Effectiveness of a Smart Community- and Home-based Integrated Care Services System for Elderly People in Rural Chinese Communities: A Randomized Controlled Trial in Changsha County
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- SF-36 scale (Short Form 36 Health Survey)
研究概览
简要总结
In recent years, the widespread application of emerging information technologies such as artificial intelligence, the Internet of Things, big data, cloud computing, and 5G has made "smart " a new breakthrough in the integrated healthcare and elderly care model. Smart Community- and Home-based Integrated Care Services , utilizing methods such as home hospital beds and mobile medical visits, ensure that key elderly groups with disabilities, dementia, chronic diseases, advanced age, and disabilities can receive the necessary medical services at home. This not only allows the elderly to live in familiar home environments, maintaining their independence and dignity, but also alleviates the pressure on medical resources, enabling more resources to be allocated to emergency care and highly specialized nursing. However, the smart healthcare and elderly care platform model is still in the pilot stage and requires more scientific evidence to verify its actual impact on the health of the elderly.
The purpose： The purpose of this clinical trial is to understand and verify the potential health improvement effects of the smart healthcare and elderly care platform on the elderly. By collecting health indicator data at different time points before and after the intervention, the study will compare the differences in health indicators between community-dwelling elderly who have used the smart healthcare and elderly care platform and those who have not, providing scientific evidence for the promotion of the smart healthcare and elderly care platform model and further facilitating its application and popularization among the elderly in the community.
The main question it aims to answer is: Are community-dwelling elderly who use the smart healthcare and elderly care platform healthier than those who do not use the service? Participants will： Participants will be randomly divided into an experimental group and a control group. The elderly in the experimental group will use the "Hunan Province Integrated Healthcare and Elderly Care Intelligent Service Platform," while the control group will not use the platform for blank control.
Data collection： The research team will collect health indicator data four times, including SF-36, Activities of Daily Living (ADL), and the Geriatric Depression Scale (GDS), at baseline, 3 months post-intervention, 6 months post-intervention, and 12 months post-intervention.
详细描述
I. Recruitment Phase:
The study will recruit participants from Guoyuan Town, Changsha County. Eligible elderly individuals from rural communities will undergo qualification assessment based on inclusion/exclusion criteria. Accounting for a 20% attrition rate, the study plans to enroll 64 elderly participants from rural communities in Guoyuan Town.
II. Intervention Allocation Phase:
Participants will be randomly assigned to either the experimental or control group using computer-generated randomization. Baseline measurements will be collected using:
SF-36 Health Survey
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
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
- •Participants aged ≥60 years
- •Normal verbal communication abilities
- •No self-reported visual or auditory impairments
- •Presence of a long-term, fixed caregiver who accompanies and lives with the participant
- •Both the participant and their family members are informed and consent voluntarily to participate in this study
排除标准
- •Participants aged <60 years
- •Individuals suffering from severe physical or mental illnesses
- •Elderly individuals who have participated in other similar studies within the past year
- •Elderly individuals residing in institutions
研究组 & 干预措施
Experimental group
Receiving integrated care services through the "Hunan Province Medical Elderly Integration Intelligent Service Platform".
干预措施: smart integrated care services (Behavioral)
Control group
Receive regular community care services, with no intervention, as a blank control
结局指标
主要结局
SF-36 scale (Short Form 36 Health Survey)
时间窗: Measurements were taken to obtain data after interventions at three months, six months, and twelve months.
The SF-36 (Short Form 36 Health Survey) is a tool used to assess health-related quality of life across 8 dimensions, each scored from 0 to 100. A higher score indicates better health. The 8 dimensions are: Physical Functioning (PF): Ability to perform physical activities. Role-Physical (RP): Limitations due to physical health. Bodily Pain (BP): Pain intensity and impact. General Health (GH): Overall health perception. Vitality (VT): Energy levels and fatigue. Social Functioning (SF): Impact on social activities. Role-Emotional (RE): Limitations due to emotional problems. Mental Health (MH): Psychological well-being. Scores are calculated based on responses, with 0 representing the worst health and 100 the best. The higher the total score, the better the health.
次要结局
- ADL scale（（Activity of Daily Living）(Measurements were taken to obtain data after interventions at three months, six months, and twelve months.)
- GDS scale（Geriatric Depression Scale)(Measurements were taken to obtain data after interventions at three months, six months, and twelve months.)
研究者
Liu Zhihan
Principal Investigator
Central South University