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Clinical Trials/NCT05071326
NCT05071326CompletedNot Applicable

Healthy Lifetime - Sustainability and Quality Study

University of Michigan1 site in 1 country84 target enrollmentStarted: October 8, 2021Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
84
Locations
1
Primary Endpoint
Change in Participant Self- rated health score

Study Overview

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.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Other
Masking
None

Eligibility Criteria

Ages
30 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

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.

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).

Arms & Interventions

HealthyLifetime Group

Experimental

This project is designed to prepare and equip the participant for improved self-care capacity, motivational insight, health-related problem solving and decision-making.

Intervention: Nurse-led health coaching (Behavioral)

Outcomes

Primary Outcomes

Change in Participant Self- rated health score

Time Frame: 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 Self-efficacy in ability to continue essential life activities score

Time Frame: 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

Time Frame: 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

Time Frame: 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 Independent self care agency score

Time Frame: 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 Outcomes

  • Sustained higher values of primary measures at 3 months(16 weeks after study enrollment)
  • Change in Self-reported medical visits(At 0, 8 and 16 weeks after study enrollment.)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Kathleen Potempa

Professor

University of Michigan

Study Sites (1)

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