Community-based E-Health Program for Older Adults Living with Chronic Diseases - a Cluster Controlled Study with Process Evaluation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 150
- Locations
- 9
- Primary Endpoint
- Change in Self-care ability of Chronic disease
Study Overview
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:
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None (Participant)
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •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
- •severe cognitive impairment;
- •severe psychiatric disorders;
- •severe vision impairment;
- •severe hearing impairment.
Arms & Interventions
Community-based E-Health Program
The intervention group will consist of 80 participants who will engage in Community-based E-Health Program.
Intervention: Community-based E-Health Program (Behavioral)
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.
Intervention: usual self-management and follow up with doctors/nurse (Behavioral)
Outcomes
Primary Outcomes
Change in Self-care ability of Chronic disease
Time Frame: baseline, 3 month, 6 month
Self-care of Chronic Illness Inventory
Secondary Outcomes
- Change in Patient Empowerment(baseline, 3 month, 6 month)
- Change in Health Literacy(baseline, 3 month, 6 month)
- Change in Social support(baseline, 3 month, 6 month)
- Change in Healthy Aging practice(baseline, 3 month, 6 month)
- Montreal Cognitive Assessment(baseline, 3 month, 6 month)
- Symbol Digit modality test(baseline, 3 month, 6 month)
- HbA1c(baseline, 3 month)
- Lipid panel(baseline, 3 month)
- Immunological profile(baseline, 3 month)
- Hormones(baseline, 3 month)
- Fasting glucose(baseline, 3 month)
Investigators
Vivien Xi WU, PhD
Assistant Professor
National University of Singapore