The intervention comprises six independent and interconnected educational training sessions on:~Ageing and age-related changes, healthy nutrition, physical activity, mental health, social interaction and support, and overall discussion.~In each session, the intervention providers will describe the training with learning objectives prior to the training, ask leading questions of the session, and at the end of each session study participants will be given a simple take-home message. Moreover, the study participants will have the opportunity to reflect on ideas, ask questions and discuss with the intervention providers.~Session 1: Ageing and age-related changes~Age and age-related changes,~Sensory and perceptual changes on older persons~Other changes that may happen in later life Session 2: Healthy nutrition~Healthy diet for older persons~Factors that cause nutritional problems in older persons~Nutritional needs of older persons Session 3: Physical activity~The need for physical activity for an older person~The types of exercises that older people need to do~How older people initiate exercise in a safe way Session 4: Mental health~Ageing and mental health~Factors for mental health problems in older persons~Strategies to improve mental well-being in older persons Session 5: Social interaction and support~The need for social participation and support~The Risks of Senior Isolation Session 6: Overall discussion session~This is the last session focused on an overall discussion and reflection with each study participant about the previous sessions.~Discussion will also be made on how the study participants will sustain and implement the intervention in their day-to-day activities in their future life.~Each of the six components will be offered each month for six consecutive months. Each session will last approximately 30 to 40 minutes.~All six sessions will be delivered through a face-to-face approach. In the intervention period, there will be also a fortnightly 5 to 10-minute follow-up phone call with study participants to get feedback on their training or to provide counseling (Figure 3).~Study participants will be offered a home-based intervention by two Community Health Workers (CHWs) with close supervision and support from a Ph.D. candidate in nursing. At the end of each educational session, study participants will be provided with a simple but relevant take-home message. At the next session, after reflecting on how the participants undertook their take-home message the new educational session of the day will begin. If a participant asks questions beyond the scope of the intervention material, depending on the nature of the question they will be advised to meet with a medical expert at a nearby healthcare facility.~To reduce lost to follow-up (LTFU), and increase their adherence to implementing training content, participants will be encouraged and reminded by phone to attend upcoming sessions. The study construct of the Nurse-led Intervention (NLI) is indicated below.~CHWs are registered nurses who are local government employees and work closely with the local community home-to-home and at health posts. CHWs know the culture, lifestyle, and norms of the community and they provide culturally appropriate health education and information, help people get the care they need, counsel and guide on health behaviours, and for the health needs of individuals and communities.
The goal of this study is to design, implement, and evaluate a nurse-led intervention to decrease frailty of older persons in Ethiopia. The main hypothesis aims to test:~The nurse-led intervention decreases frailty including the physical, social, and psychological domains among the older persons living in the community in Bahir Dar, Ethiopia.~The nurse-led intervention improves the quality of life among the older persons living in the community in Bahir Dar, Ethiopia.~Study participants are required to take part in six independent and interconnected educational intervention sessions focussing on Ageing and age-related changes, healthy nutrition, physical activity, mental health, social interaction, and support, and lastly an overall discussion on the intervention.