Community-based E-Health Program for Older Adults Living with Chronic Diseases

Not Applicable

Completed

• Conditions: Hyperlipidemias; Diabetes Mellitus; Hypertension
• Interventions: Behavioral: Community-based E-Health Program; Behavioral: usual self-management and follow up with doctors/nurse

• Registration Number: NCT04560296
• Lead Sponsor: National University of Singapore

Brief Summary

With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support. The study aims to develop a Community-based E-Health Program (CeHP) for Older Adults Living with Chronic Diseases , evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of CeHP based on the participants' perspectives. The research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action.

Detailed Description

Background:

With increased aging population, there is a higher rate of having chronic diseases and cognitive impairment. In order to achieve successful aging, it is important for community-dwelling older adults to perform better self-management with improved health literacy and various kinds of support.

Objectives:

The study aims to develop a Community-based E-Health Program (CeHP), evaluate the effectiveness of CeHP, and refine the program based on the outcome measurement.

Method:

The research team will develop the Community-based E-Health Program, and assess the effects of the program. A needs assessment will be carried out using focus group discussion with the older adults. A cluster controlled trial will be adopted. A follow-up process evaluation will be conducted to assess the acceptability, strengths and limitations of Community-based E-Health Program based on the participants' perspectives

Discussion and conclusion:

The proposed research contributes to engage and empower older adults living in the community to manage their chronic condition, and foster collaboration with the goal of translating evidence into action. This research will offer important insights into the need for educating and engaging older adults in managing chronic conditions to promote health and well-being, and therefore contribute to health and well-being of the elderly population.

Study Timeline

• Study First Submitted: 2020-09-03
• Study Start: 2020-09-15
• Study First Submitted QC: 2020-09-17
• Study First Posted: 2020-09-23
• Primary Completion: 2023-06-30
• Study Completion: 2024-06-30
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-12
• Last Update Posted: 2024-11-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

1. aged 60 or above; 2) able to understand and communicate in either English or Mandarin; 3) able to give consent to participate; 4) lives within the community setting; 5) diagnosed with chronic conditions (Hypertension, Hyperlipidemia, and Diabetes Mellites); 6) able to commit to the research program throughout the whole duration.

Exclusion Criteria

1. severe cognitive impairment;
2. severe psychiatric disorders;
3. severe vision impairment;
4. severe hearing impairment.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Community-based E-Health Program	Community-based E-Health Program	The intervention group will consist of 80 participants who will engage in Community-based E-Health Program.
usual self-management and follow up with doctors/nurse	usual self-management and follow up with doctors/nurse	The participants will receive the usual self-management and follow up with doctors/nurse as planned.

Primary Outcome Measures

Name	Time	Method
Change in Self-care ability of Chronic disease	baseline, 3 month, 6 month	Self-care of Chronic Illness Inventory

Secondary Outcome Measures

Name	Time	Method
Change in Patient Empowerment	baseline, 3 month, 6 month	Patient Empowerment scale
Change in Health Literacy	baseline, 3 month, 6 month	Health Literacy Scale, minimum value is 12, maximum value is 48, higher scores mean a better outcome.
Change in Social support	baseline, 3 month, 6 month	Social support Questionnaire
Change in Healthy Aging practice	baseline, 3 month, 6 month	Healthy Aging Instrument
Montreal Cognitive Assessment	baseline, 3 month, 6 month	Singapore version 2010
Symbol Digit modality test	baseline, 3 month, 6 month	Quickly screens for organic cerebral dysfunction in both children and adults, patient substitutes a number, either orally or written, for randomized presentations of geometric figures
HbA1c	baseline, 3 month	glycemic control
Lipid panel	baseline, 3 month	HDL, LDL, triglycerides
Immunological profile	baseline, 3 month	Cytokines (IL-1, IL6, IL15), TNFa, C1q, antinuclear antibody, antiDNA antibody
Hormones	baseline, 3 month	Cortisol, DHEA, insulin
Fasting glucose	baseline, 3 month	Plasma glucose concentration after fasting for 8 hours

Trial Locations

Locations (9)

Pap Community Foundation 3-in-1 Family Centre (Aged Care); 🇸🇬 Singapore, Singapore

Brahm Centre @ Simei 227; 🇸🇬 Singapore, Singapore

Lb Sac @ 434 Tampines; 🇸🇬 Singapore, Singapore

Brahm Centre @ Tampines; 🇸🇬 Singapore, Singapore

Lb Sac @ 499C Tampines; 🇸🇬 Singapore, Singapore

THK SAC @ Bedok Radiance; 🇸🇬 Singapore, Singapore

THK SAC @ Kaki Bukit; 🇸🇬 Singapore, Singapore

Presbyterian Community Services - Evergreen Circle Seniors Activity Centre; 🇸🇬 Singapore, Singapore

Lb Sac (Sa) @ Tampines 494E; 🇸🇬 Singapore, Singapore