A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved]
Background People who are homeless are more likely to experience poor mental health and addiction as well as suffering from non-communicable diseases. There is evidence of frailty and accelerated physical ageing among people experiencing homelessness. Appropriate physical rehabilitation and nutritio...
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F1000 Research Ltd
2024-10-01
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| Series: | HRB Open Research |
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| Online Access: | https://hrbopenresearch.org/articles/6-26/v2 |
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| author | Fiona Kennedy Roman Romero-Ortuno Suzanne Doyle Clíona Ní Cheallaigh Julie Broderick |
| author_facet | Fiona Kennedy Roman Romero-Ortuno Suzanne Doyle Clíona Ní Cheallaigh Julie Broderick |
| author_sort | Fiona Kennedy |
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| description | Background People who are homeless are more likely to experience poor mental health and addiction as well as suffering from non-communicable diseases. There is evidence of frailty and accelerated physical ageing among people experiencing homelessness. Appropriate physical rehabilitation and nutritional supplementation strategies can stabilise or reverse frailty and general physical decline, but it is not known how this type of intervention would work in practice in this population. Aim To evaluate the feasibility and pre-post intervention impact of a low threshold physical rehabilitation intervention with protein supplementation to target physical functioning and frailty in people with problematic substance use who are experiencing homelessness. Methods The intervention will consist of a 12-week low threshold rehabilitation programme with protein supplementation. Participants will be service users of the Ballyfermot Advance Project, a day services centre for people with addiction issues and experiencing homelessness. Primary outcomes will be feasibility including numbers recruited, retention of participants and adherence to the exercise intervention and protein supplement. Any adverse events will be recorded. Secondary outcomes will be strength and muscular mass, physical performance and lower extremity physical function, pain, frailty and nutritional status. Discussion An immediate impact may be simply a distraction from difficult circumstances and potentially an improvement of physical health of participants, which can be a conduit for the emergence of other positive behaviours and recovery. Longer term, this study will generate preliminary data on which to inform the design of a definitive randomised controlled trial of physical rehabilitation and protein supplementation, if indicated. Ethics and dissemination Ethical approval was granted by the Faculty of Health Sciences Research Ethics Committee in TCD. Study findings will be disseminated through publication into an international peer-reviewed journal and presented at national and international conferences. |
| format | Article |
| id | doaj-art-3c409c650d0545a28018c6d0e3112e86 |
| institution | Kabale University |
| issn | 2515-4826 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | F1000 Research Ltd |
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| series | HRB Open Research |
| spelling | doaj-art-3c409c650d0545a28018c6d0e3112e862024-11-20T01:00:00ZengF1000 Research LtdHRB Open Research2515-48262024-10-01615384A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved]Fiona Kennedy0https://orcid.org/0000-0002-3425-4717Roman Romero-Ortuno1https://orcid.org/0000-0002-3882-7447Suzanne Doyle2Clíona Ní Cheallaigh3https://orcid.org/0000-0002-0842-425XJulie Broderick4https://orcid.org/0000-0002-2572-6479Discipline of Physiotherapy, School of Medicine, Trinity College, Dublin, D08WRT, IrelandDiscipline of Medical Gerontology, School of Medicine, Trinity College, Dublin, D08NHY1, IrelandSchool of Biological and Health Sciences, Technical University of Dublin, Dublin, IrelandSchool of Medicine, Trinity College, Dublin, D08W9RT, IrelandDiscipline of Physiotherapy, School of Medicine, Trinity College, Dublin, D08WRT, IrelandBackground People who are homeless are more likely to experience poor mental health and addiction as well as suffering from non-communicable diseases. There is evidence of frailty and accelerated physical ageing among people experiencing homelessness. Appropriate physical rehabilitation and nutritional supplementation strategies can stabilise or reverse frailty and general physical decline, but it is not known how this type of intervention would work in practice in this population. Aim To evaluate the feasibility and pre-post intervention impact of a low threshold physical rehabilitation intervention with protein supplementation to target physical functioning and frailty in people with problematic substance use who are experiencing homelessness. Methods The intervention will consist of a 12-week low threshold rehabilitation programme with protein supplementation. Participants will be service users of the Ballyfermot Advance Project, a day services centre for people with addiction issues and experiencing homelessness. Primary outcomes will be feasibility including numbers recruited, retention of participants and adherence to the exercise intervention and protein supplement. Any adverse events will be recorded. Secondary outcomes will be strength and muscular mass, physical performance and lower extremity physical function, pain, frailty and nutritional status. Discussion An immediate impact may be simply a distraction from difficult circumstances and potentially an improvement of physical health of participants, which can be a conduit for the emergence of other positive behaviours and recovery. Longer term, this study will generate preliminary data on which to inform the design of a definitive randomised controlled trial of physical rehabilitation and protein supplementation, if indicated. Ethics and dissemination Ethical approval was granted by the Faculty of Health Sciences Research Ethics Committee in TCD. Study findings will be disseminated through publication into an international peer-reviewed journal and presented at national and international conferences.https://hrbopenresearch.org/articles/6-26/v2Inclusion health addiction homelessness exercise nutritional supplementationeng |
| spellingShingle | Fiona Kennedy Roman Romero-Ortuno Suzanne Doyle Clíona Ní Cheallaigh Julie Broderick A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved] HRB Open Research Inclusion health addiction homelessness exercise nutritional supplementation eng |
| title | A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved] |
| title_full | A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved] |
| title_fullStr | A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved] |
| title_full_unstemmed | A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved] |
| title_short | A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm pre-post intervention study. [version 2; peer review: 2 approved] |
| title_sort | study to explore the role of a low threshold fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness protocol for a single arm pre post intervention study version 2 peer review 2 approved |
| topic | Inclusion health addiction homelessness exercise nutritional supplementation eng |
| url | https://hrbopenresearch.org/articles/6-26/v2 |
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