A Feasibility Study of an mHealth-based Healthcare Professional-Lay Health Worker Partnership Program (mHLPP) Among Community-dwelling Impoverished Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 230
- 试验地点
- 1
- 主要终点
- Feasibility of the program implementation: implementation facilitators/barriers and acceptability
研究概览
简要总结
The project aimed at training female food delivery workers from Food Angel to perform basic health checks for older adults living alone in the community.
After undergoing training, the female delivery workers will be equipped with basic health knowledge and the ability to measure physical vital signs, including blood oxygen levels, blood pressure, and pulse and pain indices, for around 100 older adults when they visit them to deliver meals. The health data collected by the delivery workers will be uploaded to the mHealth monitoring platform developed by Prof. Arkers Wong's research team. Registered nurses (RNs) will be given access to the platform to evaluate the health status of the older adults. When needed, an RN will give in-depth personal care and interventions via the mHealth app to the older adults. Referrals to allied health professionals or social workers can also be made by the RNs for early interventions.
The team hope that this first-of-its-kind grassroots community health model, undertaken in combination with the Health-Social Partnership, will provide scientific research evidence for the Hong Kong government to consider introducing the mHealth app and the service model to the community as a way to strengthen primary healthcare.
The mHealth app is a pilot health management mobile app with an interactive nurse support function. The app enables nurses to monitor the health status of users and allow users to communicate with nurses when they have health concerns. Research findings released by the team in March 2023 showed that older adults' use of the app for 3 to 6 months resulted in a significant increase in self-efficacy, a significant decrease in depression levels, a reduction in the use of medical services, and an improvement in quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age 60 or over
- •member of the NGO (implying that they are not receiving any Government subsidize and their monthly income is less than HKD$ 6,050)
- •living within the service area of the NGO
- •able to sign an informed consent.
排除标准
- •being diagnosed with dementia
- •inability to communicate
- •being bed-bound
- •having an active psychiatric illness with recent hospital admission within the last six months
- •being already engaged in other mHealth studies.
结局指标
主要结局
Feasibility of the program implementation: implementation facilitators/barriers and acceptability
时间窗: At 6 months (T3) after baseline.
Three separated semi-structured group interviews with healthcare professionals, lay health workers, and older adults will be conducted to explore their views on facilitating, hindering factors, and the acceptability of implementing the program in the community at six months.
Feasibility of the program implementation: safety
时间窗: At 6 months (T3) after baseline.
Incidence of report of adverse events that is encountered by the older adults, lay health workers, and healthcare professionals will be measured to assess the safety of the program.
Feasibility of the program implementation: fidelity
时间窗: At 6 months (T3) after baseline.
A performance checklist that developed by the research team according to the workflow of the program will be used to identify whether the program is implemented as intended. The principal investigator of the research team will pay random quality assurance visits to evaluate whether the provided interventions are adhered to the planned content, duration, and frequency of the contact sessions.
Feasibility of the study methods: program reach
时间窗: At 6 months (T3) after baseline.
The number of older adults and lay health workers who are eligible, invited, excluded, and enrolled to participate in the program will be counted and compared to non-participants on key demographic data such as age, sociodemographic background, and living area.
Feasibility of the study methods: feasibility of recruitment procedures and eligibility criteria
时间窗: At 6 months (T3) after baseline.
The project manager of the study will be asked about the feasibility of the recruitment procedures, and the appropriateness of the eligibility criteria.
Feasibility of the study methods: feasibility of data collection and analysis method
时间窗: At 6 months (T3) after baseline.
The research assistants will provide feedback on the length, clarity and acceptability of focus group interview questions and quantitative questionnaires, and ease of collecting data. The principal investigator of the research team will and review the results from the focus groups interviews for indications of important issues relating to data collection or analysis.
次要结局
- Preliminary effectiveness on older adults: Blood pressure(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: HbA1c(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: fasting lipid(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: body mass index (BMI)(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: quality of life(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: perceived social support(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: self-care ability(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: client empowerment(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
- Preliminary effectiveness on older adults: health service utilization(Baseline assessments (T1), 3 months (T2) and 6 months (T3) after baseline.)
研究者
Arkers, Wong
Associate Professor
The Hong Kong Polytechnic University