Healthy Lifetime - Sustainability and Quality Study

Not Applicable

Completed

• Conditions: Aging Well
• Interventions: Behavioral: Nurse-led health coaching

• Registration Number: NCT05071326
• Lead Sponsor: University of Michigan

Brief Summary

HealthyLifetime (HL) is a person-centered program that enables older adults to maximize health and optimize functioning - the necessary requisite to successfully remaining independent in their preferred home setting as long as possible, i.e., to age in place.

Detailed Description

HL seeks to intervene early in the aging process when individuals have the best chance for longer term benefits of changing their health behavior, as a means to stave off functional decline, and minimize the onset or exacerbation of chronic conditions. And, for individuals who are experiencing any of the barriers described above, our HL program's Nurse Coaches are prepared and experienced in helping them achieve their highest level of functioning and self-care capacity, while integrating and collaborating with, but not duplicating, their medical services such as primary care, specialty care, and case management or medical social services. While the latter medically oriented services support clinical management, they do not focus on helping older adults maximize health and function by building self-care capacity, long term health behavior change capacity and the functional resilience necessary to sustain or regain independent living.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2021-09-23
• Study First Submitted QC: 2021-10-04
• Study Start: 2021-10-08
• Study First Posted: 2021-10-08
• Primary Completion: 2024-08-30
• Study Completion: 2024-09-28
• Status Verified: 2024-10
• Last Update Submitted: 2024-10-09
• Last Update Posted: 2024-10-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

• Be able to read, speak English and hear - but may use glasses or hearing aids, if needed;
• Be able to tell us their age, their date of birth, address, and phone number, as well as write down and explain their health problems;
• Have their own computer or iPad (Tablet) with an Internet connection, a working camera and microphone. and
• Be able to use their computer/tablet to connect to video chat sessions like Zoom in a private space in their home or a private room.

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Exclusion Criteria

• People who, in the last month, have used the Emergency Room (ER) or stayed in the hospital.
• Are not verified users of Medicaid Home Help services [we will check with the Michigan Department of Health and Human Service to verify that you receive these services using your name, date of birth, and Medicaid identification number];
• Have a new major health problem that they are seeing a doctor about more than once per month;
• Have been told their illness is not curable;
• Cannot remember their name, date of birth or their health problems;
• Cannot use glasses or a hearing aid to see or hear well enough to read materials on the computer or talk to the nurse easily; and,
• Do not have, or cannot use, a computer, iPad or other device with the Internet at home to use Zoom (e.g., internet streaming).

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
HealthyLifetime Group	Nurse-led health coaching	This project is designed to prepare and equip the participant for improved self-care capacity, motivational insight, health-related problem solving and decision-making.

Primary Outcome Measures

Name	Time	Method
Change in Self-efficacy in ability to continue essential life activities score	At 0, 8 and 16 weeks after study enrollment.	Confidence of the participant in doing certain activities on a scale of 1= Not at all confident to 10 = Totally Confident. For the purposes of answering these questions, confidence is defined as the belief in the participant's chances of being able to do and/or complete an activity (e.g., hobbies and recreation, social visits, chores, errands, etc.) or task (e.g., hobbies and recreation, social visits, chores, errands, etc.) successfully however the participant defines it.
Change in Goal attainment score	At 0, 8 and 16 weeks after study enrollment.	Health goals of participants (up to 3) and importance of goal (1= Not at all important now to 10 = highest importance now) and confidence in achieving goal (1= Not confident at all to 10 = Completely Confident)
Change in Health Habits score	At 0, 8 and 16 weeks after study enrollment.	Activities that participants engage in that affect health in a negative or positive way, e.g., smoking (yes or no), alcohol (number of drinks per week), exercise (0 = none to 4= more than 3 hours/week), food choices (seldom or never to 2 or more times a day)
Change in Participant Self- rated health score	At 0, 8 and 16 weeks after study enrollment.	Participants perception of their health on a scale of 1= Excellent to 5 = Poor
Change in Independent self care agency score	At 0, 8 and 16 weeks after study enrollment.	Confidence in doing certain activities, e.g., stick to behavior changes, meet goals, and improve health, on a scale of 1= Not at all confident to 10 = Totally Confident

Secondary Outcome Measures

Name	Time	Method
Change in Self-reported medical visits	At 0, 8 and 16 weeks after study enrollment.	Number of unplanned medical visits with doctor or primary medical provider in past 3 months (0 = no visits to 8 = 7 or more), emergency room visits (0 = none to 3 = 2 or more), overnight stay in hospital (0 = none to 3 = 2 or more).
Sustained higher values of primary measures at 3 months	16 weeks after study enrollment	Are effects of program noted at 8 weeks still present at 16 weeks.

Trial Locations

Locations (1)

University of Michigan School of Nursing; 🇺🇸 Ann Arbor, Michigan, United States