to this arm will receive the Healthy Beat Acupunch (HBA) exercise program for 40 minutes per session, three times per week, for 6 months, in addition to their usual daily activities and routine health services.
Receives: Behavioral: Healthy Beat Acupunch (HBA) Exercise Program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Aerobic Endurance Assessed by the 2-Minute Step Test

    Aerobic endurance will be assessed using the 2-Minute Step Test. The outcome is the number of times the participant raises the knee to the predetermined height within 2 minutes. Higher counts indicate better aerobic endurance.

    Measured: Baseline, 3 months, and 6 months

  2. Pulmonary Function Assessed by Peak Flow Meter

    Pulmonary function will be assessed using a peak flow meter. Participants will inhale fully and then exhale as forcefully as possible. The recorded peak expiratory flow value will be used for analysis.

    Measured: Baseline, 3 months, and 6 months

  3. Upper-Body Flexibility Assessed by the Back Scratch Test

    Upper-body flexibility will be assessed using the Back Scratch Test. The distance between the middle fingers of both hands will be measured, with negative values indicating a gap, zero indicating touching, and positive values indicating overlap.

    Measured: Baseline, 3 months, and 6 months

  4. Lower-Body Flexibility Assessed by the Chair Sit-and-Reach Test

    Lower-body flexibility will be assessed using the Chair Sit-and-Reach Test. The distance between the fingertips and toes will be measured, with negative values indicating that the toes are not reached and positive values indicating that the fingertips extend beyond the toes.

    Measured: Baseline, 3 months, and 6 months

  5. Handgrip Strength

    Handgrip strength will be measured using a digital handgrip dynamometer. Participants will perform two trials using the dominant hand, and the best value will be recorded in kilograms.

    Measured: Baseline, 3 months, and 6 months

  6. Upper-Body Endurance Assessed by the 60-Second Arm Curl Test

    Upper-body endurance will be assessed by the number of arm curls completed within 60 seconds while seated. Men will use a 3.63-kg (8-lb) dumbbell and women will use a 2.27-kg (5-lb) dumbbell.

    Measured: Baseline, 3 months, and 6 months

  7. Lower-Body Endurance Assessed by the 60-Second Chair Sit-to-Stand Test

    Lower-body endurance will be assessed by the number of complete sit-to-stand repetitions performed within 60 seconds without using the arms for assistance.

    Measured: Baseline, 3 months, and 6 months

  8. Sleep Quality Assessed by the Pittsburgh Sleep Quality Index (PSQI)

    Sleep quality will be assessed using the Thai version of the Pittsburgh Sleep Quality Index (PSQI). Changes in the global PSQI score from baseline will be compared between and within study groups. Higher scores indicate poorer sleep quality.

    Measured: Baseline, 3 months, and 6 months

  9. Health-Related Quality of Life Assessed by the SF-12v2 Health Survey

    Health-related quality of life will be assessed using the Thai version of the SF-12v2 Health Survey. Physical Component Summary (PCS) and Mental Component Summary (MCS) scores will be derived, with higher scores indicating better health-related quality of life.

    Measured: Baseline, 3 months, and 6 months

Secondary outcomes (2)
  1. Direct and Indirect Costs of the HBA Program

    Direct and indirect costs of delivering the HBA program will be collected and compared between the leader-led phase and the video-led phase. Direct costs include training, video production, materials, participant-related expenses, and transportation. Indirect costs include personnel time and the use of community or health service resources. Costs will also be summarized as cost per participant.

    Measured: Throughout the 6-month intervention period

  2. Preliminary Cost-Effectiveness of the HBA Program

    Preliminary cost-effectiveness will be evaluated by relating differences in program costs to differences in health outcomes between the leader-led and video-led phases. Incremental cost-effectiveness ratios (ICERs) will be calculated using selected health outcomes, including changes in physical fitness and health-related quality of life.

    Measured: At completion of the 6-month intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Oct 2026
  2. Study startDec 2026 (estimated)
  3. Primary completionJun 2027 (estimated)
  4. Study completionSep 2028 (estimated)

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
92 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07868575
Sponsor's protocol ID
MU-HBA-CEA-01
Status last verified
Oct 2026
First submitted
5 Oct 2026
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Hsiao CY, Chen KM, Tsai HY, Huang HT, Cheng YY, Tsai AY. Self-Perceived Health and Sleep Quality of Community Older Adults after Acupunch Exercises. Am J Geriatr Psychiatry. 2018 May;26(5):511-520. doi: 10.1016/j.jagp.2018.01.199. Epub 2018 Jan 31.

    PubMed 29433845
  • Tsai HY, Chen KM, Huang HT. Acupunch Exercise Program Development and Feasibility Evaluation for Older Adults. Rehabil Nurs. 2020 Jul/Aug;45(4):195-203. doi: 10.1097/rnj.0000000000000157.

    PubMed 29864046
  • Winitchayothin S, Chen KM, Belcastro F. Healthy Beat Acupunch Regimen Improved Physical Fitness of Thai Older Adults in Residential Homes: Quasi-Experimental Two-Group Pre-Post Study. Nurs Res. 2026 Jan-Feb 01;75(1):10-17. doi: 10.1097/NNR.0000000000000861. Epub 2025 Sep 18.

    PubMed 40970754

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