Impact Assessment of the Jockey Club REACH & Map Program for Hard-to-reach Older Adults in the Community: A Target Trial Emulation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 5,500
- 试验地点
- 1
- 主要终点
- EuroQoL-5 Dimension-5 Level
研究概览
简要总结
The goal of this study is to evaluate the impact of the Reach-and-Map project on increasing functional capacity to optimize the functional ability of the vulnerable group of "Hard-to-Reach" older adults through increase the compatibility between their intrinsic capacity and environment.
详细描述
The overall aim of this project is to conduct a comprehensive impact assessment of the Jockey Club (JC) Reach & Map Program, utilizing a framework based on the World Health Organization (WHO) Health Impact Assessment. The study will evaluate how the program influences health outcomes among hard-to-reach older adults by assessing changes in key health determinants. The findings will be disseminated to relevant stakeholders to inform future policy setting and service planning, and long-term monitoring will be undertaken to evaluate the extent to which the impact assessment influences decision-making in aged care service development.
The primary focus of the evaluation is on the functional abilities of older adults, including physical, cognitive, psychological, and social functioning. The assessment will also cover core outcomes such as quality of life, frailty, and health service use, alongside person-centered measures like loneliness and mental health. Given the diverse services received by beneficiaries, the study will account for structural and social health determinants-such as age, gender, socio-economic status, and chronic disease burden-as covariates in the analysis. In addition, the project will explore the broader effects of the JC Reach & Map Program on aged care service utilization and document both the experiences of service recipients and stakeholders involved.
Specifically, the study objectives are: (1) to evaluate the impact of the JC Reach & Map Program on frailty, quality of life, and health service use among hard-to-reach older adults, focusing on physical, cognitive, psychological, and social functions; (2) to explore the engagement experiences and perceptions of older adults regarding the services received, and their impact on well-being, community engagement, and social integration; and (3) to explore the experiences of service stakeholders in reaching and working with this population, as well as to gather their insights on ideal service models and policies for hard-to-reach older adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 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
- 是
入选标准
- •age > 60
- •able to participate in the impact assessment as evidence by a test score of > 6 on the Abbreviated Mental Test
- •has the functional ability to engage in the digital intervention
- •able to communicate with the researcher
排除标准
- 未提供
结局指标
主要结局
EuroQoL-5 Dimension-5 Level
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring Health-related quality of life (HRQL) (range from -0.59 to 1.0), higher score indicates better quality of life
Short Physical Performance Battery
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring by (range from 0 to 12), with higher score indicating better physical performance
5-minute Montreal Cognitive Assessment (MoCA)
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring Cognitive function (range from 0 to 30), A score of 26 or over is considered to be normal.
7-item Memory Complaint Scale (MCS)
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring Subjective Memory Score (range from 0 to 14), lower score indicates better memory performance. No MCs (0-2), Mild MCs (3-6), Moderate MCs (7-10), Severe MCs (11-14).
3-item University of California, Los Angeles (UCLA) Loneliness Scale
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring Loneliness (range 3-9), higher score indicates greater loneliness.
The 8-item Geriatric Depression Scale
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring Depression (range 0 to 8), with higher score indicating higher risk of depression
8-item Social Connectedness Scale Revised
时间窗: Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.
Measuring Social connectedness (range 0 to 48), \<22 indicates lack of social connectedness
次要结局
- Health service utilization(Changes from baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.)
- Health service utilization(From baseline to 1 month, 4 month, 10 month, and 13 month post-intervention.)
研究者
Prof. Yu, Doris Sau Fung
Professor
The University of Hong Kong